Motorsport at the Palace  2017
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Dear Competitor.

Welcome to our two part online entry application system.
To make an entry application you first need to complete this form and then make an online payment via the bank details below   SR12. You will then receive an acknowledgement of the application from the secretary of the meeting.

Kind Regards

Karen Webber
Secretary of the Meeting
Driver's Title *
First Name *
Surname *
MSA Licence Number *
Day wishing to compete *
Licence Type *
Licence Grade *
Address House Name , Number  and Street *
Address 1
Town *
County *
Post Code *
Home Telephone Number *
MobileTelephone Number
Email Address *
Club *
If you are unsure if your club is a member of the invited associations please see pages 20,21,26 & 27 of the blue book for clarification .
Association *
Should our Publicity Company want to use yor car in any publications would you be happy for us to pass on your contact details to them *
Car Information
Car Make & Model *
CC *
Class *
Please see the notes with the SR's re classes and also SR10
If Road going Production /Specialist Classes A & B please answer the below How Many Seats are Fitted
Clear selection
If Road going Production /Specialist Classes A & B please answer the below Are Perspex windows fitted
Clear selection
Colour *
Year of Manufacture *
Will you be camping over the weekend ? *
Is your race car on a trailer ? *
Will you have a Support Car with you ? *
Emergency Contact Details
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Telephone Number *
Emergency Contact Mobile Number *
Emergency Contact Address *
Address 1
Emergency Contact Address *
Town
Emergency Contact Address *
County
Emergency Contact Address *
Postcode
Is your Emergency Contact  attending the event *
Drivers Declaration *
This can be found on the MSA Website or at signing on
Required
Drivers Declaration  for Under 18's
This can be found on the MSA website or at signing on
Commentary Information
To enable our commentators to be as informative as possible about you and your car they need as much information as possible. if you can complete the below questions . All field require some content, even if the word '' None'' is typed into it .
Have you competed here before? *
Required
If yes, what was your  best result ?
Your Age Physically/Mentally/Driving Standard? *
Where did you start competing *
When was your first event? *
Who is likley to be supporting you in the crowd? *
Just give us a few names and relationship to you
What is your twitter handle?
Have you had any notable results ? *
What made you want to compete at CP? *
Who does or has Inspired you in motorsport ? *
Where do you normally compete? *
Does your car have any notable history? *
ie Famous owners, Raced anywhere historic etc
Yes you have now reached the end of part one of your application .
You should now move onto part two and pay the relevant entry fee via the payment link. You will find this in the email you will recieve one you have submitted this form.(or See SR12 for the link). Please note you will be sent an acknowledgement of your application once we have recieved both this form and payment.  The  Organisers of Motorsport at the Palace would like to take this opportunity to thank you for your entry application.
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