Motorsport at the Palace 2017
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 *
Your answer
Surname *
Your answer
MSA Licence Number *
Your answer
Day wishing to compete *
Licence Type *
Licence Grade *
Address House Name , Number and Street *
Your answer
Address 1
Your answer
Town *
Your answer
County *
Your answer
Post Code *
Your answer
Home Telephone Number *
Your answer
MobileTelephone Number
Your answer
Email Address *
Your answer
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 .
Your answer
Association *
Your answer
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 *
Your answer
CC *
Your answer
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
If Road going Production /Specialist Classes A & B please answer the below Are Perspex windows fitted
Colour *
Your answer
Year of Manufacture *
Your answer
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 *
Your answer
Emergency Contact Relationship *
Emergency Contact Telephone Number *
Your answer
Emergency Contact Mobile Number *
Your answer
Emergency Contact Address *
Address 1
Your answer
Emergency Contact Address *
Town
Your answer
Emergency Contact Address *
County
Your answer
Emergency Contact Address *
Postcode
Your answer
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 answer
Your Age Physically/Mentally/Driving Standard? *
Your answer
Where did you start competing *
Your answer
When was your first event? *
Your answer
Who is likley to be supporting you in the crowd? *
Just give us a few names and relationship to you
Your answer
What is your twitter handle?
Your answer
Have you had any notable results ? *
Your answer
What made you want to compete at CP? *
Your answer
Who does or has Inspired you in motorsport ? *
Your answer
Where do you normally compete? *
Your answer
Does your car have any notable history? *
ie Famous owners, Raced anywhere historic etc
Your answer
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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