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.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms