Motorsport UK RS Clubman sign on Form - Organising Club CCROC
Event Location - Indemnifying Farm Event Date - 5th December 2020 Permit Number -119412

Please refer to the events page on the CCROC website for information about the event.
E mail address
Contact phone number
Next of kin name and contact number
Enter Make and Model of you car
Enter class you wish to enter RTV1 / RTV2 / CCV
MSUK Licence number
Land Rover Club Membership Number
If you have a passenger enter their name, MSUK licence number and club number here. Otherwise leave blank
If you are a driver (not passenger) under the age of 18. Please provide Details of parent / guardian so that they can be sent a separate form. Otherwise leave blank
Signature - By entering your name below you are confirming that you have read and understood the MSUK signing on requirements and that you are making the declaration required by their signing on form which can be found on the clubs event webpage -
Date of Signature
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