Gurston Down Online Entry System

www.gurstondown.org/regs

[ x ]

Saturday April 17th 2010

You are not logged in, if you have registered and have previously saved a profile, login to auto complete this form. Alternatively you can register here if you wish to create a profile.

Required fields are marked with a *


Driver details

First name	*
Surname	*
Address	*
Address
Home town/City	*
Post Code	*
Home telephone
Work telephone
Email address	*
Competition licence number	*
Grade & category of licence
*
Entrants name
Entrants licence number
Also driven by

Clubs

A member of the BARC? *
No
Yes
BARC Centre

HSA Speed Championship 2009 *
No
Yes
SBD Speed Championship 2009 *
No
Yes
Bert Hadley Memorial Championship 2009 *
No
Yes
Westfield Sports Car Club Speed Championship 2009 *
No
Yes

Car details

Class entered
*
Category
*
Make	*
Model	*
Year	*
Number of seats	*
Engine capacity	*
Turbocharged *
No
Yes
Supercharged *
No
Yes
Rotary *
No
Yes

Declaration

Declaration *
Held under the General Regulations of the Motor Sports Association Ltd (incorporating the provisions of the International Sporting Code of the FIA) and these supplementary regulations.
I agree

Misc

Have you ever held a valid road licence? *
No
Yes
Are you over 18? *
No
Yes
Emergency contact name	*
Emergency contacts address	*
Emergency contacts phone number	*
Relationship to driver	*

Today's date

Wed 08 Sep 2010