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Events - Online Shelsley Entry Form 2010

Please fill out all sections of this form to proceed.


1st/2nd May
5th/6th June
3rd July
17th July
18th July
21st/22nd August
18th September
19th September
Curborough 18th April
Mira 22nd May
Mira 14th August
Curborough 3rd October
1st/2nd May Camping (£7.50)
5th/6th June Camping (£7.50)
3rd July Camping (£7.50)
17th July Camping (£7.50)
18th July Camping (£7.50)
21st/22nd August Camping (£7.50)
18th September Camping (£7.50)
19th September Camping (£7.50)

About the DRIVER
Do You/Have you ever held a valid road traffic licence

Please answer each of the following questions.

You must belong to one of the categories below to enter.
Are you:
(a) A member of MAC?


PLEASE USE NUMBERS ONLY - Ignore the letter preceding the numbers.
(b) A member of an invited club?

Car Details
 
cc
Supercharged
 Turbocharged
 Is car roadgoing?

Dual Drives only -
(separate entry required)
Do you have an entrant other than the driver? If so, please complete this section.

General Declaration to be completed by all entrants and drivers

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.

Trophies and Awards
Have you won an annual award in the last five years?
Are you 24 or over on day of event?
Are you 65 or over on day of event?
If you qualify for a class award
do you wish to receive an engraved award or credit points

Relative/friend as contact in the event of an emergency

OR

Parent/guardian if under 18.

Please Indicate in which championships you are registered for each event entered
(Championships are listed in the supplementary regulations)

1st/2nd May

5th/6th June

3rd July

17th July

18th July

21st/22nd August

18th September

19th September
Shelsley Walsh - the oldest operational motorsport venue in the world