The Shenstone & District Car Club will be organising a Clubmans Permit (No 56163) Sprint Meeting at Curborough on Sunday 28th March 2010.
NOTE: The entry fee is ONLY £49 (2005 Prices!!)
In accordance with current MSA rules entries can be accepted by Email, but must be sent by completing the form below, and indicating acceptance of the event regulations by completion of the relevant "check box" on the form.
No Email entry will be finally accepted until payment has been received by the Entries Secretary.

CLOSING DATE FRIDAY 19th MARCH 2010
Please complete the form below, and click "Send".
ENTRANT
Full Name of Entrant
Address of Entrant
Post Code
Telephone Number Home
Telephone Number Work/Mobile
E Mail Address
Entrants MSA Licence no/Grade
	DRIVER
Full Name of Driver
Address of Driver
Post Code
Telephone Number Home
Telephone Number Work/Mobile
E Mail Address
Entrants MSA Licence no/Grade
If car is being shared, enter name of other driver
Do you or have you ever held a valid Road Traffic Act Licence?	Yes No
Are you a "Novice"	Yes No
Are you a first year Competitor	Yes No
	CAR
Make
Model
Year
Engine Capacity
Cylinders
Type of Fuel
Select Aspiration Type	Supercharged Turbocharged Normal
State whether car is Saloon, Sports Racing Etc
Have you Competed at Curborough Before?	Yes No
	In the event of a serious accident, who would you like contacted?
	Name:
	Telephone:
Do you require a map of how to get to Curborough?	Yes No
	YOU MUST TICK THE BOX BELOW
	On ticking the box below, you confirm you have downloaded, read, and accepted the Event Regulations.
	If you do not tick the box, your entry cannot be accepted.

Regulations & Entry Form