May Sprint Entry - Curborough Sprint Course

ENTRANTS INFORMATION- If this entry is from a Motorsports UK Licenced Entrant, please inform the Entries Secretary for completion of a separate form.

Entrants Name:

Title

First

Last

DRIVERS INFORMATION

Drivers Name:

Title

First

Last

Drivers Address:

Street Address Street Address Line 2 City County Postcode

Drivers Home Number:

Drivers Work/Mobile Number:

Drivers Email*

Drivers MSUK Licence Number & Grade*

SDCC Membership Number

If shared drive, name other driver:

CAR

Car Make:*

Car Model:*

Year:

Engine Capacity:*

Number of Cylinders:

Type of Fuel:

Select Aspiration:

Turbo Charged

Supercharged

Normal

State if Saloon/Sports Racing etc:*

State which Class entered:

Road Going Cars- Enter Registration Number:

Will a Camera be fitted?:

Yes

No

If Class 1, Choose Tyres:

Championship Contending:

Name of club of which you are a member:

Name of Other Drivers (s)- Note you must use a separate entry form for each car, driver and event.

Do you hold or ever held an RTA Licence?:

Yes

No

Have you competed at Curborough before?:

Yes

No

In the event of a serious accident who would you like contacted?:

Telephone Number of contact:

Do you require a map of how to get to Curborough?:

Yes

No

Confirm Regulations Read:*

Yes

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NON-PAYPAL