Wiscombe April 26/27 2025

Driver Details

Name*

First Last

Address*

Address Line 1 Address Line 2 City County Post code Country

Phone*

Mobile

Email*

RTA Driving Licence*

Do you hold a valid Road Traffic Act driving licence?

Club*

I am a fully paid up member of:

Motorsport UK Comp. Licence Type*

Minimum Clubman RS

Motorsport UK Licence No.*

Your club card, licence and where appropriate championship registration card will be inspected at the event. Report to the secretary of the meeting to sign on before practice at the start of Saturday (or Sunday if only entered that day) with these documents.

Championships

Please select all championships you are registered for:

Classic Marques

Downton Engineering

Fairfield Motor Co. WAMC

Fusion Fostering ASWMC

Hamilton Classics ACSMC

Sevenoaks & DMC

Tillicoultry Quarries Wiscombe

Woodford Trailers HSA

Driver Emergency Contact

Relative or friend to be contacted in the event of a serious accident.

Full Name*

Address*

Phone*

Mobile

Entrant Details

Use driver details / entrant details*

Same details as Driver

Enter new information

Entrant: Name*

First Last

Entrant: Address*

Address Line 1 Address Line 2 City County Post code Country

Entrant: Phone*

Entrant: Mobile

Entrant: Email*

Entrant: Motorsport UK Comp. Licence Type*

Entrant: Licence No.*

Vehicle Details

Make of Vehicle*

Model*

Engine Capacity*

Forced induction?*

Fuel if not petrol

Vehicle Registration Number

Roadgoing classes A0 to B3 and D3 only, for scrutineers to check VED & MOT

Class*

ASWMC competitors please note the latest scrutineering guidance from the champion coordinator, to ensure you enter the correct class appropriate for the modifications to your car. Where your vehicle requires a Motorsport UK log-book or passport, have this document with you at the event for the scrutineers. Note recent advice that some old style log-books are out of date.

Entry Fee

Is the car double driven?*

Which day are you entering?*

Name of other driver*

Who is Driver A?*

Are both drivers paying individually?*

Who is paying?*

Which day are you entering?*

Membership Fee

Many renewals are due around this time of year - check the expiry date on your membership card & renew here if necessary.

Would you like to renew your Woolbridge MC Membership*

Competing Family Membership

(add on to full membership, £2.50 each)

Entry Fee Total

Declaration

Understandings, Declarations and Undertakings*

All drivers and entrants must undertake to read the declarations in Blue Book Section D, paragraph 13, which will be incorporated in the Signing-on Forms. By ticking this box you agree to the Understandings, Declarations and Undertakings in the 2022 Blue Book, D13, pages 83 & 84.

I agree to be bound to the above declaration

State your age if you are under 23 – Driver

Please enter a whole number. Entries from those under 18 must be countersigned by a parent at the start of the event. Under 23s entering the Wiscombe Championship are eligible for the 'Young Driver of the year' trophy.

Parent Guardian

Any indemnity and / or declaration as prescribed above which is signed by a person who has not reached his or her eighteenth birthday shall be countersigned below by that person’s parent or guardian, whose full name and address shall be given. These entries cannot be made electronically at present. Use the manual form for these entries.

Signed - parent / guardian - Driver

Parent / Guardian Address

Address of parent / guardian of Driver

Payment

Please note:

The entry fee can be paid by Credit Card, Debit Card or PayPal by completing the online membership form and clicking on ‘Submit’. If you have a PayPal account, click on the blue PayPal button on the next screen to make payment. If you don’t have a PayPal account, or don’t wish to use it, click on the grey ‘Debit & Credit Card’ option to use your own debit or credit card. You don’t need to log in to PayPal so you can ignore that.

Total

Driver Details

Driver Emergency Contact

Entrant Details

Vehicle Details

Entry Fee

Membership Fee

Declaration

Parent Guardian

Payment

Events

Results

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