Registration Form - Category 1 - Historic Rally Car Register

Cat 1 Registration Form

"*" indicates required fields

Please ensure you have a Primary Championship Registration before you register for the Cat 1 Championship*

Mini Cup

Stage Masters

Your Primary Championship Number*

Driver

Name*

First Last

Address*

Street Address Address Line 2 City ZIP / Postal Code

Phone No.

Mobile No.

HRCR No.*

HRCR Expiry Date*

Co-Driver

Name*

First Last

Address*

Street Address Address Line 2 City ZIP / Postal Code

Phone No.

Mobile No.

HRCR No.*

HRCR Expiry Date*

Car Make

Car Make*

Model*

Date first Reg.*

Declaration

Download the Championship Regulations here

Declaration*

I/We have received the Supplementary Regulations for the HRCR Category 1 Championship and undertake to comply with them and declare that the information provided in respect of this entry is true and that I/We are eligible to compete. The Vehicle entered will at all material times comply fully with the Championship Regulations and I/We understand a breach of the regulations, including that of vehicle eligibility may result in the imposition of penalties which could include exclusion from the Championship.

Data Protection

Yes I agree

DATA PROTECTION ACT/ GENERAL DATA PROTECTION REGULATION: The information declared above will be held on computer for membership administration and HRCR event or championship / series purposes only; including emailing you about Club events and Club newsletter. Please tick to confirm you are happy for us to use your personal data in this manner

Registration Option*

Crew Registration £10

Driver Registration. £5

Navigator Registration £5

Registration Fee

Credit Card

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Registration Form – Category 1

Cat 1 Registration Form

Driver

Co-Driver

Car Make

Declaration

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