2027 JUNIOR SALOON CAR CHAMPIONSHIP Scholarship Entry Form

2027 JUNIOR SALOON CAR CHAMPIONSHIP Scholarship Entry Form

Friday 19th February 2027
Driver Name:

First NameLast Name
Driver D.O.B:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Driver Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Driver Height (Feet and Inches):
Has The Driver Completed Their ARDs test?:
Has The Driver Completed a 1-1 development day?:
MUK License Number (If Held):
Parent/Guardian Name:

First NameLast Name
Relationship to Entrant:
Parent/Guardian Email Address:
example@example.com
Parent/Guardian Mobile Number:

Area CodePhone Number
Details Of Any Medical Condition/Disabilities:
Any Additional Info Which May Support The Drivers Application:
Please List Any Previous Racing Experience:
MEDIA RELEASE FORM FOR MINORS

I HEREBY GRANT PERMISSION TO jscc AND OTHER COMPANIES TO USE THE ENTRANT NAMED ABOVE PHOTO'S, VIDEO AND LIKENESS FOR THE PURPOSE OF PROMOTION FOR ALL FORMS, MEDIA AND MANNOR FOR THE FOLLOWING BUT NOT LIMITED TO: NEW RELEASES, PHOTOGRAPS, VIDEO, AUDIO, WEBSITE, MARKETING, ADVERTISING, TRADE, PROMOTION, EXHIBITION FOR AN INDEFINITE PERIOD OF TIME.

I GIVE UNRESTRICTED PERMISSION FOR IMAGES, VIDEOS AND RECORDINGS OF THE CHILD TO BE USED IN PRINT, VIDEO, DIGITAL AND INTERNET MEDIA, I AGREE THAT THESE INAGES AND OR VOICE RECORDINGS MAY BE USED FOR A VARIETY OF PURPOSES AND THAT THESE IMAGES MAY BE USED WITHOUT FIRTHER NOTIFYING ME.

I FURTHER ACKNOWLEDGE THAT I WILL NOT BE COMPENSATED FOR THESE USES AND THAT THE jscc OWNS ALL RIGHTS TO THE IMAGES, VIDEOS AND RECORDINGS AND ANY DERIVATE WORKS CREATED FROM THEM.

I WAIVE ANY RIGHT TO INSPECT THE USES OF ANY PRINTED OR ELECTRONIC COPY, I HEARBY RELEASE JSCC, ITS OTHER COMPANIES AND ITS AGENTS AND ASIGNS FROM ANY CLAIMS THAT MAY ARRISE FROM THESE USES, INCLUDING WITHOUT LIMITAATION CLAIMS OF DEFAMATION OR INVASION OF PRIVACY, OR OF INFRINGEMENT OF MURAL RIGHTS OR RIGHTS OF PUBLICITY OR COPYRIGHT.
Signature
PAYMENT DETAILS:

Reference: 'Entrants Full Name' ACCOUNT NAME: Junior Saloon Car Championship ACCOUNT NUMBER: 63488969 ACCOUNT SORT CODE: 20-53-77 AMOUNT PAYABLE: £895.00
IMPORTANT

Your entry will not be considered until the entry form has been received and your payment has cleared. No refund will be due if the entrant does not attend or the event is cancelled.
Upload a Headshot Of The Driver:

Cancelof
Signature Of Driver
Signature Of Parent/Guardian

2027 JUNIOR SALOON CAR CHAMPIONSHIP Scholarship Entry Form

PAYMENT DETAILS:

IMPORTANT