Plymouth Motor Club Event Entry Form 2025.

Event Regulations.
Renault Cup 12 Rally Car Regulations.
Scatter Regs
Autotest Regs

Contact. (Person Filling In This Form.)

Details of Person to Contact if there are any Issues.
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Contact Phone Number*
Contact is:*

DriverNavigatorOther

Driver Details.
Are You Double Drive?:*

NoYes
Drivers Name*

First NameLast Name
Driver Over 18 Years Old?*

YesNo
Drivers Email Address
example@example.com
Drivers Mobile Phone Number (Contactable on the Event)
Drivers MSUK Competition Licence Number
MSUK Number.
Drivers Club Entered Under:*

Plymouth Motor Club.Camel Vale Motor ClubOther
Drivers Parent / Guardian Details.
Drivers Parent / Guardians Name*

First NameLast Name
Drivers Patent / Guardians Phone Number*

Co Driver Details.
Co Driver Name*

First NameLast Name
Co Driver Over 18 Years Old?*

YesNo
Co Driver Email Address
example@example.com
Co Driver Mobile Phone Number (Contactable on the Event)
Drivers MSUK Competition Licence Number
MSUK Number.
Co Driver Club Entered Under:*

Plymouth Motor Club.Camel Vale Motor ClubOther
Co Drivers Parent / Guardian Details.
Co Driver Parent / Guardians Name*

First NameLast Name
Co Driver Phone Number*

Class / Vehicle Details.

Please Enter Your Vehicle Details, if you are unsure please enter TBC where required.
12 Car Class Entered*

Expert CrewNovice Crew
Autotest Class Entered*

Production Class AProduction Class BProduction Class CClubmans Class AClubmans Class BClubmans Class C
Vehicle Make:
If Not Sure Please Enter TBC
Model
Engine Capacity
Registration Number.
Colour:

Insurance Details.
Own Insurance Details.
Name of your Insurance Company. (Please note your certificate will need to be checked on the night)
Address of your Insurance Company:

Street Address

Street Address Line 2

CityState / Province

Postal Code
On the Night Insurance.

On the night Insurance is NOT available for the event. So you have to ensure that you have cover of your own.
On the Night Insurance

Not Required. Own Insurance is in Place.
REIS Insurance Declaration

Event Road Section Insurance is available for this event and is provided by REIS Motorsport Insurance, details below:

Vehicles must have a valid motor insurance policy which provides as a minimum, Third Party Liability cover that complies with the Road Traffic Act. This can be either, by extending an existing motor policy to cover the event, or, by purchasing additional cover, providing under the Event Road Section Scheme as an adjunct to an existing motor policy. If a competitor has an extension to their existing policy, they will be required to sign a declaration that the cover complies with the requirements of the Road Traffic Act. Any responsibility for a fraudulent or misleading declaration about existing cover lies with the competitor. If a competitor wishes to purchase additional Road Section cover via the organisers then they can do so prior to the event providing they comply with the following:

· is aged 19 years or over,

· has held a full driving licence for a minimum of 6 months,

· has no more than 6 points on their licence,

· has had no more than 1 fault claim in the last 3 years, is named on a valid motor insurance policy for the vehicle they are driving,

· do not have the Third-Party Extension cover on their existing motor policy,

· the vehicle has a valid MOT and taxed for the road, unless exempt from doing so.

Anyone aged less than 19 years old will also be accepted at the same price should their codriver be a more senior member of their family or over 25. Any competitor who falls outside these parameters may be offered cover at equivalent terms or an agreed price, if approval from the Appointed Insurance Broker has been obtained by the event organisers, prior to the event. Approval can be sought by sending an email to the contact@reis.co.uk and provide the Drivers’ name and date of birth, the date they passed their driving test and details of any motoring claims and/or convictions. Additional cover provided by this scheme is only effective whilst the vehicle is actively competing in the event and remains under the control or direction of the event organiser(s). Cover will cease immediately if you are precluded, excluded or retire from the event.

The Event Road Section scheme is provided by ABC Insurance Brokers Limited and underwritten by Slipstream Underwriting a trading style of First Underwriting Limited.

Payment:
Total to Pass On.
Payment method*

Card Payment NowOn the Night.Bank Transfer
Payment Required: £{totalTo}
Please Do not Press the Submit Button more than Once otherwise you may be charged more than once.

Bank Transfer.
Please Transfer your Payment of £{totalTo} to:

Bank Sort code: 09-01-51

Account Number: 18187317 and state your name in the Referance Box.

(Details will be emailed to you when you submit the Form.)
On the Night.
Thank you.

Please bring your payment of £{totalTo} with you on the night.

Please remember that your entry is not valid until we get payment from you.
This means that if the event is over subscribed then you may not get an entry.
Entries are full now.

Please press submit if you wish to join the Reserve list.
Should be Empty:

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Plymouth Motor Club Online Event Entry Form

Entry Amendment.

Sorry Entry's are now Full.

Event Regulations.

Contact. (Person Filling In This Form.)

Driver Details.

Drivers Parent / Guardian Details.

Co Driver Details.

Co Drivers Parent / Guardian Details.

Class / Vehicle Details.

Insurance Details.

Own Insurance Details.

On the Night Insurance.

Payment:

Entries are full now.