SCCoN AutoTest - Entry Form

SCCoN Grass AutoTest & PCA

Monday 25th August 2025
Driver Details
Name:*
E-mail:*
Phone (Mbl):*
Phone (alt):
(optional)
MSUK Licence No:
Motorsport UK Licence No (if applicable)
Club:
Membership No:
Club Membership No
Age:
Only required if under 18 years of age
Guardian:*
Parent / Guardian / Guarantor
Phone:*
Parent / Guardian / Guarantor
Email:*
Parent / Guardian / Guarantor
Emergency Contact Details
NoK Name:*
NoK Phone:*
Mobile preferred
Passenger?*

NoYes
Passenger Details
Name:*
E-mail:
Phone (Mbl):
Phone (alt):
(optional)
MSUK Licence No:
Motorsport UK Licence No (if applicable)
Club:
Membership No:
Club Membership No
Age:
Only required if under 18 years of age
Guardian:*
Parent / Guardian / Guarantor
Phone:*
Parent / Guardian / Guarantor
Email:*
Parent / Guardian / Guarantor
Emergency Contact Details
NoK Name:*
NoK Phone:*
Mobile preferred
Car Details
Club Micra*

YesNo
Make:*
Model:*
cc:*
Registration:
(optional)
Event?*

AutoTestPCA
Class:
Class?*

A1 (AutoSOLO <= 1.4L)A2 (AutoSOLO > 1.4L)B (AutoSOLO 2 seater sports cars)C (AutoSOLO low volume)
Class?*

D (AutoTest)
Class?*

E (PCA passenger class)
Double Drive?*

YesNo
For a Double Drive please submit an Entry Form for EACH driver.
Entry fee is £20 per driver payable by Bank Transfer (BACS) - payment details below

PAYMENT DETAILS

Entry Fee

£20.00

Bank Transfer: Use reference 'SOLO25R3 ' followed by driver surname

Sort Code	Account	Name
09-01-29	13111919	The Sporting Car Club of Norfolk Limited

Cheque: Please make cheques payable to SCCON Ltd and posted to

SCCON c/o, 29 Gaynor Close, Wymondham, Norfolk, NR18 0EA

SCCON keeps all membership records stored on a computer for use by the club only

The SCCON data protection policy is available to download from the membership section on the SCCON website

Comments
Signed On:
Finals:
Privacy Policy
Sporting Car Club of Norfolk will retain your details and may contact you regarding other motorsport events that the club is involved with. Sporting Car Club of Norfolk will not under any circumstances pass on your details to any other person or organisation.
I have read, understood, and accepted the Privacy Policy
I have read and understood the event regulations
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SCCoN Grass AutoTest & PCA