Please add the names of any additional passengers below:
Vehicle & Crew History
Your attention is drawn to the indemnity given below, and which forms part of the Knowldale Car Club Ltd. Entry Form. Your entry is accepted for this event on the signature of the entrant on this form or at “Signing On” agreeing to these terms and on the commitment that they will apply to any co-drivers, passengers and other persons associated with your entry.
I declare that I have read the Knowldale Car Club Ltd. Supplementary Regulations for the John Clegg Mini Miglia Road Run 2018 and agree to be bound by them. I acknowledge that I understand the nature and type of the event and potential risk inherent in motor sport and agree to accept that risk. Further, I understand that all persons having any connection with the promotion and or organisation and or conduct of the event are insured against loss or injury caused through negligence.
I declare that the vehicle hereby entered will be covered by insurance as required by the law which is valid for such part of the event as shall take place on roads as defined by law.
The entry fee of £40 per vehicle includes a commemorative Rally Plate and a Fish and Chip Supper at the finish for the Driver and Co-driver. Additional passengers may be entered at £10 each which includes the Fish and Chip Supper at the finish.
Please transfer the Total Entry Fee as shown above to:
Knowldale Car Club Ltd
Sort Code: 20-72-67
Account Number: 20555800
Please enter the last four digits of the account number from which the payment is made so that we can link the payment with your online entry:
Please send a cheque for the Total shown above to:
Steanor Bottom Farm
If the cheque account is not in the name of the Driver or Co-driver please write their name on the back of the cheque to help us match it to the online entry.
Thanks for your entry.
The Secretary Of The Meeting will contact you by eMail to confirm your entry.