VEHICLE AND CLASS INFORMATION

Make & model of car______Class______

Cars conforming to FIA International Group N Regulations
Class N2 – over 1400cc up to and including 1600cc
Class N3 – over 1600cc up to and including 2000cc
Class N4 – over 2000cc
Cars complying with 2018 MSA technical regulations
Class B10 – over 1400 cc up to and including 1600cc two wheel drive cars, inc R1
Class B11 – over 1600cc up to and including 2000cc two wheel drive cars
Class B12 – over 1600cc up to and including 2000cc 4 cylinder, 8 valve (normally aspirated)
Class B13 – over 2000cc two wheel drive cars
Class B14 – Over 2000cc four wheel drive non WRC cars, inc R4, as per FIA App J Art
260 and any four wheel drive car not complying with Class B14 or Class R5.
Class B15 – Homologated or Non homologated current or former WRC cars. A derivative of WRC or R5 not following FIA app J Art 261 (R5+).
Cars complying with 2018 FIA technical regulations
R2-As per FIA App J Art 260
R3-As per FIA App J Art 260
R5-Homologated and non homologated cars built to FIA App J Art 261 inc S2000 and RRC (Homologated Specification)
Historic Classes
Class H1 – All Historic Category 1 cars, Category 2 and 3 cars up to 1600cc, and Category 4 cars upto 1400cc
Class H2 – Historic Category 2 and 3 cars with single cam engines over 1600cc, and Category 4 cars up to 1600cc.
Class H3 – Historic Category 2 and 3 cars with multi cam engines over 1600cc, and Category 4 over 1600cc
Class H4 -Historic Category 4b cars over 1600cc which comply with R49.1.5
1400 Classes
Class 1400c – Cars up to 1400cc with
a.8 valve engines
b.Engines with more than 8 valves that retain the standard fuel and inlet manifold systems
Remote reservoir suspension systems are not permitted unless fitted as standard or homologated.
Class 1400S – All other cars up to and including 1400cc
Protyre MSA Asphalt Championship
and BTRDA Membership form 2018

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Please return this form tothe BTRDA Membership Secretary:

Paul Price

12 Thirlmere Close, Tettenhall, WolverhamptonWV6 9DG

Telephone: 01902 755095 Mobile: 07930 406634

Email:

Membership runs from 1stDecember2017to 31 January 2019

No entry is valid unless accompanied by the correct fee

Championship Points cannot be claimed prior to the receipt of this form, correctly completed

The British Trial & Rally Drivers Association Ltd.

A Company limited by guarantee Reg. in England and Wales No 1668346

Registered Office: Willow Cottage, Bradnocks Marsh Lane, Barston, Solihull. B92 0LH

Data Protection: The British Trial & Rally Drivers Association Ltd. and/or BTRDA Ltd.

will hold the data which you provide about yourself and may process it.

The Companies comply with the Data Protection Act 1988.

More information: Information Commissioner 01625 545745 or at www.dataprotection.gov.uk

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You can now register online

Go to:

BOTH APPLICATION FOR MEMBERSHIP AND INDEMNIFICATION MUST BE SIGNED

APPLICATION FOR BTRDA CLUB MEMBERSHIP

Please register me/us for Membership of the British Trials and Rally Drivers Association Ltd. (“The Association”)

I/We, (Being over 14 years of age) wish to become a Member of The Association and, if elected, I/We undertake to abide by the Rules, Memorandum and Articles of The Association and agree to contribute to the assets of The Association in the event of it being wound up while I/We are Member(s) or within 1 year after I/We cease to be a Member(s) for payment of the debts and liabilities of The Association contracted before I/We cease to be Member(s) and the costs, charges and expenses of winding up and for the adjustments of other rights such amount not exceeding £1 (one pound) and that I/We know that The Association (The British Trial & Rally Drivers Association Ltd) is a Company Limited by Guarantee.

Signature ______

(in case of joint membership both signatures are required)

Age ______(if applicable state “over 18”)

CHAMPIONSHIP REGISTRATION

I understand that the Protyre MSA Asphalt Championship is arranged by BTRDA Ltd on behalf of the Association. Please register me for the Protyre MSA Asphalt Championship. I am a Member of The Association or have applied for Membership above.

I have read the rules, terms and conditions of the Championship by BTRDA Ltd and agree to be bound by them and by the General Regulations of the Royal Automobile Club Motors Sports Association Ltd. I also agree to abide by and be bound by the Supplementary Regulations issued by event organisers of the events which I enter and which form part of the Protyre MSA Asphalt Championship (“The Events”).

INDEMNIFICATION

In consideration of the acceptance of this entry and of my being permitted to take part in “The Events” I agree to save harmless and keep indemnified BTRDA Ltd., such person(s), company or body as may be selected by BTRDA Ltd. to promote or organise the Events and their respective officials, servants, representatives and agents, together with other competitors and their respective servants, representatives and agents from and against all actions, claims, cost, expenses and demands in respect of death or injury to or damage to the property of myself my passenger(s), driver(s), mechanic(s) or associated personnel arising out of or in connection with this entry or my taking part in the Events or any of them.

Signature ______Date ______

Age ______(if applicable state “over 18”)

If the entrant is under 18 years of age this form must be countersigned by a parent or guardian

This entry is made with my consent: Signature ______(Parent/Guardian)

Full Name of Parent/Guardian ______

Address ______

You are advised that information from this form will be stored on a data retrieval system and may be used for organisational and publicity purposes associated with the Championships.

Communication with registered competitors will be via e-mail, website or other electronic means

DRIVERS & CO-DRIVERS REGISTRATION FORM 2018

BLOCK CAPITALS ONLY PLEASE

PERSONAL DETAILS PLEASE COMPLETE IN BLOCK CAPITALS
DATA PROTECTION: In completing this form you are consenting for The British Trial & Rally
Drivers Association Ltd and/or BTRDA Ltd to store and process your personal data for the purposes of managing your membership and if applicable your Championship registration(s). Please contact the Membership Secretary if you wish to update your membership details or preferences.
Please provide your express consent to the foregoing by ticking this box:
PLEASE DELETE AS APPROPRIATE: DRIVER / CO-DRIVER
Surname: / First Name:
Please circle title: Mr. Mrs. Miss. Ms.
Address:
Address:
County: / Postcode:
Tel Home: / Tel Work:
Mobile: / Occupation:
Date of Birth:
All competitors must complete (ensures automatic registration for Juniors/Seniors awards)
Email:
Did you have BTRDA membership in 2017 YES / NO
NOTE:BTRDA club membershipand Championshipregistration is free to NEW members under 25 on 1st Jan 2018for their first year of registration.
Tick box if applicable.
CHAMPIONSHIP REGISTRATION BELOW INCLUDES BTRDA MEMBERSHIP / TICK OR ENTER AMOUNT
DRIVER
sa
Includes BTRDA Membership and Protyre MSA Asphalt Championship / £60 / £
CO-DRIVER
Includes BTRDA Membership and Protyre MSA Asphalt Championship / £50 / £
Or RALLY CREW (Driver & Co-Driver) ENTRY - Save £10 (please complete 2 forms)
Includes BTRDA Membership and Protyre MSA Asphalt Championship / £100 / £
TOTAL enclosed including Membership: (Cheques payable to BTRDA Ltd) / £
Office Use Only: Edate: / 2018 Membership No: / BTRDA Rally No:
CASH / CHEQUE / CREDIT / C / R / N

Please turn over for car and class details