Enter a CCV

Your Full Name (required):

Your Email (required):

Your Full Address (required):

Post Code (required):

Contact Phone Number (required):

Please select your Club (required):

SROC Membership Number (required):

Club Name (required):

Membership Number (required):

Motorsport UK Licence Number:

Are you a novice driver? (required): (A novice is a driver who has not won any award in that type of trial)YesNo

Name(s) of any double drivers: A separate entry form is required for every entrant

Name(s) of any passengers: Passengers also need a valid Club Membership card and at minimum a RS Clubman Licence. Passenger 1
Passenger 2

Next of Kin Name (required):

Next of Kin Contact Number (required):

Next of Kin Address (required):

Please choose the event you wish to enter (required): (Entries open 4 weeks before the event. The deadline for receipt of pre-booked entries is the WEDNESDAY the week before the event weekend. Please only enter the next/upcoming event.)

Vehicle Type (required):

Wheelbase (required):

Engine C/C (required):

Class (required):

I have read the declaration below and agree to honour and to abide by it.*In respect of drivers entered in RTV or CCV Trials they need not hold a valid RTA Driving Licence where the passenger holds a valid RTA Driving Licence and has experience of Cross Country Trials.

MUK Declaration - I declare that I have been given the opportunity to read the General Regulations of the Motorsport UK and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit and competent to take part in the event. I understand that motorsport is dangerous and accidents causing death, injury, disability and property damage can and do happen. I understand that these risks may give rise to my suffering personal injury or other loss and I acknowledge and accept these risks. ‘In consideration of the acceptance of this entry I agree that neither any one of or any combination of the MUK and its associated clubs, the organisers, the track owners or other occupiers, the promoters and their respective officers, servants, representatives and agents (the “Parties”) shall have any liability for loss or damage which may be sustained or incurred by me as a result of participation in the Event. Nothing in this clause is intended to or shall be deemed to exclude or limit liability for death or personal injury. To the fullest extent permitted by law I agree to indemnify and hold harmless each of the Parties in respect of any loss or damage whatsoever and howsoever arising from my participation in the Event. 'I declare that to the best of my belief the driver(s) possess(es) the standard of competence necessary for an event of the type to which this entry relates and that the vehicle entered is suitable and roadworthy for the event having regard to the course and the speeds which will be reached.

Check here to accept these terms.

If the entrant is under 18 years of age this entry must be counter-signed by a PARENT or GUARDIAN.

Your Age:

This entry is made with my consent:

Your Full Name:

Your Address:

Relationship to entrant:

How Would You Like To Pay (required):

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