Hillclimb and Sprint Association
an MSA recognised club
MSA recognised

ON-LINE ENTRY FOR HSA EVENT AT CURBOROUGH ON OCT 7th 2017


Please note that on-line entries close on October 2nd 2017

Entries for drivers under the age of 18 will need to be signed by a parent/guardian so cannot be completed online. Please click here to download the entry form and here for the regs.
 

Driver details
First name*:
Last name*:
Address line 1*:
Address line 2:
Address line 3:
Address line 4:
Postcode*:
Email*:
Telephone (home):
Telephone (work):
 

Next of kin (to be contacted in case of an accident)
Name:
Telephone:
 

Entrant details (if applicable)
Entrant name:
Entrant licence no.:
 

Clubs and Licences
I am a member of:
Championships entered:
HSA member no.:
HSA Expiry date:
Competition licence type:
Competition licence no.:
Have you ever held a road traffic licence?:
 


Details of car
Class*:
Make:
Model:
Cubic capacity:
Turbo/Supercharged:
Reg. number (roadgoing):
Is the car fitted with a camera?:
 

Other details
My car is to be shared with:
Which driver to run first:
Have you competed at Curborough before?:
Previous best time at Curborough in this car:
 
  I confirm that I have read the declaration* and agree to be bound by the Regulations.
 
* required information