Hillclimb and Sprint Association
an MSA recognised club
MSA recognised

THE HILLCLIMB AND SPRINT ASSOCIATION LTD
CURBOROUGH SPRINT - SATURDAY OCT 13th 2018 and/or SUNDAY OCT 14th 2018


Please note that on-line entries close on October 8th

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.
 

Please select which Event(s) you wish to enter
 
 
HSA members may deduct 5 for each day's entry (i.e. may deduct 10 if entering both days)
 

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?:
 
  I confirm that I have read the declaration and agree to be bound by the Regulations.
 
* required information