Saturday June 22nd 2019 - SUPPLEMENTARY REGULATIONS: PART ONE - South Canterbury Car Club
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Saturday June 22nd 2019
SUPPLEMENTARY REGULATIONS:
PART ONE
1. JURISDICTION
This event is a National status Rally, promoted by the South Canterbury Car Club and will take place
on 22nd June 2019 in the South Canterbury, Waimate and MacKenzie Country Districts.
The Rally will be held under these Supplementary Regulations, the MotorSport NZ National Sporting
Code and its Appendices and Schedules particularly Appendix Three, Schedule R being the Standing
Regulations for all Rallies and Appendix Two, Schedule A – Driver Safety and Vehicle Requirements.
The Rally of South Canterbury is the 4th round of The Brian Green Property Group New
Zealand Rally Championship and the 4th round of the Mainland Rally Series.
This event is a round of the New Zealand Rally Championship all competitors that have entered
any of the NZRC classes in this event must comply with the NZRC Portfolio and its regulations.
2. ORGANISATION
2.1 MotorSport New Zealand titles for which the rally counts
• MotorSport NZ Rally Champion and Gold Star Driver
• MotorSport NZ Rally Co-Driver Champion and Gold Star Co-Driver
• MotorSport NZ 2WD Rally Champion
• MotorSport NZ 2WD Rally Co-Driver Champion
• MotorSport NZ Junior Driver Rally Champion
• MotorSport NZ Historic Challenge Trophy Champion
• MotorSport NZ Historic Challenge Trophy Co-Driver Champion
• MotorSport NZ Rally Challenge Champion
• MotorSport NZ Rally Challenge Co-Driver Champion
• MotorSport NZ Rookie Driver Award
• MotorSport NZ Teams Cup
• Manufacturers Trophy
2.2 Mainland Rally Series
This event is a round of the 2019 Mainland Rally Series.
2.3 Permit
Motorsport New Zealand Permit: 190137
(National Championship Rally with Foreign Participation).
3. MAJOR OFFICIALS
Clerk of the Course Carl Rabbidge
Assistant Clerks of the Course Jim Anderson, Allan Baird. Karl Buchanan,
Howard Atwill,
Secretary of Event Howard Atwill
Chief Scrutineer Hendrik Jansen
Safety Officer Jim Anderson
Competition Relations Officer Sue Baird
MotorSport NZ Stewards TBA
Chief Marshall Janelle Smith
Organising Committee Carl Rabbidge (Chairman)
Howard Atwill,(Secretary)
Members of the SCCC Inc. Rally Committee
Address and contact phone numbers for all matters pertaining to the event are as follows:
The Rally Secretary
South Canterbury Car Club Inc
PO Box 4008
TIMARU 7940
Ph (03) 614 7514 Cell (027) 307 5104
The email Address is :
sccarclub.operations@xtra.co.nz
Contact Details are:
Howard Atwill Phone: 027 307 5104 Email: sccarclub.operations@xtra.co.nz
Carl Rabbidge Phone: 0274 476348 Email: carl@rabbidge.co.nz
Additional Officials will be advised in Supplementary Regulations Part Two – Acceptance of Entry
4. THE EVENT
4.1 Venue: The Rally starts in Timaru and finishes at Levels Raceway. The service park will be based
in Fairlie.
4.2 Length: The Rally comprises of approximately 200km of special stages and approximately 220km
of touring.
4.3 First Car Starts: From Timaru at 6:30am on Saturday 22nd June 2019
4.4 First Car Finishes: At Levels Raceway at 3:30pm
4.5 Ceremonial Start: This will take place in Timaru Friday 21st June 2019. Time and Venue to be
advised in the acceptance of entry
5. ENTRIES
5.1 Opening and Closing: These open with the publication of these regulations and close at 5.00pm
on Friday 7th June 2019
Entries post marked after the normal closing date but received prior to the close of Documentation will
be subject to the late fee.
5.2 Entry Acceptance: Entries shall be made on the correct form and to be deemed valid must be
complete in all details and accompanied by the appropriate fees. Acceptance will be at the
organising committee’s discretion. Organisers reserve the right to refuse any entry in accordance with
the prescribed provisions of the National Sporting Code.
5.3 Fees:
(1) Competing vehicle:
Entry Fee for competitors registered in the NZRC (category 1)
(excludes stage notes, recce and ‘Rallysafe’ Fee) $1250-00
Entry Fee for competitors registered in the NZRC (category 2,3 & 4)
(excludes stage notes, recce and ‘Rallysafe’ Fee) $1200-00
Entry Fee for competitors registered in the NZRC Category 5
(excludes stage notes, recce and ‘Rallysafe’ Fee) $850-00
All other Competitors (excludes stage notes, recce and ‘Rallysafe’ Fee)
Class A $555-00
Class B $605-00
All other Classes $795-00
Late Entry Fee (additional) $150-00
Reconnaissance $50-00
Rally Safe Fee (compulsory) $120-00
Any competitor who withdraws from the event later than 7th June but prior to 5pm 14th June 2019 will
forfeit 25% of their entry fee.
Any competitor who withdraws from the event later than 5pm 14th June 2019, but prior to the
commencement of documentation, will forfeit 50% of their entry fee.
Any competitor who withdraws after the start of documentation will forfeit 100% of their entry fee.
(2) Service Crew: One service crew vehicle free, additional service crew vehicles $25.00 per
vehicle
Payments can be made by cheque or direct credit to the following account
South Canterbury Car Club Inc
Westpac Bank
03-0887-0175935-00
Use “Rally” and “ #1 Driver Name” as reference when making an Internet banking payment
Remittance advice must be attached to entry form if paying by internet banking.
5.4 Number of Starters:
The organisers reserve the right to abandon the event if less than 65 entries are received at normal
closing date.
The maximum number of starters will be 120.
Any additional entries received will be placed on the reserve list in order of receipt.5.5 Acceptance of Entry:
These will be notified by e-mail no later than Friday 14th June 2019 together with any additions to the
ASR’s and the seeded list of entries.
Priority entry will be given to those competitors who are registered for the Brian Green
Property Group NZ Rally Championship.
5.6 Competitor Requirements:
(1) Knowledge and Understandings: In signing the entry forms competitors (Entrant and Drivers)
are deemed to fully understand the MotorSport NZ National Sporting Code and its relevant
Appendices and Schedules.
Particularly,
(a) The National Sporting Code articles pertaining to protests and competitors obligations,
and
(b) Appendix Three Schedule R articles pertaining to Stage notes, Pace notes and
Reconnaissance.
(2) Licence Requirements:
(a) New Zealand Competitors:
Both the # 1 and # 2 drivers shall hold a National Rally (R1 / R2) Licence Grade or higher
MotorSport NZ issued Competition Licence.
If the Entrant is other than a driver, an Entrants licence in the name of the Entrant is required.
(b) Australian Competitors:
Shall hold either an FIA International Rally Licence and an International Visa OR Trans-
Tasman Visa and a current international medical certificate, OR
A National Grade Rally Licence and a Trans-Tasman Visa issued by CAMS
6. ELIGIBLE VEHICLES
6.1 Compliance: All vehicles shall comply with Appendix Two Schedule A and Appendix Three
Schedule R of the current MotorSport Manual unless stated otherwise in these supplementary
regulations.
Note: Vehicles registered for road use in countries other than New Zealand shall comply with
Motorsport Manual Sch A article 1.2(3) Reference
www.motorsport.org.nz/resources/motorsport-manual
6.2 Classes
NZRC Classes
• Category 1 NZ Rally Championship 4WD cars complying with FIA R5, R4 kit, S2000,
MotorSport NZ AP4, CAMS AP4 or MotorSport NZ Manual Appendix Two, Schedule A.
• Category 2: NZ Rally Championship 2WD for FIA Group N 2WD, R1, R2, R3 and FWD 2WD
vehicles
• Category 3: Open Class 2WD Championship
• Category 4: Historic Challenge Trophy
• Category 5: Rally Challenge Trophy, Class 5A, 5B and 5C
• Refer to Article 4.3 of the New Zealand Rally Championship Portfolio.
National Classes and Mainland Rally Series
• Class A 2WD 0-1300cc
• Class B 2WD 1301-1600cc
• Class C 2WD 1601cc and over
• Class D 4WD
• Class E Pre 96 4WD
• Class F 2WD Classic
• Class M2 2WD All 2wd that don’t qualify for MRS points
• Class M4 4WD All 4wd that don’t qualify for MRS points7. DOCUMENTATION, BRIEFINGS AND SCRUTINEERING AUDIT
(1) Documentation: Competitors must present themselves at documentation for the checking of
licences and documents, issuing of competition numbers and applicable advertising material
at the documentation at the following venues
Thursday 20th June 2019: Levels Raceway, Falveys Rd, Timaru.
GPS Lat: -44.296573 Long: 171.201942 between the hours of 9.00am and 4:00pm
Comfort Hotel Benvenue 16/22 Evans St, Timaru
GPS Lat: -44.388698 Long: 171.244338 between the hours of 6:30pm and 8:30pm
Friday 21st June 2019: Levels Raceway, Falveys Rd, Timaru.
GPS Lat: -44.296573 Long: 171.201942 between the hours of 9.00am and 2.00pm
Cars will not be cleared to compete until all of these numbers and advertising requirements
are firmly affixed in the appropriate places on the vehicle. The organisers may require
advertising spaces A1,A2 & A3 for Championship and event sponsor’s decals.(Manual # 36,
Addenda to Schedule R)
(2) New Competitors Briefing: Any driver(s) who have not previously competed in three or
more rallies must attend the special briefing. The time and venue for this briefing will be
announced on the Acceptance of Entry, Supplementary Regulations Part 2
(3) Scrutineering: This will be available at Levels Raceway, Falveys Rd Timaru on Friday 21st
June 2019 between the hours of 9.00am and 2:00pm
Audit Scrutineering and for those cars with forced induction engines, restrictor
inspection, will be available in various locations during the week prior to the event, contact
details of appointed scrutineers will be advised with the acceptance of entry
(4) MSNZ Pre-event Technical Inspection: This will be available at Levels Raceway, Falveys
Rd Timaru on Friday 21st June 2019 between the hours of 9.00am and 2:00pm
8. OFFICIALS IDENTIFICATION
Officials of the event will be identified as detailed below.
(a) Marshals Vests
(b) Stage Control (Post) Chief Vests
(c) Scrutineers Swing tags
(d) Other Officials Swing tags
9. OFFICIAL BULLETINS
Official Bulletins may be issued in accordance with the provisions of the National Sporting Code.
10. OFFICIAL NOTICE BOARDS
These will be at any of the following venues:
• Outside Secretaries office at Documentation
• Results venue11. RESULTS
Provisional results will be posted on the Official Notice Board located at the Levels Raceway at 5.30pm
on Saturday 22nd June 2019
12. STAGE NOTES
The use of Stage Notes is permitted provided that they are original copies as created
for this event and supplied by the Motorsport NZ authorised provider, Neil Allport
Motorsport.
Notes shall be ordered directly from the supplier using the order form on their website
www.namsport.co.nz
These notes must be ordered no later than Friday 7th June 2019
Information: The stage note system uses an automated computer program to generate a description of the special
stage road using sensors fitted to a vehicle driven through each stage.
Such notes describe the route in more detail than the Road Book and can be used without reconnaissance. The
purchase and use of the state notes is a direct contract between the competitor and Neil Allport Motorsport with the
organiser’s involvement being limited to authorising the use and facilitating the preparation and distribution on behalf
of Neil Allport Motorsport.
There is no obligation on any competitor to purchase these stage notes
13. RECONNAISSANCE
An opportunity exists for those competitors who purchase the approved stage notes to take
part in a convoy reconnaissance; this opportunity is NOT available to those who do not
purchase stage notes.
Reconnaissance
• Schedule: There are two options available,
▪ Option One, full event on Friday 21st June
▪ Option Two, Half route Thursday 20th June afternoon and half route Friday
21st June morning
▪ Full details of the times and locations will be advised with acceptance of entry
▪ Please advise at time of entry your preferred intention
14. SERVICING
(1) All servicing will be restricted to the Service area located in Fairlie.
As this is a public area servicing is to be conducted on groundsheets and left in a tidy condition.
Service Park information will be distributed with the acceptance of entry.
Supplementary refuel points have been provided for.
(2) Competitors are reminded to ensure that they are familiar with and abide by the
MotorSport NZ Code of Practice – Fuel Handling. This can be found on the MotorSport NZ
website – www.motorsport.org.nz
15. WITHDRAWAL FROM AND REJOINING THE EVENT
• Temporary or Permanent Withdrawal: Where a competitor decides to withdraw from the event
the competitor must remain on the rally route until advising the sweeper car of their withdrawal.
A completed notification of withdrawal form must be handed into the appropriate rally official for
urgent transmission to Rally HQ confirming the withdrawal. Failure to carry out this procedure
will incur a penalty.• No competitor will be permitted to restart the rally once they have handed in a “Final
Withdrawal” form.
• If a competitor believes that they may be able to restart the rally after an incident they should
complete a “Temporary Withdrawal” form
• If a competitor then wishes to re-join the event they must do so at a Time Control prior to the
start of a special stage and at a point which will not cause any delay to the event. They cannot
rejoin at a starting position higher than that at which they had been running prior to the
Temporary withdrawal. They must hand in a “Rejoining” Form to the stage control officer
• The organisers may require cars that have suffered accident damage to be checked and
cleared by the Chief Scrutineer or his appointed assistant before re-joining.
17. POWER STAGE The "Power Stage" will be SS6 Rapuwai If for any reason this stage is
interrupted or cancelled the "Power Stage" will then be SS10 Mt Gay.
18. SUPER SPECIAL STAGE This will be SS12 and conducted on Levels Raceway
19. OFFICIAL PRIZE GIVING AND AWARDS
• The awards evening will be held at the Caroline Bay Hall in Timaru. This function includes a
meal and a bar service is available.
• Trophies will be awarded to overall and class winners.
• EFTPO available
• GPS co-ordinates Lat -44.391025 Long 171.248059
20. RALLYSAFE
The Rally will be using ‘Rallysafe’ technology on this event. This will be compulsory for all competitors
THE UNITS WILL BE ISSUED AT DOCUMENTATION AND YOU MUST ENSURE
THAT YOU HAVE THE CORRECT UNIT IDENTIFIED FOR YOUR CAR.
For those who do not yet have their car fitted with the installation kit they are available from:
http://rallysafe.com.au/shop/product/rally21. ITINERARY
Provisional Itinerary
TC SS Touring Total Target Time
SS Location Dist. Dist Dist. time of day
TC0 TIME CONTROL OUT - Timaru 6:30
Optional refuel Waimate 50.63 50.63 0:50 7:20
SS1 Parkers Bush 22.30 7:25
17.70 40.00 0:40 8:05
SS2 Backline Rd (Short) 24.00 8:10
optional refuel Maungatai 24.32 48.32 0:42 8:52
SS3 Pareora Gorge 13.93 8:57
2.89 16.82 0:15 9:12
SS4 Rutherford Rd 16.48 9:17
TC4A SERVICE IN- Fairlie 12.63 29.11 0:25 9:42
30 minute service time 76.71 108.17 184.88
TC4B SERVICE OUT - Fairlie 10:12
7.40 7.40 0:10 10:22
SS5 Middle Valley 13.40 10:30
Optional refuel Beautiful Valley 18.81 32.21 0:28 10:58
SS6 Rapuwai 22.80 11:03
2.20 25.00 0:22 11:25
SS7 Waitohi 15.60 11:30
Optional refuel Gapes Valley 13.40 29.00 0:26 11:56
SS8 Kakahu Forest 17.00 12:01
TC8A SERVICE IN- Fairlie 30.00 47.00 0:42 12:43
30 minute service time 68.80 71.81 140.61
TC8B SERVICE OUT - Fairlie 13:13
4.00 4.00 0:06 13:19
SS9 Spur Rd 14.14 13:27
6.54 20.68 0:19 13:46
SS10 Mt Gay 14.11 13:51
24.00 38.11 0:35 14:26
SS11 Limestone Valley Rd 14.52 14:31
Optional refuel Levels Raceway 24.48 39.00 0:38 15:09
SS12 Levels Raceway 11.42 15:14
TC12A FINAL CONTROL - Levels Raceway 0.28 11.70 0:15 15:29
54.19 59.30 113.49
TOTALS 199.70 239.28 438.9822. SPECIAL STAGE DESCRIPTIONS
General Information:
Public roads are all well formed and hard based with a light metal covering.
Forestry roads are well maintained and formed arterial roads from the days of the NZ Forest Service
that have a light metal covering and are in everyday use.
SPECIAL STAGE DESCRIPTIONS
SS1 Parkers Bush: This is the reverse direction of the stage that in 2006 Stig Blomqvist described
as the best forest stage he had ever driven. Starts on public roads through a valley before a long
uphill climb to the forest where the well constructed and maintained arterial through road is utilised for
the remainder of the stage. With harvesting undertaken a few years ago there are now some magic
views to be seen from the tops.
SS2 Backline Rd (short): This stage is a shortened version of the traditional stage, the first 20km
is unchanged however a tight steep uphill section with a couple of cattle stops adds to an interesting
finish. Fast and flowing this stage is a delight to drive.
SS3 Pareora Gorge: This stage is unchanged from 2018, starts on an old hill climb venue, has a
short fast open section before continuing onto more narrow roads as it crosses into another valley and
the well photographed ford. The exit can be slippy if frozen. Good flowing roads continue to the finish.
Popular with the public so expect plenty of spectators.
SS4 Rutherford Rd: A popular stage from years past this stage is fast and flowing on smooth
gravel roads with a very short section of tarmac. Gravel carried onto this can make the corner very
exciting for some. Stage finishes on the final section of the Rollersby Valley stage from 2018.
SS5 Middle Valley: Unchanged form 2018 this is a fast flowing stage down a valley that tightens
as it goes. A short section alongside a forestry area can become very slippery if wet or frozen.
SS6 Rapuwai: Another version of a stage on the public roads of the Kakahu and Waitohi districts,
well formed lightly metaled road along valley, ridges and over rolling countryside with just enough
crests to make it interesting. Well shaded spots can still be frozen during the late afternoon.
SS7 Waitohi: More of the same, this stage is the reverse direction of Fletcher Rd from 2018.
SS8 Kakahu Forest: A new stage for this year, starts on the northern side of the forest and uses
the main arterial roads to cross over the hill to the southern side. Quite steep and technical in places.
SS9 Spur Rd: This stage will be run in the reverse direction to the stage of the same name in
2018. Fast and flowing it crossed the ridgeline between the MacKenzie Country and the Opihi Valley.
A patch of uphill traction seal assists a steep climb and the shady iced up area that was the 2018 start
is now the finish so it could be slippy downhill in the well shaded spots.
SS10 Mt Gay: A reverse direction of Andrews Playground of 2018 the stage starts with a long uphill
climb along a ridge before a steep descent with narrow gateways and hairpins to join a short section
of tarmac and then fast flowing roads across the top of the hillside before a steep narrow descent to
the finish. Often described as one of the best stages in NZ it is very popular with spectators and
photographers.
SS11 Limestone Valley Rd: A reverse direction of the Sutherlands stage of 2018, starts downhill
through a fast flowing valley and a short climb over a ridgeline and a short section of tarmac. Stage
then climbs an old hill climb venue before traveling a ridgeline with numerous crests. Very popular
with spectators.
SS12 Levels Raceway: Being the final stage of the day and run on gravel tyres Levels is sure a fun
place to end a rally23. FORMS
• Entry Form
• Service Crew registration form
• Competitor profile form
• Remittance formORGANISERS USE ONLY
Group Class
Entry Order Allocated
Received Comp No
SOUTH CANTERBURY CAR CLUB INC
2019 STADIUM FINANCE RALLY SOUTH CANTERBURY
ENTRY FORM
PLEASE RECORD THIS ENTRY FOR
A: Date of Meeting: 22nd June 2019 B: Class/es Entered:
C: Tick: NZRC Mainland Series Allcomers
D: DRIVERS AND ENTRANT DETAILS
Please print in block letters NO 1 DRIVER NO 2 DRIVER ENTRANT
Last Name
First Names
Date of Birth
Physical Address: Street / Town
/ City
Postal Address for Event details
Telephone Contacts: Home
Cellphone
Email
Emergency Contact: Name:
Emergency Contact Phone:
New Competitor Briefing: Please tick here if you are Please tick here if you are
If contested less than three rallies required to attend the required to attend the
attendance is compulsory briefing: briefing:
Competition Licence No
Licence Grade
Expiry Date Of Comp. Licence
Financial Member Of
(Name Of Car Club)
Civil Drivers Licence No:
Currently is your NZ civil drivers
Y / N Y / N
licence disqualified?
If YES, than you must sign a declaration at Documentation as per NSC 43(2)(b)
Age Group of Drivers Under 19; 19-25; Under 19; 19-25;
(Please Circle Applicable Group) 26-35; 36-60; 60 Plus 26-35; 36-60; 60 Plus
Foreign Participant on Non-
Y / N Y / N
MSNZ Licence
E: VEHICLE DETAILS
Vehicle Make: Vehicle Model:
Engine Capacity (cc’s) Year of Manufacture: Colour of vehicle: Registration No.
Log Book No. Champ / Series Registration No (if applicable)
F: PAST EXPERIENCE TO ASSIST WITH SEEDING [Record here brief details of seeding and finish order in
last three events entered]
Event: Seeded: Finish position:
Event: Seeded: Finish position:
Event: Seeded Finish position:
2018 Rally of South Canterbury entry form1. Indemnity:
I have received the Supplementary Regulations and all other regulations or Articles as determined in the Appendices and Schedules of the
current New Zealand Motorsport Manual for the event I am entering and agree to be bound by them and by the National Sporting Code of
MotorSport New Zealand Inc.
In consideration of the acceptance of this entry and of my being permitted to take part in the Meeting or Events detailed, I agree not to
pursue claims against and (severally) to hold harmless, indemnify and keep indemnified MotorSport New Zealand Inc, its members,
associated or affiliated clubs and entities, rally and/or event organisers and promoters, the inviting club and entity (or entities), race circuit
owners, providers and operators, owners and tenants of private property (including land, buildings and/or fixtures, fittings and chattels)
traversed, or proximate to events, officials, fellow competitors, and the directors, officers, servants, representatives and agents of those
entities (all together “the Indemnified Parties”) in relation to all losses, actions, expenses, costs, liabilities, claims and demands in respect
of death, injury, loss or damage to persons or property of myself, and/or my team (including drivers, co-drivers, passengers, management
and/or mechanics) whatsoever, caused or arising out of or in connection with this entry or taking part in the events to which this entry relates,
notwithstanding that such death, injury, loss or damage may have been contributed to or caused by the negligence of any of the Indemnified
Parties and/or by any other person. This provision confers a benefit on, and is intended to be enforceable by, each of the Indemnified Parties
(in accordance with the Contracts (Privity) Act 1982).
2. Ability to Control a Vehicle Declaration by Driver:
I declare that should I at the time of any event this entry form relates to be suffering from any disability of any kind whether permanent or
temporary which is likely to detrimentally affect my control of my automobile or my fitness to drive, I will not participate.
3. Vehicle Conformance with Schedule A/AA Declaration by Driver:
I declare the vehicle detailed on this entry form complies with the vehicle safety items set out below (as applicable) and will be presented
on request to an appointed Scrutineer or Technical Officer complying at all times with the safety and eligibility requirements detailed in the
National Sporting Code and its Appendices and Schedules.
Critical Safety Non-Critical Safety Non Safety
• Helmet • Engine & Transmission • Bodyshell / Chassis • Ballast (Security)
• Head & Neck Restraint Mounts Condition • Competition Numbers
• Protective Clothing • Flexible Fluid Lines & • Exterior Appearance • Registration & WOF Labels
• Safety Harness Hoses • Panels / Covers • LVV / MSNZ Authority Card
• Window Net(s) • Throttle Return (Failsafe) • Doors • LVV Plate
• Roll Bar / Safety Cage • Engine Starter Operation • Windows • Optional Equipment
• Seat(s) and Mounts • Reverse Gear Operation • Wipers & Demisting • Restrictor Fitment (36mm ID)
• Fire Extinguisher • Exhaust System • Rear Vision Mirrors
• Wheels and Tyres • Oil Catch Tank(s) • Aerofoils & Spoilers
• Brake System • Electrical Wiring • Cockpit Construction /
• Steering & Suspension • Ignition / Circuit Breaker Fittings
Systems • Battery • Bulkheads
• Fuel Tank(s) / Fillers / Lines • Lighting Systems • Tow Eyes
• Fuel / Oil / Brake Line • Brake Lights • Mudflaps
Protection • Rear Lights • Tow Rope
• First Aid Kit / Safety Triangle • Auxiliary Lights
I acknowledge that where any breach of the Safety Schedule is found during a Safety Audit I will be subject to penalties under the National
Sporting Code and my signature below indicates my acceptance of this undertaking.
4. Consent:
I consent to the details contained on this form being held by Rally New Zealand Ltd and/or the Inviting Clubs for the purpose of the promotion
and benefit of the Rally Event(s) concerned, and Motorsport in general. I acknowledge my right to access and correction of this information.
This consent is given in accordance with the Privacy Act 1993.
I also authorise the medical providers of the event to disclose medical information relevant to injury or illness sustained during the above
mentioned event to MotorSport NZ and its officials.
Signature of No. 1 Driver: ......................................................................... Date: .......... / ........... / ..........
Signature of No. 2 Driver: ......................................................................... Date: .......... / ........... / ..........
Signature of Entrant: ................................................................................. Date: .......... / ........... / ..........
[For entry to be valid please ensure that all signatures are completed prior to posting]
POST THIS ENTRY TO: Please make cheques payable to:
Rally South Canterbury “South Canterbury Car Club.”
P.O Box 4008 Or Direct Credit to: 03 0887 0175935 00
TIMARU 7942. Use Rally and Surname as reference.
OR EMAIL TO: sccarclub.operations@xtra.co.nz Bank: Westpac.
Reconnaissance (tick) YES NO TAX INVOICE GST No. 11 086 934
Thursday and Friday Friday only
Visa / MasterCard Details
Card Number
Name of Card Holder____________________________________________________________Expiry Date_______________
Signature _____________________________________________________________________Amount $_________________
2018 Rally of South Canterbury entry formService & Support (Timing) Crew Registration Form Competitors Name: SERVICE/SUPPORT VEHICLE #1 Fee inc. with entry Make and Model of Vehicle ............................................................... Registration Number of Vehicle ............................................................... Person in charge of vehicle ............................................................... Signature ............................................................... Contact phone number of service vehicle driver............................................... Service Vehicle (tick) Support Vehicle (tick) SERVICE/SUPPORT VEHICLE #2 Fee $25.00 Make and Model of Vehicle ............................................................... Registration Number of Vehicle ............................................................... Person in charge of vehicle ............................................................... Signature ............................................................... Contact phone number of service vehicle driver .............................................. Service Vehicle (tick) Support Vehicle (tick) SERVICE/SUPPORT VEHICLE #3 Fee $25.00 Make and Model of Vehicle ............................................................... Registration Number of Vehicle ............................................................... Person in charge of vehicle ............................................................... Signature ............................................................... Contact phone number of service vehicle driver .............................................. Service Vehicle (tick) Support Vehicle (tick)
Rally of South Canterbury Saturday June 22nd 2019
COMPETITOR PROFILE
Please complete and return with your entry.
➢ Principal Driver:
❑ Name: .................................................................................................................................
❑ Date of Birth: ......................................................................................................................
❑ Place of Birth: ………………………………………………..Home Town:…………………………………………………
❑ Year first rally entered: ........................................................................................................
❑ Best Result: .........................................................................................................................
❑ Vehicle in which best result achieved: ..................................................................................
➢ Co-Driver:
❑ Name: .................................................................................................................................
❑ Date of Birth: ......................................................................................................................
❑ Place of Birth: ………………………………………………..Home Town:…………………………………………………
❑ Year first rally entered: ........................................................................................................
❑ Best Result: .........................................................................................................................
❑ Vehicle in which best result achieved: ..................................................................................➢ Vehicle:
❑ Make / Model / Year: ..........................................................................................................
❑ Class Entered: ......................................................................................................................
❑ History of Car: .....................................................................................................................
......................................................................................................................................................
➢ Sponsors:
❑ List current sponsors: ..........................................................................................................
......................................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
➢ Crew:
❑ List current Crew Members: .................................................................................................
......................................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
➢ General Information:
❑ Any general information that may assist with media profiles: ...............................................
......................................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................2019 STADIUM FINANCE RALLY SOUTH CANTERBURY REMITTANCE FORM
Please use this form to check that you have included payment for all items.
1. Entry Fee:
NZRC Category 1
Includes: 2 Prizegiving Meal Tickets $1250-00
Excludes: Stage Notes, Reconnaissance and/or ‘Rallysafe’ fee
• NZRC Categories 2 – 4
Includes: 2 Prizegiving Meal Tickets $1,200-00
Excludes: Stage Notes, Reconnaissance and/or‘Rallysafe’ fee
• NZRC Category 5
Includes: 2 Prizegiving Meal Tickets $850-00
Excludes: Stage Notes, Reconnaissance and/or ‘Rallysafe’ fee
• Mainland Rally Series and Allcomers Classes C,D,E, F, M2 & M4
Includes: 2 Prizegiving Meal Tickets $795-00
Excludes: Stage Notes, Reconnaissance and/or ‘Rallysafe’ fee
• Mainland Rally Series and Allcomers Class B
Includes: 2 Prizegiving Meal Tickets $605-00
Excludes: Stage Notes, Reconnaissance and/or ‘Rallysafe’ fee
• Mainland Rally Series and Allcomers Class A
Includes: 2 Prizegiving Meal Tickets $555-00
Excludes: Stage Notes, Reconnaissance and/or ‘Rallysafe’ fee
2. ‘Rallysafe’ Fee $120-00 $120-00
3. Extra Service Crew $25-00
4. Late Entry Fee $150-00
5. Reconnaissance Fee $50-00
6. Prizegiving Meal Tickets (each) $45.00
each
NOTE: Order and payment for Stage Notes are to be made
direct from Neil Allport www.namsport.co.nz
TOTAL PAYMENT ATTACHED
Note all figures include GST
Payment may be direct credited to our bank account:
Please make cheques payable to:
“South Canterbury Car Club.”
Or Direct Credit to: 03 0887 -0175935 -00
Bank: Westpac
TAX INVOICE G.S.T. REGISTRATION NO : 11 086 934
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