Entry form

2. Rallye Český Krumlov Revival | 20. – 21. 5. 2022

Entry fee for a crew include:

participation in rally
third party liability insurance
car and crew identification
roadbook
professional timekeeping and processing of results
original caps
commemorative plaques
cups for winners
coffee break before start
lunch during the leg 2

Charges

Entry fee: 330 €
FIA licences for both members of a crew: 17 €

Entry fee payment is a condition for inclusion of crew to list of entries.

Prices include VAT.

Competitor

Name of the team

Vehicle

Manufacturer

Model

Year of manufacture

Registration plate

Country of registration

Chassis number (VIN)

Certificate of origin

Driver

Family name

Given name

Nationality

Date of birth

Driving licence number

Country of issue

Mobile phone number

Competition licence owner

Competition licence number

Co-driver

Family name

Given name

Nationality

Date of birth

Driving licence number

Country of issue

Mobile phone number

Competition licence owner

Competition licence number

Accommodation order

Partner accommodation:

Hotel U Malého Vítka - 100 EUR / double room with breakfast / 1 night

Number of overnight stays

Date (from-to)

Note

In case of accommodation order following personal details will be forwarded: name and surname of both crew members, driver's email address and driver's mobile phone number.

Closing date for entries: May 8, 2022, 22:00

By submitting your entry form you agree that photos and videos of your crew and vehicle taken during the event may be published.

Payment

Account holder: ČK motorsport s.r.o.
IBAN: CZ72 2700 0000 0013 8771 0860
SWIFT: BACXCZPP
Note: Driver’s name

Charges must be sent to promoters account at the latest May 8, 2022.