Cooper Driver Registration Form

- Step 1 of 5

Are you entering yourself as a driver or are you acting on behalf of a driver as their entrant or are you a guardian entering a minor? *

I am the holder of an entrants licence entering a driver
I am the driver entering myself
I am guardian entering a minor

Entry Fees

Please answer this first question and you can then calculate your entry fee in the next step.

ENTRANT DETAILS

Please complete if you are not the driver

Entrant Name

Entrant Licence Number

Entrant Representative Name

Entrant Telephone Number

Entrant Email

GUARDIAN DETAILS

Please complete if you are not the driver

Guardian Name

Guardian Representative Name

Guardian Email

Guardian Telephone Number

Driver Details

First Name *

Surname *

Next of Kin Name *

Next of Kin Contact Number *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Home Phone *

Work Phone

Email *

Race Licence Number *

Licence Grade *

Transponder No. *

Date of Birth *

Age *

Additional Awards (Tick as Required)

Directors - For drivers over the age specified in the regulations
Rookie - Not registered for a season in the class before
Graduate - Only registered in the class one season before

Preferred race number (1st Choice) *

Up To 3 Digits if entered for the full season. Max 2 digits if guest entry

Preferred race number (2nd Choice) *

Up To 3 Digits if entered for the full season. Max 2 digits if guest entry

Preferred race number (3rd Choice) *

Up To 3 Digits if entered for the full season. Max 2 digits if guest entry

Car Base Colour

How did you first hear of the MINI CHALLENGE? *

Team Information

Are you running as part of a Team? *

Yes I'm in a team
No I'm not running with a team

Team Name

Team Manager Name

Phone

Entry Options

You can choose to Enter for the full season or on a single round by round basis.

How would you like to enter? *

Full season
Part Season with Individual Rounds

Full Season Entry

Full Season Entry including:
3 Televised TOCA Race Meetings 4 MSVR (Motorsport Vision Racing) Race Meetings 3 x Test Day Entry Fees on TOCA Race Meetings Goodyear Tyre Test Day Entry Fee £10,450 + VAT
Stage Payment Plan:
First stage payment with entry form: £3,000 + VAT Second stage payment on or before 12/02/21: £1,450 + VAT Third stage payment on or before 30/04/21: £1,500 + VAT Fourth stage payment on or before 31/05/21: £1,500 + VAT Fifth stage payment on or before 30/06/21: £1,500 + VAT Sixth stage payment on or before 30/07/21: £1,500 + VAT
Early Bird Entry, Full Payment & Loyalty Discounts:
Full payment of entry fee balance on or before 12/02/21 discount: -£500 + VAT New Entrant Early Bird discount if entry and first stage payment on or before 11/12/20: -£500 + VAT 2020 Full Season Entrant Early Bird discount with first stage payment on or before 11/12/20: -£1000 + VAT or 2019 & 2020 Full Season Entrant discount with first stage payment on or before 11/12/20: -£1500 + VAT or 2018, 2019 & 2020 Full Season Entrant discount with first stage payment on or before 11/12/20: -£2000 + VAT
All discounts will be deducted from the latest stage payment. If any payment deadline is missed then the standard entry fee will apply, all discounts will be forgone.

Part Season Entry

Select Individual Rounds

Registration Fee & Decal Pack (Required): £500 + VAT
24 April - Snetterton 300: 750 + VAT
8-9 May - TOCA Thruxton 1: £2500 + VAT
4-5 June - Brands Hatch Indy: £750 + VAT
24 July - Oulton International: £750 + VAT
7-8 August - Croft: £750 + VAT
28-29 August - TOCA Thruxton 2: £2500 + VAT
24-26 September - TOCA Donington National: £2500 + VAT

IMPORTANT: You must select at least 4 of 7 rounds in order to score Championship points as per Championship Regulations 1.4.4.
Only drivers entered for at least 50% of race meetings at the start of the season will be eligible for championship points in respect of the drivers’ championship.

Please choose your preferred payment type

First stage payment of £3000+vat with registration and then balance payment of £7450 by 31/3/21
First Stage payment of £3000+vat with registration form followed by 5 further stage payments.

Are you entering and paying the first stage payment of £3000+VAT BEFORE 11/12/20

Will you pay the remaining balance BEFORE 12/02/21

Yes
No I'll be paying after 12/02/21 but before 31/03/21

Did you previously race a full season in the MINI CHALLENGE

Yes 2020
Yes 2019 & 2020
Yes 2018, 2019 & 2020
No

Total Discounts to apply to your entry fee

Based on your choices we've calculated your discounts below. We will confirm this in writing once we receive you registration form.

Early Bird Discount
- £500+VAT

Full balance before 12/02/21 Discount
- £500+VAT

Full Season in 2020 Discount
- £1000+VAT

Full Season in 2019 & 2020 Discount
- £1500+VAT

Full Season in 2018, 2019 & 2020 Discount
- £2000+VAT

No discounts applied

Payment Details

Late Entries

Entries made after 26/02/2021 will be subject to a late entry supplement of 20% on top of the Standard Entry Fee.

Driver Referral Discount

If you refer a new driver to the championship you will be entitled to a further discount equal to 20% of the entry fee they actually pay. This discount does not apply for drivers who have competed in the MINI CHALLENGE before, or if they have contacted the MINI CHALLENGE directly. Only one driver may claim a referral discount and the discount will be entirely at the discretion of Total Track. The above discounts cannot be combined with any other promotions or discounts, whether offered by Total Track or any of our partners. Any other discounts will be deducted from the standard entry fee.

Payment

Please make cheques payable to Total Track Ltd and send to:

Total Track Ltd
Unit 1 - Roy Humphrey Estate
A140 Norwich - Ipswich Road
Brome, Eye, Suffolk, IP23 8AW

If you wish to make a bank transfer the details are:
Account Name: Total Track Ltd
Bank: Barclays Bank
Sort Code: 20-16-12
Account Number: 43335623

MINI CHALLENGE Partners

If you would like us to send your details to any of the partners, please tick the boxes below.

Ryan On Track Insurance

I would like a quote from the MINI CHALLENGE preferred motorsport insurance partner RYAN Motorsport Insurance

Race Finance

I would like to be introduced to Credo Motorsport Finance regarding financing a race car purchase

HRX Race Suit

I would like to find out more about a 2021 MINI CHALLENGE Race Suit

Media Training

I would like to find out more about media training with GOODMAN MEDIA

Driver Nick Name *

Occupation *

Hometown *

Website Address *

Facebook Profile Name *

Twitter Account *

Instagram Account *

Ambitions *

Sponsors *

Race Career Highlights *

Background (Family, interesting facts about yourself, what you have done in the past, past racing, other interests, something funny, claim to fame) *

I wish to register a car for the 2021 MINI CHALLENGE Trophy and agree to be bound by the rules, regulations, terms and conditions, supplied with this form, of the MINI CHALLENGE and organising clubs. I confirm that if the entry fee is being paid by a Limited Company or Limited Liability Partnership then I will personally guarantee to pay the entry fee should the company or partnership fail to pay. I confirm that I understand that payment of the first stage payment enters me for the 2021 MINI CHALLENGE and commits me to paying the full entry fee.

I wish to register for the 2021 MINI CHALLENGE Trophy and agree to be bound by the rules, regulations, terms and conditions, supplied with this form, of the MINI CHALLENGE and organising clubs. I confirm that if the entry fee is being paid by a Limited Company or Limited Liability Partnership then I will personally guarantee to pay the entry fee should the company or partnership fail to pay. I confirm that I understand that payment of the first stage payment enters me for the 2021 MINI CHALLENGE and commits me to paying the full entry fee.

Terms and Conditions *

I agree to the Terms and Conditions of the registration form.

Please make sure you have read the registration form Terms and Conditions

Guardian Signature *

Drivers Signature *

Entrant Signature *

Date *