FORGOT YOUR DETAILS?

Prijavni list

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Closing date for entries: 16 November 2022 - 24:00h.
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Krajnji rok za prijave: 16.11.2022. - 24:00h

Co-driver details can be delivered at the latest 26 November 2022 at Administrative checks.
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Detalji koji se odnose na suvozača mogu se dostaviti najkasnije do 26.11.2022. (verifikacija dokumenata).

FIRST DRIVER / VOZAČ

First Name – Ime
Last Name – Prezime
Date of birth – Datum rođenjaof appointment
date_range
Nationality – Nacionalnost
Address – Adresayour full name
Mobile phone - Mobilni telefon
Competitions licence No. - Vozačka licenca br. (if exists / ako postoji)
Issuing ASN – Nacionalni Savez (if exists / ako postoji)
Driving Licence No. – Vozačka dozvola br.
ID card or Passport # - Osobna ili putovnica br.
Country of issue - Zemlja izdavanja

CO – DRIVER / SUVOZAČ

First Name – Ime #2
Last Name – Prezime #2
Date of birth – Datum rođenja #2of appointment
date_range
Nationality – Nacionalnost #2
Address – Adresa #2your full name
Mobile phone - Mobilni telefon #2
Competitions licence No. - Vozačka licenca br. (if exists / ako postoji) #2
Issuing ASN – Nacionalni Savez (if exists / ako postoji) 2
Driving Licence No. – Vozačka dozvola br. #2
ID card or Passport # - Osobna ili putovnica br. #2
Country of issue - Zemlja izdavanja #2

VEHICLE DATA – PODACI O VOZILU

Make – Marka
Model
Engine Capacity – Zapremina cm3
Turbo
Registration plate No. (if exists) – Registracijski broj (ako postoji)
Trophy class / Trophy klasa
APPLY FOR SHAKEDOWN / PRIJAVLJUJEM SE ZA SHAKEDOWN

Please upload the photo of your rally car.
Molimo učitajte fotografiju vašeg rally automobila.
Max 4MB.

Photo/Fotografijaupload
cloud_uploadUpload

ENTRY FEE | ČLANARINA ZA NASTUP

Up to / do 16.11.2022.: 3.000,00 Kn / 400,00 €
From / od 17.11.2022.: 4.500,00 Kn / 600,00 €

The entry fee for junior drivers until 16 November 2022 (drivers under the age of 23) is 1.850.00 kn / 250.00 € or 2.600,00 kn / 350,00 € from the 17th of November 2022.
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Članarina za nastup za vozače juniore (vozači mlađi od 23 godine) iznosi 1.850.00 kn / 250.00 € do 16.11.2022. ili 2.600,00 kn / 350,00 € od 17.11.2022.

The entry fee for Shakedown of 3 allowed passes is 750,00 kn / 100,00 €.  There is a possibility of 2 additional passes with the payment of an additional fee in the amount of 375,00 kn / 50,00 €. The Shakedown fee is payable in cash at the administrative checks on 26 November 2022 as a voluntary contribution to the organization of the event.
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Shakedown članarina za nastup od 3 dopuštena prolaza iznosi 750,00 kn / 100,00 €. Postoji mogućnost 2 dodatna prolaza uz uplatu dodatne članarine za Shakedown nastup u iznosu od 375,00 kn / 50,00 €. Shakedown članarina se plaća kao dobrovoljni prilog za organizaciju istog u gotovini na verifikaciji dokumenata 26.11.2022.



DECLARATION OF INDEMNITY (concerning competitor, driver, and co-driver)​
The entrant, driver, and co-driver jointly with the service team and severally acknowledge agree on the following personal and on behalf of each support person who will attend the rally:
1. To abide by and be bound by the codes and regulations of the 12th Rally Show SANTA DOMENICA 2022, held under Appendix A03 for Rally Show Manifestations 2022 issued by CCKF and Supplementary Regulations issued for the 12th Rally Show SANTA DOMENICA 2022.
2. That motorsport is dangerous and accidents causing death, bodily damage, disability, and property damage can and do happen and in consideration of the acceptance of this entry, we agree that neither the organizer AKK Sveta Nedelja and/or technical contractor AK Delta Timing and their respective officers, servants, representatives, and agents and any other parties shall be under any liability for our death, nor any bodily injury, loss or damage which may be sustained or incurred by us as a result of participation at the 12th Rally Show SANTA DOMENICA 2022, and to the fullest permitted by law agree to indemnity and hold harmless each of those parties.
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IZJAVA O ODRICANJU ODGOVORNOSTI (koja se odnosi na natjecatelja, vozača i suvozača)
Natjecatelj, vozač i suvozač zajedno s pratećom ekipom prihvaćaju i suglasni su sa sljedećim odredbama koje se odnose na 12. Rally Show SANTA DOMENICA 2022.:
1. Upoznati smo i pridržavat ćemo se odredbi Posebnog pravilnika natjecanja 12. Rally Show SANTA DOMENICA 2022. te odredbi Dodatka za RALLY SHOW MANIFESTACIJE PRAVILNIKU O AUTOSPORTOVIMA HAKS-a za 2022 g. 
2. Upoznati smo da je automobilski sport opasan i da nesreće mogu prouzročiti smrt, tjelesne povrede, štete na imovini te da prihvaćanjem ove prijave, nitko, niti organizator AKK Sveta Nedelja, niti AK Delta Timing kao tehnički izvoditelj natjecanja niti bilo koja službena osoba na natjecanju ne snosi odgovornost za smrt, tjelesne povrede, štete na imovini prouzročene našim sudjelovanjem na 12. Rally Show SANTA DOMENICA 2022.

Declaration/Izjava

GDPR and data management​
By accepting the privilian, by signing the Entry form for the 12th Rally Show Santa Domenica 2022, ie completing and sending the Online Entry form I declare that all contained details are accurate and that I acknowledge and agree to the terms and conditions of the above declaration of indemnity as well as accepting the terms relating to my participation on this competition. 
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GDPR i obrada podataka
Prihvaćanjem privole, vlastoručnim potpisom Prijavnog lista za nastup na 12. Rally Showu Santa Domenica 2022., odnosno ispunjavanjem i slanjem e-Prijavnog lista, jamčim da su svi navedeni podaci točni te da u cijelosti priznajem i prihvaćam gore navedene uvjete odricanja odgovornosti navedenih osoba, kao i da prihvaćam uvjete koji se odnose na moje sudjelovanje na ovom natjecanju. Te da dobrovoljno i nedvosmisleno dajem svoj pristanak za prikupljanje i obradu svih navedenih osobnih podataka u svrhu provođenja predmetnog sportskog natjecanja.

GDPR and data management/GDPR i obrada podataka
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