Entry form 2022 Category Select your category Ostbelgien Classic plusOstbelgien Classic The participation at the FIA Trophy for Historic Regularity Rallies is only possible in the category Classic plus. Ostbelgien Classic plus Driving at an average speed of max. 50 km/h, with regularity tests (RT), time controls (TC) and time controls on second (TCS). Routing according to „tulip“ diagrams with and without kilometre indication, simple map tasks with indicated driving route (1:25000). Tests on open roads or private property. Same concept as the "Classic" category in 2021. East Belgium Classic 95% of the same route as in the Classic plus category, only with an average speed of max. 45 km/h, with regularity tests (RT), time controls (TC) and time controls on second (TCS). Routing according to „tulip“ diagrams with kilometre indication, simple map tasks with indicated driving route (1:25000). Tests on open roads or private property. Same concept as the "Light" category in 2021. Driver Title —Please choose an option—MrMsMissDr.Prof.Eng. Last Name First Name Date of Birth Nationality Men's dress size SMLXLXXL Ladies dress size SMLXLXXL Street & no. Postcode Place Country Mobile number +(0) Email ID number Driver's licence number Club Licence Do you have a licence? YesNo [group lizenz-ja clear_on_hide] Issuer —Please choose an option—RACB – BelgienDMSB – DeutschlandKNAF – NiederlandeFFSA – FrankreichACL – LuxemburgOther FIA licence A licence from the Belgian FBVA/BFOV is not sufficient for this event! [group lizenz-anderer clear_on_hide] Other Issuer [/group] Licencenumber Upload Licence (max. 5 MB, jpg, png, pdf) [/group] [group lizenz-nein clear_on_hide] You need a "ONE EVENT REGULARITY PERMIT MAX. 65KM/H" Licence: Request a licence | racb.com Instructions for the licence request | PDF We request your licence? Yes (+75€) 50€ Licence + 25€ processing fee [group lizenz-anfragen clear_on_hide] National Register Number *Only for Belgian citizens [/group] [/group] Co-driver Title —Please choose an option—MrMsMissDr.Prof.Eng. Last Name First Name Date of Birth Nationality Men's dress size SMLXLXXL Ladies dress size SMLXLXXL Street & no. Postcode Place Country Mobile number +(0) Email ID number Driver's licence number Club Licence Do you have a Licence? YesNo [group lizenz-beifahrer-ja clear_on_hide] Issuer —Please choose an option—RACB – BelgienDMSB – DeutschlandKNAF – NiederlandeFFSA – FrankreichACL – LuxemburgOther FIA licence A licence from the Belgian FBVA/BFOV is not sufficient for this event! [group lizenz-anderer-beifahrer clear_on_hide] Other Issuer [/group] Licencenumber Upload Licence (max. 5 MB, jpg, png, pdf) [/group] [group lizenz-nein-beifahrer clear_on_hide] You need a "ONE EVENT REGULARITY PERMIT MAX. 65KM/H" Licence: Request a Licence | racb.com Instructions for the licence request | PDF We request your licence? Yes (+75€) 50€ Licence + 25€ processing fee [group lizenz-anfragen-beifahrer clear_on_hide] National Register Number *Only for Belgian citizens [/group] [/group] Car Brand Type Cubic capacity HP Turbo YesNo Year of construction / homologation Licence plate Insurer Insurance number Arrival with trailer YesNo Photos of the car (PNG, JPG, JPEG, GIF, BMP) Participation in team ranking Team name: (max. 5 participants per team) Accomodation Accommodation on the following days (breakfast included) Thursday 01.12.Friday 02.12.Sunday 04.12. The overnight stay (incl. breakfast) on Saturday 03.12. is included in the entry fee. [group zimmertyp clear_on_hide] Room type Double bedTwin bed room2 single rooms (Only Ambassdor Hotel Bosten) [/group] Price: € The first bookings of double and twin rooms will be accommodated at Kloster Heidberg. Later bookings will be divided among the remaining accommodations. Entry fee Select package All inclusive packageJust Drive [group Allin clear_on_hide] The entry fee includes Approx. 800km of driving fun Overnight stay on Sat. 03.12 incl. breakfast in a double room Meals and drinks package (3x lunch; evening dinner on Friday and Saturday for driver and co-driver; 10 drink tokens; break snacks). Final dinner incl. drinks for driver and co-driver on Sunday Roadbooks and rally documents for the 3 days Sticker set Rally plate Jacket and cap for driver and co-driver Participants Gifts Ostbelgien Classic "Welcome package Trailer parking Starting numbers for the doors Organiser insurance Sports and technical logistics Live results Digital Notice board "Sportity", SMS Service TRIPY Timing and Tracking System Trophies for the winners Graduation: Registration and receipt of full payment until 01.07.22: 2190€ Registration and receipt of full payment from 02.07.22 to 01.10.22: 2490€ Registration and receipt of full payment from 02.10.22 to 15.11.22: 2690€ Bookable options: Single room supplement for the overnight stay on Sat. 03.12 Yes (+ 150€) [/group] [group Justdrive clear_on_hide] The entry fee includes Approx. 800km of driving fun Overnight stay on Sat. 03.12 incl. breakfast in a double room Roadbooks and rally documents for the 3 days Starting numbers for the doors Organiser insurance Sports and technical logistics Live results Digital notice board ("Sportity" app), SMS service TRIPY Timing and Tracking System Trophies for the winners Graduation: Registration and receipt of full payment until 01.07.22: 1290€ Registration and receipt of full payment from 02.07.22 to 01.10.22: 1590€ Registration and receipt of full payment from 02.10.22 to 15.11.22: 1790€ Bookable options: Single room supplement for the overnight stay on Sat. 03.12: Yes (+ 150€) Jacket and cap for driver and passenger: Yes (+ 310€) Meal and drink package: (3x lunch; evening dinner on Fridays and Saturdays for driver and co-driver; 10 drink tokens; Yes (+ 590€) Final dinner incl. drinks for driver and co-driver on Sunday Yes (+ 220€) Trailer parking Yes (+ 50€) [/group] To be paid Entry fee € Lizence Driver € Licence Passenger € Accomodation € Options € Total € Invoice I need an invoice [group rechnung-noetig clear_on_hide] Company name and corporate form Tax ID / VAT Number Street & No. Postal Code City Country [/group] Acceptance I have read and accepted the declaration of consent regarding the editing of photographs and/or video recordings Declaration of consent regarding the editing of photographs and/or video footage in accordance with the GDPR By signing this document, the participant agrees that during the Ostbelgien Classic, photographs will be taken and/or video footage will be made on which the participant and his vehicle are clearly identifiable. The consent also applies to the publication and the free use of the photographs and/or video footage on the association's homepage, Facebook page and in other publications of The Event AG. The declaration of consent may be withdrawn in writing, without stating a reason, at any time by sending an e-mail to info@ostbelgien-classic.be Data protection provision The controller of your personal data is: The Event AG Voulfeld 24 4700 Eupen Belgium info@ostbelgien-classic.be The following personal data are processed for our motorsports events: name, address, date of birth, nationality, phone number, e-mail address, clothing size, identity card number, driving licence number, club, bank details and vehicle details. You provided these data when you registered. Your personal data are only used for the organisation, execution and announcement of events of The Event AG. Use of the personal data for other purposes as well as their transfer to a third party require the participant's separate consent. We process your personal data for the execution of the agreement resp. to take measures prior to entering into a contract (article 6 paragraph 1 lit. b GDPR). Photographs and video footage on which you can be identifiable are processed on the grounds of the consent you provided (article 6 paragraph 1 lit. a GDPR). Your personal data are saved digitally and/or on paper by The Event AG and can only be seen by authorised people or members. Your personal data are deleted as soon as the purpose of the data processing has been achieved. You have a right to information about the personal data relating to you, a right to rectification, deletion, restriction, data portability and objection. In the event of a suspected breach of the data protection right you have the right to lodge a complaint with a supervisory authority. I have read and accepted the waiver of liability Liability waiver I relieve the organisation and all workers and helpers of the rally of any responsibility and liability for any intentional and unintentional damage which might arise, directly or indirectly, before, during or after the rally. This also applies to damage caused by third parties. The disclaimer relates to damage to people, objects and vehicles as well as all possible consequential damage. Furthermore, I expressly refrain from taking any legal action whatsoever, for whatever reason, against the organisation of the Ostbelgien Classic 2020. I took note of the rules and accept the conditions set out therein. I release the organisers and all staff and helpers of the rally from any responsibility and liability for any damage that may occur directly or indirectly, before, during or after the rally, both for damage caused intentionally and not intentionally. This also applies to damage caused by third parties. The waiver of liability applies to damages to persons, objects and vehicles as well as all possible consequential damages. I also expressly waive my right to take legal action against the organisers of the Ostbelgien Classic 2022 in any way and for any reason. I have taken note of the regulations and accept the conditions listed therein. Entries will only be accepted when the full entry fee, including any surcharges, has been received. The organiser reserves the right to refuse an entry without giving reasons. Refund of entry fees: Entry fees will be refunded in full if the entry has been refused by the organiser or if the event has had to be cancelled in accordance with Article 5.3.4 of the OBC2022 Regulations. Organizer: The Event AG, Voulfeld 24, 4700 Eupen, Belgien MwSt:. BE 0811.823.880 Bank details: Bank: AXA IBAN: BE 51 7512 0412 9062 BIC: AXABBE22 Reference: Team XY / Ostbelgien Classic 2022