Entry 2022 Category Select your category Göhltal-ClassicGöhltal Ride Göhltal-Classic - Regularity rally The average speed driven at the event is maximum 50 km/h, with regularity tests (RT), time checks (TC), time checks to the second (TCS), a route with pacenotes with some non-metered sections, a few maps drawn or to be drawn at scale 1:25,000 and tests on closed roads or on private land. Göhltal Balade - Vintage car ride The Göhltal Classic Leisurely Ride is a scenic drive on public roads in accordance with road traffic regulations. The route description is provided in a roadbook with pacenotes, with and without kilometre indications, and by numerous orientation hints, as well as some easy tasks on a 1:25,000 scale map. In addition, there will be a number of special stages suitable for vintage cars on both days. Each team will receive a roadbook for each of the Saturday and Sunday stages. Driver Title ---MrMsMissDr.Prof.Ing. Last Name First Name Date of Birth Nationality Street & No. Postal Code City Country Mobile Number +(0) E-Mail Identification Number Driving Licence No Club Licence Do you have a licence? YesNo Issuer ---RACB – BelgienDMSB – DeutschlandKNAF – NiederlandeFFSA – FrankreichACL – LuxemburgOther FIA licence A licence from the Belgian FBVA/BFOV is not sufficient for this event! Other Issuer Licencenumber Upload Licence (max. 5 MB, jpg, png, pdf) 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 National Register Number *Only for Belgian citizens Passenger Passenger ---MrMsMissDr.Prof.Ing. Last Name First Name Date of Birth Nationality Street & No. Postal Code City Country Mobile Phone Number +(0) E-Mail Identification No. Driving Licence No. Club Licence Do you have a Licence? YesNo Issuer ---RACB – BelgienDMSB – DeutschlandKNAF – NiederlandeFFSA – FrankreichACL – LuxemburgOther FIA licence A licence from the Belgian FBVA/BFOV is not sufficient for this event! Other Issuer Licencenumber Upload Licence (max. 5 MB, jpg, png, pdf) 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 National Register Number *Only for Belgian citizens Car Brand Type Please leave this field empty. H Cubic capacity HP Year of construction Motor TurboWankel Licence Plate Insurer Insurance No. Arrival with trailer YesNo Photos of the car (max. 5 MB, jpg, png, pdf) More Passengers Price per additional co-passengers: 100€. (Included in the price: Dinner on 20.05., snacks during the ride, team cap.) Passenger 3 Last Name First Name Date of Birth Passenger 4 Last Name First Name Date of Birth Teamname max. 5 participants per team Accomodation Accommodation on the following days (breakfast included) Friday 20.05.Saturday 21.05.Sunday 22.05. Type Double bedTwin bedroomSingle room Price: € Entry Fee The entry fee includes: Ca. +- 450 KM driving fun Göhltal Classic Car Package Team caps Dinner during the event incl. 2 rally plates for the vehicle Start numbers Roadbook and rally documents for the 2 days Nomination and payment until 10.05.2022 Göthltal-Classic: 600€ Göthltal Ride: 385€ To be paid Entry fee € Licence Driver € Licence Passenger € Additional Passenger € Accomodation € Total € Invoice I need an invoice Company name and corporate form Tax ID / VAT Number Street & No. Postal Code City Country Acceptance I have read and accepted the declaration of consent regarding the editing of photographs and/or video footage Declaration of consent regarding the processing of photo and/or video recordings according to DSGVO By signing this declaration, the participant agrees that photos and/or video recordings will be made during the Göhtal Classic, on which the participant or his vehicle are clearly recognizable. The consent also applies to the publication and free use of the photos and / or video recordings on the club website, Facebook page and in other publications of The Event AG. The declaration of consent can be terminated at any time, without giving reasons, in writing by e-mail to info@thevent.eu. Privacy policy The responsible party for the processing of your personal data is: The Event AG Voulfeld 24 4700 Eupen Belgien info@ostbelgien-classic.be For our motorsport events we process the following personal data: Name, address, date of birth, nationality, telephone number, email address, clothing size, ID number, driver's license number, club, bank details and details of the vehicle. You have provided us with this data during registration. Your personal data will only be used for the organization, execution and announcement of events of The Event AG. Any further use of the personal data as well as any forwarding to third parties requires the separate consent of the participant. We process your personal data for the purpose of fulfilling the contract or for the purpose of carrying out pre-contractual measures (Article 6 para. 1 lit. b DSGVO). We process photos and video recordings on which you are recognizable based on your consent (Article 6 para. 1 lit. a DSGVO). Your personal data will be stored by The Event AG digitally and/or in paper form and can only be viewed by authorized persons or members. Your personal data will be deleted as soon as the purpose of the data processing is fulfilled. You have a right to information regarding the personal data concerning you, a right to correction, to deletion, to restriction, to data portability and to objection. Furthermore, you have the right to complain to the competent supervisory authority in the event of a suspected violation of data protection law. I have read and accepted the waiver of liability Liability waiver I release the organizers and all employees 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 as well as not intentionally. This also applies to damages caused by third parties. The waiver of liability applies to damages to persons, objects and vehicles as well as to all possible consequential damages. As well as all possible consequential damages. I also expressly waive any legal action against the organizers of the East Belgium Classic 2020 in any way and for any reason. I have taken note of the regulations and accept the conditions stated therein. The entry is only accepted when the entire entry fee including any surcharges has been received. The organizer reserves the right to refuse an entry without giving reasons. Refund of entry fee: The entry fees will be refunded in full if the entry was rejected by the organizer or the event had to be canceled in accordance with Article 5.3.4 of the OBC22 Regulations. Organizer: The Event AG, Voulfeld 24, 4700 Eupen, Belgien MwSt.: BE 0811.823.880 Bank details: : Bankverbindung: AXA IBAN: BE 51 7512 0412 9062 BIC: AXABBE22 Mitteilung: Team XY / Göhltal Classic 2022