Registration

XXII RALLYE DE TIERRA
SANTA LUCÍA DE TIRAJANA
20 - June, 2026

REGISTRATION FORM
Registration finish: June 10 2026 at 14:00

It can automatically fill out the form from an inscription recorded previously , in this or any other rally, for it must indicate the key registration to import and click the Import Registration button

RED fields are required.

PERSONAL DATA

C
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Team or name and surname if individual competitor:

Team:

Address:

City:

Postal Code:

State:

Country:

License:

Copy:

Mobile Phone:

Phone 2:

Fax:

Passport / CTC:

Email:

D
R
I
V
E
R

Name:

Surnames:

Passport

Address:

City:

Postal Code:

State:

Birthdate:

License:

Cell phone:

Email:

C
O
D
R
I
V
E
R

Name:

Surnames:

Passport

Address:

City:

Postal Code:

State:

Birthdate:

License:

Cell phone:

Email:

VEHICLE INFORMATION

Make:

Model:

Displacement:

Turbo:
NO
SI

Traction:

License plate:

No. approval Sheet:

Chassis Number:

RFEDA Passport:

FIA Passport:

Antiquity (Year):

Day:

Month:

Year:

The competitor declares under its responsibility that
the vehicle must be registered as follows:

REGIONAL

Group:

Class/Category:

Where do you refueling?:

Fuel Station
Refueling Zone

CATEGORY / TROPHIES AND CUPS IN WHICH IT PARTICIPATES

Junior FCA

Vehículos todoterreno 2026

Vel. en Tierra Santa Lucia 2026

REGISTRATION FEES (This registration will not be valid without the corresponding bank deposit)

Desglose de costes de inscripción

Derechos de inscripción
ARALOC GPS

Total

TURISMOS

320
30

350

MOTOS Y QUADS

170
30

200

En caso de NO aceptar la publicidad de la prueba los derechos de inscripción serán DOBLES.

WAY TO PAY
By transfer or deposit account
ES88 2100 7151 3213 0053 9079, CaixaBank
(The costs will be on the payer)
Send Receipt to: Email: secretaria@cdevesport.es

WITH ADVERTISING
CARS: 350€
MOTOS Y QUADS: 200€

WITHOUT ADVERTISING
CARS: 670€
MOTOS Y QUADS: 370€

SHARE ASSISTANCE

Names:

SPORTS AWARDS

Event name (1):

Year (1):

Final standings (1):

Event name (2):

Year (2):

Final standings (2):

Event name (3):

Year (3):

Final standings (3):

INVOICE

Billing information:

ATTACH DOCUMENTATION

ATTACH DOCUMENTATION IS ONLY AVAILABLE IN EDITING MODE

Participants responsible for the information contained in this document and declare to know the rules by which the Test, which are obliged to respect are governed are made.

BASIC INFORMATION ON DATA PROTECTION
Responsable	Víctor Manuel Robayna Mosegue (VMRM System)
Purpose	Registration and data processing in sports event
Legitimation	Consent of the interest party
Recipients	Sports Event Organizer
Rights	You have the right to access, rectify and delete the data in vmrm@vmrm.net as well as the right to file a claim with a control authority
Additional Information	You can consult the additional and detailed information on Data Protection at http://www.vmrm.net referring to our Legal Notice and Privacy Policy

I have read and accept the Legal Notice and the Privacy Policy.

I authorize the transfer of my data to the C.D. EveSportt to formalize the registration in the sports event organized by this entity..

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