Registration

14 SUBIDA
MONTAÑA ALTA - GUÍA
July 4, 2026

REGISTRATION FORM
Registration finish: June 24, 2026 at 20:00

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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M
P
E
T
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T
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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:

Performance Factor (Indicate NOT APPLICABLE for FR and Single-seaters):

Performance Factor ID (Indicate NOT APPLICABLE for FR and Single-seaters):

Antiquity (Year):

Day:

Month:

Year:

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

REGIONAL

Group:

Class/Category:

CATEGORY / TROPHIES AND CUPS IN WHICH IT PARTICIPATES

FÓRMULA RALLYE

BMW POWER 2026

JUNIOR FCA 2026

LUBRICANTES YACCO DE MONTAÑA 2026

FALP PROMOCIÓN MONTAÑA 2026

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

WAY TO PAY
By transfer or deposit account
ES21-2100-2113-4913-0031-4112 CAIXABANK
(The costs will be on the payer)
Send Receipt to: inscripciones@azuatil.com

WITH ADVERTISING
GENERAL: 240€
PROMOCIÓN FALP: 220€
SOCIOS C.D. AZUATIL: 220€

WITHOUT ADVERTISING
GENERAL: 480€
PROMOCIÓN FALP: 440€
SOCIOS C.D. AZUATIL: 440€

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

If you would like the invoice to be made out to someone other than the driver, please provide the tax information required to issue it below. (Name, Tax ID Number, Address)

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 Escudería Azuatil to formalize the registration in the sports event organized by this entity. You can obtain more information about the treatment of your data by this entity by consulting its website http://www.azuatil.com/.

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