MOTORCYCLE SPORT EVENT ENTRY FORM

Text Box: MOTORCYCLE SPORT EVENT ENTRY FORM
(minimum information requirements)

Event: Grasstrack Organisers: Lancashire Grass Track Junior Riders Club

Venue: Lower Marsh Farm, Station Road, Much Hoole, Preston.PR4 5LH

Date of Event: Sunday 20^th April 2008. Permit No: Course Cert No. : GT08/…….

This event is held under the National Sporting Code of the Auto-Cycle Union, the Standing Regulations, Supplementary Regulations

and any Final Instructions issued for the meeting.

The ACU National Sporting Code and Standing Regulations are published annually in the ACU Handbook.

Entry declaration: I / we the undersigned apply to enter the event described above and in consideration thereof: -

· I / we hereby declare that I / we have had the opportunity to read, and that I / we understand the National Sporting Code of the ACU, the ACU Standing Regulations, such Supplementary Regulations as have or may be issued for the event, and agree to be bound by them.

· I / we further declare that I am / we are physically and mentally fit to take part in the event and I am / we are competent to do so.

· I / we confirm that I / we understand the nature and type of event we are entering and its inherent risks and agree to accept the same notwithstanding that such risks may involve negligence on the part of the organisers or officials.

· I / we confirm that the machine(s) as described below which I / we compete on shall be suitable and proper for the purpose.

· I / we confirm that if any part of the event takes place on a public highway, the machine(s) described below shall be insured as required by the Road Traffic Acts, or equivalent legislation, and that it / they will comply with the regulations in respect thereof.

· I / we agree that I am / we are required to register our arrival by “signing on” at the designated place not less than 30 minutes prior to commencement of my/our practice or first competition, whichever occurs first.

· I / we enclose the entry fee of: £………………………..

Acknowledgement of the risks of motorsport: I / we understand that by taking part in this event I / we are exposed to a risk of death, becoming permanently disabled or suffering some other serious injury and I / we acknowledge that even in the event that negligence on the part of the ACU, the promoter, the organising club, the venue owner, or any individual carrying out duties on their behalf were to be a contributory cause of any serious injury I / we may suffer, the dominant cause of any serious injury will always be my / our voluntary decision to take part in a high risk activity.

I / we have read the above and acknowledge that my / our participation in motorsport is entirely at my / our own risk.

Rider’s signature: ……………………………………………………………………… If under 18 state date of birth*: …………………………………………...

* For riders under 18 years of age - I accept the above conditions of entry to this event and give my approval:-

Signature of parent or person with parental responsibility:……………………………………………………….…………………………………………………….

Riders and Passengers under 18 years of age who cannot produce a valid ACU Competition Licence/Trials Registration must also complete a ‘Parental Agreement form (Single Event)’ in addition to this entry form.

RIDER Surname: …………………………………………………………………… ENTRY FEES:

First name(s): ………………………………………………………………………… YOUTH: £22.00 ADULT £29.00 EXTRA CLASS £4.00

Address: ………………………………………………………………………………. CHEQUES MADE PAYABLE TO: LGTJRC

…………………………………………………………………………………………. RETURN TO: JULIE LOWE. ‘ LIVERSAGE HOUSE’

Postcode: ………………………….…… Tel: ……………………………………. 83, UNDERLANE, GROTTON. OLDHAM. LANCS. OL4 5RN

ACU Licence: ………………………………………………………………………… Please include STAMPED ADRESSED envelope for acceptance.

*Please indicate if day licence is required.

Name of ACU Affiliated Club

(of which I am a member): …………………………………………………………. ENTRIES AFTER CLOSING DATE WILL BE CHARGED £10 EXTRA

Class Entered:

MACHINE

Type / Class: ………………………………………………………………… Make: …………………………………………………………………………………

Capacity: ………………………cc Stroke: ……………………………mm

Riding No.: ………………………………..

ACU and The Auto-Cycle Union are trading names of The Auto-Cycle Union Limited registered under Company No. 00134679;

Registered Office: ACU House, Wood Street, Rugby, Warwickshire CV21 2YX FORM C8-2008/1

Please retain slip below

…………………………………………………………………………………………………………………………………………………………………………………

Title of event: Grasstrack. Meeting Schedule: Scrutineering: 9.45 – 10.30

Date: 20^th April 2008 Practice: 11.00am.

Venue: Lower Marsh Farm, Station Road, Much Hoole, Preston. PR4 5LH. 1^st Race 12 noon.

Closing Date: 6^th April 2008 Race Day Phone number: 07800591001