ACU  This is not for youth entries

MOTORCYCLE SPORT TRIALS EVENT ENTRY FORM

(Minimum information requirements) Auto-Cycle Union Ltd, ACU House, Wood Street, Rugby, Warwickshire CV21 2YX Tel: 01788 566400 Fax: 01788 573585 E-mail: admin@acu.org.uk

Event: The Jack George NKTC Trial            Organisers: Double Five Kent MC

Venue: Chads Farm, Ridley, Kent.       Date of Event: 13th July 2008         Permit No: ACU 22296

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 the undersigned apply to enter the event described above and in consideration thereof:-

•         I hereby declare that I have had the opportunity to read, and that I 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 further declare that I am physically and mentally fit to take part in the event and I am competent to do so.

•         I confirm that I understand the nature and type of event I am 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 confirm that the machine described below which I will compete on shall be suitable and proper for the purpose.

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

•        I agree that I am required to register my arrival by "signing on" at the designated place not less than 30 minutes prior to commencement of my practice or first competition, whichever occurs first.

I enclose the entry fee of: £15

•         Acknowledgement of the risks of motorsport: I understand that by taking part in this event I am exposed to a risk of death, becoming permanently disabled or suffering some other serious injury and I 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 may suffer, the dominant cause of any serious injury will always be my voluntary decision to take part in a high risk activity.

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

Rider details below to be completed in full to validate the entry:

Full Name
Address
 
 
 

Post-Code
Tel no.

ACU Licence / Registration No.

ACU Affiliated Club (of which I am a Member):

Class Entered:

Machine Make:

Capacity: cc

E-Mail Address:

By clicking on the yes button, which has the same effect as you signing the entry form, you confirm that you have read and accept all the conditions of this entry form: If you do not accept the terms of the entry form you should click no and then click the form reset button

Yes No

Date:

If you wish to enter the trial using this method you must click on the Submit Form button below and send your entry fee to the Secretary by the closing date.

If your fee does not reach the Secretary in time you may not qualify for any points and awards that may be on offer and may not even get to ride in the event.

Author SW.
Copyright © 2008 [North Kent Trials Combine]. All rights reserved.
Revised: 07/18/08