Trial Entry Form
Name of Trial
.......................................................... Date ...........................
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(s) as
described below which I 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(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 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.
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.
Riders 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 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.
£10.00 entry fee enclosed
CASH
CHEQUE
£12.00 on-the-day entry fee
CASH CHEQUE
Riders Name:
.............................................................................................................................
Valid ACU Affiliation Number:
..................................................................
Riders
Address:
...................................................................................................................................
Post
Code:
.....................................................
Tel No:
...........................
.
E-Mail
Address:
.................................................................................................................................
Machine:
..........
...... Capacity:
...........cc
Class: EXP INT
NOV
BEG
T/SHOCK 0/40 YOUTH A B
C D PRE65
Course:
HARD 50/50
EASY WHITE