February Trials

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Competitors (PayPal) Signing-On Form - Feb 2023

Sudbury 11/12th February 2023

EVENT DETAILS

Select which Trial (required)

DRIVER DETAILS

Your Name (required)

RS Clubman Licence No. (required)

ELRC (or ALRC Club) Membership No. (required)

Valid Drivers License required for TYRO, RTV and CCV Trials

Driver holds a VALID Drivers License

Passenger holds a VALID Drivers License (for Unlicensed TYRO Drivers)

Age (if under 18)

Parent/Guardian Name (if under 18)

Your Email (required)

Telephone Number

EMERGENCY CONTACT (Driver)

Name (required)

Emergency Contact's Address (required)

Relationship to Driver (required)

Telephone Number

Will you have a Passenger?

YES - I WILL HAVE A PASSENGER

NO - It's just me

PASSENGER DETAILS

Passenger Name (optional)

RS Clubman Licence No.

ELRC (or ALRC Club) Membership No.

Age (if under 18)

Parent/Guardian Name (if under 18)

EMERGENCY CONTACT (Passenger)

Name

Emergency Contact's Address

Relationship to Passenger

Telephone Number

VEHICLE DETAILS

Description (Type of Vehicle & Engine)

Class (if known)

Registration Number (Not applicable for CCV)

DECLARATION and PAYMENT AMOUNT

Tick the box to show that you have read and agree to the Terms & Conditions and Scrutineering Requirements

READ & AGREED

(See Links below).

Total to Pay

Terms & Conditions

Pre-Event Scrutineering declaration

ELRC Scrutineering Checklist

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RS CLUBMAN - COMPETITOR’S SIGNING-ON

I declare that:

1) I have been given the opportunity to read the General Regulations of Motorsport UK and, if any, the Supplementary Regulations for this Event as well as Motorsport UK COVID-19 Guidance for Events and agree to be bound by them. I declare that I am physically and mentally fit to take part in the Event and I am competent to do so. I acknowledge that I understand the nature and type of competition and the potential risk inherent with motor sport and agree to accept that risk. I understand that motor sport can be dangerous and accidents causing death, injury, disability and property damage can and do happen. I understand that these risks may give rise to my suffering personal injury or other loss and I acknowledge and accept these risks.

1(a)) I am not currently experiencing any symptoms of COVID-19 and have not knowingly been in contact with anyone showing symptoms within the last 14 days, except as a healthcare professional. If after submitting this form I do knowingly come into contact (except as a healthcare professional) with someone with COVID-19 or if I start to exhibit any of the signs indicating that I may be infected I will immediately withdraw from the Event, notify Motorsport UK and ensure that my close contacts also do not attend. Should I become ill at or start to exhibit COVID-19 symptoms at the Event I shall withdraw safely and notify the Secretary of the Meeting by telephone / SMS accordingly including identification of those others who I have come into contact with at the Event.2) To the best of my belief the driver(s) possess(es) the standard of competence necessary for an Event of the type to which this entry relates and that the vehicle entered is suitable and roadworthy for the event having regard to the course and the speeds which will be reached. The use of the vehicle hereby entered will be covered by insurance as required by the law which is valid for such part of this Event as shall take place on roads as defined by the law.

3) I understand that should I at the time of this Event be suffering from any disability whether permanent or temporary which is likely to affect prejudicially my normal control of the vehicle, as a driver, I may not take part unless I have a valid RTA licence that permits me to drive on the road and that the car I am competing in is adapted to suit my disability

4) If I am the Parent/Guardian/Guarantor of the driver I have countersigned the competitor licence application and understand that I shall have the right to be present during any procedure being carried out under the event Supplementary Regulations and the General Regulations and that I have acquainted myself and the minor with them, agree to pay any appropriate charges and fees pursuant to those Regulations and agree to be bound by and submit myself without reserve to the consequences resulting from them (and any alteration thereof). Further, I agree to pay as liquidated damages any fines imposed upon me up to the maxima set out in Part 3, Appendix 1.

Note: Where the Parent/Guardian/Guarantor will not be present the Parent/Guardian/Guarantor must advise the organisers in advance, in writing, authorising their appointed representative to so act.

February Trials – Sudbury – 11/12th February 2023

Permits:

DRIVERS

MARSHALS

Competitors (PayPal) Signing-On Form - Feb 2023

DRIVER DETAILS

EMERGENCY CONTACT (Driver)

PASSENGER DETAILS

EMERGENCY CONTACT (Passenger)

VEHICLE DETAILS

DECLARATION and PAYMENT AMOUNT

Recent Posts

Categories

Items to check

Note

February Trials

Permits:

DRIVERS

MARSHALS

Competitors (PayPal) Signing-On Form - Feb 2023

DRIVER DETAILS

EMERGENCY CONTACT (Driver)

PASSENGER DETAILS

EMERGENCY CONTACT (Passenger)

VEHICLE DETAILS

DECLARATION and PAYMENT AMOUNT

Recent Posts

Categories

RS CLUBMAN - COMPETITOR’S SIGNING-ON

I declare that:

Pre-event Scrutineering declaration:

General

General Technical

Discipline specific Technical

Safety

ELRC Scrutineering Check List

Items to check

Note