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Falcon Motor Club Ltd - Ivinghoe Spring Trial - 26th March 2017
Held under the General Regulations of the MSA Ltd (incorporating the provisions of the International Sporting Code of the FIA) and the Supplementary Regulations for the event.

Entries close: Wednesday 22nd March 2017

Drivers Name
Your answer
Full Address including Post Code
Your answer
Telephone
Your answer
E-Mail Address
Your answer
Contact Details in case of an emergency
Add: name, address, telephone number
Your answer
Club
You must bring an up to date membership card with you on the day or join Falcon MC
Your answer
Passenger Name
If you are entering without a passenger use NO PASSENGER for all passenger related sections
Your answer
Full Address including Post Code
Your answer
Contact Details in case of an emergency
Add: name, address, telephone number
Your answer
Car Make/Model
Your answer
Engine Size
National B only
Your answer
Car Length in inches
Classes 1 & 2 only
Your answer
Tyres Used (on the driven wheels)
State the make and type e.g. Uniroyal RainExpert - see regulations for details
Your answer
Class National B
All cars competing in Regional/National championship rounds must enter as NatB
Class Clubmans
Entry Status
Please check the boxes that apply to your entry
Required
Licence Number
For National B entries only - please give your Competition Licence Number
Your answer
Car Sharing
Please name the other driver
Your answer
Payment Method
To use PayPal use the (correct) 'Pay Now' button on the club web site
Declaration
D13.1: I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event 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 the competition and the potential risk inherent with motor sport and agree to accept that risk.’I understand that motorsport 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. In consideration of the acceptance of this entry I agree that neither any one of or any combination of the MSA and its associated clubs, the organisers, the track owners or other occupiers, the promoters and their respective officers, servants, representatives and agents (the “Parties”) shall have any liability for loss or damage which may be sustained or incurred by me as a result of participation in the Event including but not limited to damage to property, economic loss, consequential loss or financial loss howsoever caused. Nothing in this clause is intended to or shall be deemed to exclude or limit liability for death or personal injury. To the fullest extent permitted by law I agree to indemnify and hold harmless each of the Parties in respect of any loss or damage whatsoever and howsoever arising from my participation in this event.’ I declare that 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'. - D13.1.1 (b): I declare that 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 part on roads as defined by the law.Under the provision of the Data Protection Act 1985, the Falcon Motor Club requires your permission to hold the information on this entry form on a computer, for the purposes of producing address lists, results and other such data for running the trial. Your signature below gives the organisers the right to enter this information into a computer.My age is...................................................(If applicable state “Over 17 years”) - D13.1.4: I have read and fully understood the Procedure for Control of Drugs and Alcohol as contained in the Competitors’ and Officials’ Yearbook Regulations H39, D35.1, G15.1.4 and have also fully familiarised myself with the information on the web sites referred to (www.ukad.org.uk and www.wada-ama.org) in particular the UK Anti Doping Rules which have been adopted by the MSA. Further, if I am counter-signing as the Parent or Guardian of a minor then in addition to the deemed consent to the testing of that minor (UKAD Code Art 5.6.2) I hereby confirm that I give such consent for the minor concerned to be so tested. - D13.1.5: I hereby agree to abide by the MSA Safeguarding Policy and Guidelines and the National Sporting Code of Conduct.
Required
Drivers/Passengers under 18
The person named below is the Parent/Guardian of the Driver/Passenger who is under the age of 18 on the day of the event who will have to sign for you at registration - enter their Name, Address, Telephone Number and Relationship below - please read carefully the event regulations - complete the parental declaration(s) and sent to the secretary
Your answer
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