Falcon Motor Club - The David Maitland Memorial Car Trial 20th October 2019
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 16th October 2019
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 *
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
Registration Number
Class 1 only
Your answer
Class *
Entry Status
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
Drivers/Passengers under 18
This person below is your Parent/Guardian who will have to sign for you at registration - enter their Name, Address, Telephone Number and Relationship - then complete the Parental Consent Form and send it to the event secretary
Your answer
Declaration *
INDEMNIFICATION DECLARATIONThe indemnification as per D.13 will be included in the Signing-On sheet which all competitors must sign on arrival at the event, as per H33.1.1. If the Entrant/Driver will be under the age of 18 on the day of the event, that person's parent or guardian must complete the parental consent section/s below.INDEMNIFICATIOND13.1: 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'.I understand that my personal data is being processed solely for the purposes of running this event and will be handled by the organisers in accordance with the MSA data protection policy which can be found at www.msauk.org/dataprotection. 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 RegulationsH39, D35.1, G15.1.4 and have also fully familiarised myself with the information on the web sites referred to (www.ukad.org.uk & 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.I declare that my car complies with the vehicle regulations appropriate to its class.
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