walesandwestenduroclub

Events

Wales and west championship 2019

ENTRY DECLARATION T&C

~~RD1 3RD MARCH GLANUSK ESTATE CRICKHOWELL NP8 1RJ~~

~~RD2 14TH APRIL CLEARWELL GL16 8JR~~

RD3 ~~16TH JUNE~~

23RD JUNE EWAYS HAROLD HR2 0EE

RD4 14TH JULY NEW VENUE

RD5 18TH AUGUST CWMCARVAN NP25 4JP

RD6 15TH SEPT PENPERGYM

RD7 13TH OCT TBA

RD8 17TH NOV TBA

THE VENUES ARE SUBJECT TO CHANGE ...

ENTRY DECLARATION: I/we the undersigned apply to enter the event described above and in consideration thereof:-

I/we further declare that I/we are physically and mentally fit to take part in the event and Iam/we are competent to do so.

I/we confirm that I/we understand the nature and type of event we are 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/we confirm that the machine(s) as described below which I/we compete on shall be suitable and proper for the purpose

I/we 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/we agree that I am/we are required to register our arrival by signing on at the designated place not less than 30 minutes prior to commencement of my/our practice or first competition,whichever comes first

ACKNOWLEDGEMENT OF THE RISKS OF MOTORSPORT I/we understand that by taking part in this event I/we are exposed to risk of death,becoming permanently disabled or suffering some other serious injury and I/we acknowledge that even in the event that negligence on the part of the IOPD, the Promoter, the organising club, the venue owner, or any individual carrying out his duties on their behalf were to be a contributory cause of any serious injury I/we may suffer, the dominant cause of any serious injury will always be my/our voluntary decision to take part in a high risk activity

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

Your form message has been successfully sent.

You have entered the following data:

ENTRY FORM Round 3

Please correct your input in the following fields:

Error while sending the form. Please try again later.

Name: *

Address *

phone no. *

E-mail address: *

Class *

Machine Make *

Model / CC *

Preferred Rider No

please check box to represent online signature agreeing to Entry Declaration and Acknowledgement of the risks on Motorsport, if under 18 permission from parent/guardian is necessary .

Message: *

I herby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time.

Note: Fields marked with * are required

Please be aware that the contents of this form are not encrypted

PRINT AND POST

WALES & WEST ENDURO CLUB

RACE DAY ENTRY FORM

IOPD PERMIT NO 20204

DATE SUNDAY 23RD JUNE 2019

EVENT LOCATION PLATCH FARM EWAYS HAROLD, HR2 0EE

RACE DIRECTOR, GLENN THOMAS

SAFTEY OFFICER ANDREW KNAPMAN/ HUW WATKINS

CHIEF MARSHAL JEREMY BALDWIN

SECRETARY SUZY THOMAS/ SUE BALDWIN

TIMING MARIA SIMPSON

Start: Will commence at

Machines: this is a closed circuit event and machines do not have to be road legal but MUST comply with current noise regulations

Entries: CLUB MEMBERS can book in by FB, phone, text, or email and pay on day

NON-CLUBMEMBERS are very welcome to enter and must fill in entry form and post or use online entry with payment.

MAX ENTRY 130 minimum age for entry 15

Tyres: optional

NO TEAR OFF,S PLEASE

IMPORTANT for all competitors under the age of 18 a parental agreement must be signed on entry form

Classes: Expert, Supervet, Vet, Over 50s Clubman 2t, Clubman 4t, Sportsman 2t, Sportsman 4t, 15-17 yr old max 150cc, Twinshock, Trail, Ladies, and evo.

Camping: will be available

LITTER please take home or put in bin

Please read all rules on club website