ACORNS MOTOR CYCLE CLUB

Amca Winter Season Trial
SUNDAY 21st September 2014

Venue: The Warren, Knighton, Near Newport,Shropshire, Signed off A41 at Chetwynd off the Newport to Whitchurch Road

Start: Sunday 21st September 2014 11.00 am

Classes: Expert / Clubman / Novice / Twin Shock A & B

Entry Fee: A.M.C.A. Licence Holders By Post - £8.00 on day £11.00
Guests By Post - £11.00 on day £13.00

Entries To: Mr A.E.Love 7 Victoria Road, Fenton, Stoke-on-Trent, Staffs ST4 2HE Tel. 07846 585684

Cheques payable Acorns MCC

Awards: As per Amca

Observers: All observers will be very welcome, free entry for rider providing observer. First come, First served (one entry per observer)

Notes: Standard Numbers will be issued for this trial HELMETS MUST BE WORN
Vin no.s will be subject to random checks!

ACORNS MOTOR CYCLE CLUB
Amca Championship Trial
SUNDAY 21st September 2014

Christian Name.................................................. Surname...........................................................

Address...................................................................................................................................

Tel No....................................... Machine........................................... cc.....................................

Club..........................................................AMCA Licence No.....................................................
e-mail address..........................................................................................................................

Grade Expert / Clubman / Novice / Twin Shock A & B (Delete as applicable)

Declaration: Motor Sport can be dangerous and may involve injury or death. You must read and agree to the following declaration and paragraphs below which are designed to create a legally binding relationship in return for you being allowed to enter and compete.

1. I confirm that the information in this entry form and the information and my acceptance of the terms of my competition license are correct.
2. I confirm that I understand the nature of the competition I am entering and I am competent to take part.
3. I confirm that any vehicle I use will comply with the regulations and will be safe and fit for use in this competition.
4. Before taking part in this event I will ensure (unless prohibited) that I have inspected the venue, the track and the facilities and geographical features and that I am satisfied that it is safe for me to compete.
5. I will not take part if I have any doubt about my ability or the safety of the venue
6. I accept that the competition in motor sport may involve the risk of injury or death and I agree to take part at my own risk.
7. Before taking part in the event I will read and be bound by and comply with general regulations, any supplement and final instructions issued by the AMCA, the organisers and the circuit owners and the regulatory body.
8. I will not participate whilst under the influence of alcohol or intoxicating drugs and that if I am taking any prescribed medication I will inform the event organiser and seek approval to participate before taking part.
9. If under the age of 18, my parent/guardian has read the above and signed the declaration and agreement below

Signature............................................................ Date:...............................................
Parent/Guardian Declaration and Agreement: To allow the participant to enter the competition you must agree to the matters set out below which are designed to create legal obligations on you. Sign below only if you agree.

I..................................................................................(print name) am parent/legal guardian of......................................................
a) I have read the entry form and declaration completed by the applicant and confirm the answers are true.
b) I confirm that he/she is competent to take part in the event and that any vehicle which he/she will use is safe and fit for competition.
c) I will, before allowing him/her to take part, satisfy myself that the course and the facilities are safe and will inspect the same.
d) I also hereby AGREE that if the applicant should sustain any injury from any cause whilst taking part in the event and as a result bring a claim for compensation against you or the organisers or officials or sponsors or entrants or owners of the venue I WILL INDEMNIFY AND PAY BACK TO YOU any sum which you may be required to pay as a result of such a claim.

Signature or Parent/Guardian............................................................................ Date.................................................
Address (if different from applicant).............................................................................................................................

ALL RESULTS AND FUTURE EVENTS ARE POSTED ON THE AMCA MIDLANDS AREA TRIALS BLOG - SEE LINK BELOW

TO RECIEVE REGULAR TRIALS ENTRYS AND UPDATES DIRECT TO YOUR EMAIL PLEASE SUBSCRIBE TO THE BLOG AND THIS WILL ENTITLE YOU TO FREE REGULAR UPDATES SO YOU DONT MISS ANY FUTURE DATES

ALL GUESTS / NON LICENCE HOLDERS AND ACU RIDERS ARE WELCOME TO ALL AMCA EVENTS