Bumpy Ltd. 
SUPLIMENTARY REGULATIONS FOR CLUB RESTRICTED EVENTS
DATE:  26th October 2013.       Club Championship Rd 5      PERMIT No.: ACU 39190       
ANNOUNCEMENT: Bumpy Ltd will promote a Club Restricted Trial on 26/10/13, for solo motorcycles, run under the National Sporting Code, Standing Regulations of the ACU, the Yorkshire Centre Rules current at the time, the following Supplementary Regulations and any final instructions issued for the meeting.
ELIGIBILITY: Restricted to all registered members of Bumpy Ltd All riders must hold a current ACU Trials Registration / Membership Card or SACU Licence. Other riders must produce a license and start permission confirming insurance from their Federation
MACINES: Motorcycles as per NSC Appendix D Category 1, Group A1 Solos and TSR 8.
CLASSES: Expert, Intermediate and Novice Adults and A, B, C & D youth classes with a Hard, Clubman’s and Easy course for all.
START / VENUE: 1 p.m. at Bumpy Ltd Howden Clough Ind. Est. Leeds Road Birstall WF17 0JB
OFFICIALS: 	Clerk (s) Of Course: Mr. J Ford (Licence No.30295)            
Club Steward: TBA
Starter / Machine Examiner: TBA
Point of Contact for Child Protection Matters:  Secretary of Meeting
Secretary of Meeting: Mrs. C Kenzitt Bumpy Ltd. Howden Clough Ind. Est. Leeds Road Birstall WF17 0JB
ENTRIES / FEE: On Day up to 1 hour before Start on attached form. Entry Fee: - Adult £15 Youth £10.  NO TELEPHONE ENTRIES.
RESULTS: Will be posted on the club website. Those wanting hard copies must provide a SAE envelope with entry.
AWARDS: Points will be awarded over 5 rounds counting towards the Club Championship.
COURSE: All on private land, number of sections, laps and closure method will be announced on day. Sections to be ridden consecutively each lap.
METHOD OF MARKING & TIES:  As per TSR 22b; no stop. Ties will be resolved as TSR 23. 
PROTESTS: Protests as per National Sporting Code of the ACU, section 10.04.
NOTE* NO DOGS AT THIS VENUE PLEASE
ACU MOTORCYCLE OFF ROAD EVENT ENTRY FORM (PREMIER INSURANCE)
ACU and The Auto-Cycle Union are trading names of The Auto-Cycle Union Limited registered under Company No. 00134679
         Registered Office: ACU House, Wood Street, Rugby, Warwickshire CV21 2YX   Tel:   01788 566400
Bumpy Ltd         Club Restricted Trial 26/10/13     Venue: Howden Clough WF17 0JB     PERMIT No.: ACU 39190
This event is held under the National Sporting Code of the Auto-Cycle Union, the Standing Regulations, Supplementary Regulations and any Final Instructions issued.
The ACU National Sporting Code and Standing Regulations are published annually in the ACU Handbook.
ENTRY DECLARATION:    I the undersigned apply to enter the event described above and in consideration thereof: -
•	I hereby declare that I have had the opportunity to read, and that I understand the National Sporting Code of the ACU, the ACU Standing Regulations, such Supplementary Regulations as have or may be issued for the event, and agree to be bound by them. 
•	I further declare that I am physically and mentally fit to take part in the event and I am competent to do so. I confirm that I understand the nature and type of event I am 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 accept that insurance arranged on my behalf by the organisers of events that I may enter specifically excludes liability between the participants. I understand that this form may be used in litigation as evidence that any serious injury will be principally the result of my voluntary decision to engage in a high risk activity. 
•	I consent to details of any injuries I may suffer at this event being passed between all medical services and the Clerk of the Course. 
•	I consent to the collection and retention of my personal information by the ACU. 
•	I confirm that the machine(s) as described below which I shall participate on shall be suitable and proper for the purpose. I confirm that I am eligible to compete on the machines for which I have entered. 
•	I 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 they will comply with the regulations in respect thereof. 
•	I accept responsibility for any items borrowed from the Organiser during the course of the event.  These items include but are not restricted to (safety clothing, transponders, and accessories).  I understand that I am liable for the cost or replacement of any items lost or not returned and non-payment or non-replacement of items borrowed may affect my entry into subsequent events.  
•	I confirm that I have not been refused an ACU Licence, nor had an ACU Licence suspended, nor have I been excluded from any ACU competition.
ACKNOWLEDGEMENT OF THE RISKS OF MOTORSPORT: I understand that by taking part in this event I am exposed to a risk of death, becoming permanently disabled or suffering some other serious injury and I acknowledge that even in the event that negligence on the part of the ACU, the promoter, the organising club, the venue owner, or any individual carrying out 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 have read the above and acknowledge that my participation in motorsport is entirely at my own risk.  I agree that I am required to register on arrival by “signing on” at the designated place before taking part in any Practice Session or Race.

Rider’s signature: ………………………………………………………………………..……… Please tick box if you are 18 years of age and over  
* For riders under 18 years of age - I accept the above conditions of entry to this event and give my approval:-
Signature of parent or person with parental responsibility: …….……………………………………………….………………………………………...………….
Riders and Passengers under 18 years of age who cannot produce a valid ACU Competition Licence/Trials Registration must also complete a ‘Parental Agreement form (Single Event)’ in addition to this entry form.
Extract from NSC Article 7.14:  A parent or legal guardian of a rider or passenger participating in a competition requiring consent is deemed to bear mutual responsibility with that competitor.

ENTRY DETAILS: (please complete clearly using BLOCK CAPITALS)
FEE ENCLOSED:  £ …………    
FULL NAME: ……...................................................................................................................................  ACU MEMBER NUMBER: …………….……….……….

ADDRESS:  ...................................................................................................................................................................................................................................................

POST CODE: ............................................  TEL NUMBER: ............................................................ EMAIL: …………………………..……………………………..

COURSE / CLASS:  	Hard Route:   	Expert	 Inter.	Novice 	Youth: 	A	B	C	
(Circle to Indicate)	            Clubman Route:	Novice	 A	B	C	D
                                                        Easy Route:             Novice	 A	B	C	D		
MACHINE MAKE & MODEL: ................................................................................................... CAPACITY: ..........................c.c 
IF YOU CAN PROVIDE AN OBSEREVER PLEASE GIVE: 
NAME & CONTACT DETAILS: ……………………………………………………………………………………………………………………………………….