South Pier Marine Mont Pinel Hill Climb - ACU Internet Entry Form

Entries to this event are now closed and this page is for record only

This event is held under the National Sporting Code of the Auto-Cycle Union, the Standing Regulations, Supplementary Regulations and any Final Instructions issued for the meeting.
The ACU National Sporting Code and Standing Regulations are published annually in the ACU Handbook.
  

Permit Number: 56506

Welcome to the CVMRC Online Entry system. Please follow the steps below to enter the event.

Complete all the fields in the form below.

The fields with red backgrounds are mandatory.

Once you have hit the "Enter Event" button at the end you will receive an automated response confirming we have received your entry form.

PEASE DO NOT ENTER TWICE - IF YOU ARE UNSURE PLEASE CONTACT Kerry Torpy

There are two ways to pay for your entry

Cheque
Bank Transfer
(We will email you the details you need as soon as you enter the event)


NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID. If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please e-mail the entries secretary.

Entries Secretary: Kerry Torpy, Caesarea Lodge, Melbourne Park, St John, JE3 4EQ

Contact Information
E-Mail address for communication
Contact Name
Electronic Entry (Office Use Only)
Rider
Full Name
Address
Post Code
Telephone Number
Mobile Number
ACU Licence Number
E-Mail Address
ACU Affiliated Club
(of which I am a member)
Date of Birth (if under 18 years of age)
Preferred Competition Number
(Enter 0 if not Applicable )
Shared - you will still need to submit 2 entries, one for each competitor
Is this entry part of a shared entry?
Enter the name of the other competitor using this vehicle
Rider's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Motorcycle
Make & Model
Stroke (mm)
Engine Capacity
Year
Class
In Car Camera Request
Sponsor
Sponsor Name (Note: this sponsor does not need an entrant's licence.
If you have an entrant with an entrant's licence,
please give details later.
Person to be contacted in case of serious accident to Driver
Name
Telephone Number
Relationship
Fees - see above for how to pay
£90.00 (Ninety Pounds Only) £
Total Money to be sent£
Payment Method

Cheque

Bank Transfer

Marshal Details
I would like to supply a marshal 
Notes
Privacy and Permissions

We take your privacy seriously and will only use your personal information to administer your entry, including providing a public Entry List and sending you emails in connection with your entry. Some of your information will be passed on to the organisation providing results for the event.

We would also like to be allowed to contact you in the future to tell you about other events which we are running, including this event in future years. If you are happy to allow us to do this, please say so here.

Remember your entry is subject to receipt of the correct entry fee

 

This event is held under the National Sporting Code of the Auto-Cycle Union, the Standing Regulations, Supplementary Regulations and any Final Instructions issued for the meeting. 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: -

 

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, any event organiser, any circuit owner, 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 may suffer, the dominant cause of any serious injury will always be my 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.

 

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