Aintree Track Day 1 - Internet Entry Form

DOCUMENT ADDRESSING

Your E-Mail address for communication

This must be filled in to continue

Your Name on your UK Driving Licence First & Last only This must be filled in to continue

MAIN DRIVER

Name: (First & Last only) This must be filled in to continue

Address

Post Code

Telephone No. (Day)

Telephone No. (Evening)

Mobile No. You cannot sign on until this is filled in

E-Mail Address You cannot sign on until this is filled in

Are you a member of Liverpool MC? You cannot sign on until this is filled in

Yes

No

Liverpool MC Membership No. Input your number or key in NON if a not a member You cannot sign on until this is filled in

Date of Birth (only complete if the driver is under 18 yrs old) in the format dd/mm/yy

Main Driver - Important Safety Details

Have you driven a car at a track/test day before? If yes please list the last three events below. This must be filled in to continue

Yes

No

Event 1 - Place and Date (mm/yy)

Event 2 - Place and Date (mm/yy)

Event 3 - Place and Date (mm/yy)

Group A and Group B are over subscribed and are, therfore, closed to new entrants. Group C and D still have paces available.

IMPORTANT: So that we can place you with other drivers of similar experience/speed, please indicate which group you wish to be with on track (i.e. state the group you think you and your car are most likely to fit in with on track). DO NOT OVERESTIMATE YOUR ABILITY. It's important to pick a group that is likely to match your speed and that of your car, compared with others on track, not just your experience. If you book for a quicker group than the one you should be in, your enjoyment will be compromised as you will be concentrating on keeping out of the way of faster cars rather than enjoying your time on track.

Which Group are you booking for? This question is also repeated in the Car Section below and must be answered by way of confirmation, so make sure you click on the same group. This must be filled in to continue

Group C - Experienced (Quickest)

Group D - Single Seat Racing/Sports Racing

Any additional information we should know about or that may be relevant. e.g. any medical conditions, disabilities etc.

Main Driver's Parent or Guardian (only complete if the driver is under 18 yrs old)

Name

Address

Telephone No.

Relationship to Driver

ADDITIONAL DRIVER(S)

You can have a maximum of 2 Additional Drivers. Please note that any additional driver sharing with the main driver must be in the same group/session. They will be automatically be put into the same group/session as the main driver. If the additional driver(s) want to go out in another session (i.e. not sharing sessions with the main driver) then they will need to submit their own booking form and pay the full fee. Contact us if you are unsure. Space for Additional Driver 2 is further down the form.

Additional Driver 1 - Name (First & Last only)

Address

Telephone No. (Day)

Telephone No. (Evening)

Mobile No.

Are they a member of Liverpool MC?

Yes

No

Liverpool MC Membership No. Input their number or key in NON if not a member

Date of Birth (only complete if the driver is under 18 yrs old) in the format dd/mm/yy

Additional Driver 1 - Important Safety Details

Have they driven a car at a track/test day before? If yes please list the last three events below.

Yes

No

Event 1 - Place and Date (mm/yy)

Event 2 - Place and Date (mm/yy)

Event 3 - Place and Date (mm/yy)

Experience?

Novice

Intermediate

Expert

Any additional information we should know about or that may be relevant e.g. any medical conditions, disabilities etc.

Parent or Guardian for Additional Driver 1 (only complete if the driver is under 18 yrs old)

Name

Address

Telephone No.

Relationship to Additional Driver 1

CAR

Make You cannot sign on until this is filled in

Model You cannot sign on until this is filled in

Colour You cannot sign on until this is filled in

Engine Capacity e.g. 1275 Not 1275cc You cannot sign on until this is filled in

Approx BHP You cannot sign on until this is filled in

Approx Year of Manufacture

Group A and Group B are over subscribed and are, therfore, closed to new entrants. Group C and D still have paces available.

Group - please tick the correct group you wish to enter, approriate to your ability or car type, and make sure it is the same group already selected in the Driver Important Safety Section above. This must be filled in to continue

C - Experienced (Quickest)

D - Single Seat Racing/Sports Racing

Are you using a standard pump fuel? If No see next question.

Yes

No

If not using petrol/diesel please state your Custom Fuel Type e.g. LPG, Methanol

If your car is registerd for the public highway please key in the registration number.

CAR TYPE

Tick all the boxes that apply to your car (e.g. You could tick Road Car, Competition Car and Lotus 7 & derivatives, if they all apply)

Turbo/Supercharged

Yes

No

Road Car

Yes

No

Competition Car

Yes

No

Lotus 7 & Derivatives or Single Seater/Sports Racer

Lotus 7 & Derviatives

Singe Seater/Sports Racer

ADDITIONAL DRIVER 2

Name (First & Last)

Address

Preferred Telephone No.

Have they driven a car at a track/test day before? If yes please key in their most recent event i.e. Place and Date (mm/yyyy format)

Experience?

Novice

Intermediate

Expert

Date of Birth (under 18s only) in the format dd/mm/yy

Parent or Guardian for ADDITIONAL DRIVER 2 (Under 18s only)

Name (First & Last)

Address

Preferred Telephone No.

Relationship to Additional Driver 2

PASSENGERS - A MAXIMUM OF TWO @ £10 EACH. They must be a minimum of 16 yrs old. All passengers must be pre booked here and NOT on the day of the event. Only one passenger can be carried at any one time. Passenger fees are not transferable/refundable if subsequently cancelled, for whatever reason.

Passenger 1 - Name (First & Last)

Their email address

Date of Birth (16 to 18 year olds only) in the format dd/mm/yy

Passenger 2 - Name (First & Last)

Their email address

Date of Birth (16 to 18 year olds only) in the format dd/mm/yy

CAMPING

Do you wish to camp on Friday night? N.B. there are only ten places available which will be allocated on a first-come, first-served basis.

Only motorhomes with full onboard facilities are permitted. Tents are NOT allowed, nor is sleeping in cars permissable, as the on site toilet facilities are closed overnight.

The gates will be locked by 21.00 hrs prompt and do not open again until 06.30 hrs the following day. You are advised not to arrive at the last minute. See our website for other campsites nearby.

Yes

No

PERSON TO CONTACT IN CASE OF EMERGENCY TO MAIN DRIVER

Name This must be filled in to continue

Address

Mobile No. This must be filled in to continue

Relationship to Driver

Will this person be attending the event?

PERSON TO CONTACT IN CASE OF EMERGENCY TO ADDITIONAL DRIVERS

Name

Address

Mobile No.

Relationship to Additional Drivers

Will this person be attending the event?

FEES

Left click on the box(es) to select the various payment amounts commensurate to your application (i.e additional drivers, passengers, NWAA donation). NB: After you submit your entry fill in your debit/credit card details on the STRIPE secure payment page to complete the transaction. You cannot sign on until this is filled in

£

Additional Driver(s): Select the appropriate amount

£

Passenger(s): Select the appropriate amount

£

NW Air Ambulance Donation: Please select your desired amount

£

Total Money to be sent

£

TERMS OF AGREEMENT

Read this carefully - you are about to enter into a contract with the event organiser.

I hereby apply to take part in a Track Day organised by Liverpool Motor Club Ltd (the Event Operator).

In consideration of the Event Operator accepting this application I undertake and agree that:

I am competent to take part in this event.
I am competent to drive any vehicle(s) that I will drive during the event.
I will satisfy myself (by reduced speed sighting lap or other means) before taking part, that the venue and track is acceptable to me with regard to its features and physical layout.
By taking part I accept the risks involved INCLUDING THE RISK OF INJURY OR DEATH.
I declare that my vehicle is safe, complies with the Event Operator's regulations and is fit to use in this event.
I have read and will comply with the Event Operator's rules and site regulations provided via a link from www.liverpoolmotorclub.com/track-day-information, I will observe and obey all instructions given to me by the Event Operator and its staff.
I understand that in the event of a car being driven by me colliding with or causing damage to the fabric/fences of the Grand National or Golf Courses adjacent to the circuit, I will reimburse the event operator with the first £250 of the cost of repairing such damage.

This must be filled in to continue

I agree

I understand that I shall be required to read, agree to, and sign a further Declaration prior to my participation in the event. If I wish to cancel, my booking fee will be returned less a £10 administration fee provided written notice of withdrawal is received by the Event Operator not less than 10 days prior to the commencement of the event. If notice is received less than 10 days prior to the event, the Event Operator reserves the right not to make a refund unless a replacement booking is received. IMPORTANT: No one under the age of 18 years shall be permitted to be carried in any vehicle participating in this event unless the specific written permission of their parent or legal guardian is provided to the Event Operator. The minimum age for passengers is 16 years. It is strongly recommended that no one under 4ft 10ins (1.45m) tall is carried in a vehicle taking part in the event. Drivers must not consume alcohol on the day of the event and must not take part whilst under the influence of drink or drugs.

MOTOR SPORTS CAN BE DANGEROUS AND MAY INVOLVE INJURY OR DEATH. Despite the organisers taking all reasonable precautions, unavoidable accidents can happen. In respect of these, everyone attending the event does so entirely at their own risk.

This must be filled in to continue

Yes I Agree

BY TICKING THE ABOVE you are confirming that you have read, understood and accepted the terms and conditions as they will create a legally binding relationship in return for your being allowed to participate.

Bookings will close 7 days before the event or sooner if the relevant group/session is full. Submitting an application does not guarantee a booking.

The event operator reserve the right to give priority to applications received from members of Liverpool MC and also reserves the right to decline bookings, at its discretion and without recourse.

See more Trackday Information here

I also confirm that I have read the two documents below (follow the blue links).

Event Rules and Site Regulations
Driver's Briefing Notes

This must be filled in to continue

I have read the Event Rules and Site Regulations & the Driver's Briefing Notes

Marshal Details - if you know of a marshal who'd like to come and help, please give details here

Name

Address

Post Code

Telephone Number

Mobile Number

Email Address

Experience

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 timekeeper, scrutineers and others involved in organising the event. Click here for our Privacy policy.

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.

No

Yes

The event is not currently open for entries

Aintree Track Day 1 - Internet Entry Form

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