Entry form hidden - Tunbridge Wells Motor Club

Goodwood Late Entry

Tunbridge Wells MC & Sevenoaks & District MC

Saturday 28th September 2024

The Motorsport UK permit number is: Speed-Sprint-Interclub No. 136561

Closing date for entries is Friday 20th September 2024

Name(Required)

First Last

Comp. Licence No.

Type / Grade

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Club

Championship(s)(if any)

Entrant

Entrant Name

Licence No.

Address

Vehicle

Make(Required)

Year

Model(Required)

Colour

Modification(Required)

Engine Capacity

Class Entered(Required)

Category Entered(Required)

Indicate if the car has(Required)

Forced Induction

Petrol

Diesel

Other Fuel

If other state fuel being used:(Required)

If any other driver is entering this vehicle, please advise their name (separate entry form will also be required)

Entry Fee

Fee(Required)

Price:

Payment(Required)

I am paying electronically to Bank Code 30-95-01 Account No 03247774 Tunbridge Wells Motor Club

Total

Eligibility Declaration(Required)

Declaration

I declare that the car entered complies with the requirement laid down by the ASEMC/ACSMC/AEMC and reproduced in the SR's.

DECLARATION OF INDEMNITY

Held under the General Regulations of The Motor Sports Association (incorporating the provisions of the International Sporting Code of the FIA) and these Supplementary Regulations.

I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of competition and the potential risk inherent with motor sport and agree to accept that risk. Further, I understand that all persons having connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence.

State your age if you are under 18

I declare that to the best of my belief the driver(s) possess(es) the standard of competence necessary for any event of the type to which this entry relates and that the vehicle entered is suitable and roadworthy for the event having regard to the course and the speeds which will be reached.

I understand that should I at the time of this event be suffering from any disability whether permanent or temporary which is likely to affect prejudicially my normal control of my vehicle, I may not take part unless I have declared such disability to the ASN which has, following such declaration, issued a licence which permits me to do so.

I declare that the particulars given on this entry form are a true record.

Signature

Please indicate below the name address and phone number of the person who should be contacted in event of a serious accident.

Name(Required)

Phone(Required)

Relationship

Address(Required)

Privacy(Required)

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Name

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Goodwood Late Entry

Who to contact

Tunbridge Wells MC & Sevenoaks & District MC

Entrant

Vehicle

Entry Fee

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