jubilee entry_form2006

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					                                 TAUNTON MOTORCYCLE CLUB LIMITED.
                                THE JUBILEE SPORTING RELIABLITY TRIAL.
ACU PERMIT NO C ACU/14064
RAC EVENT NO. 25256MA21


                                                                 ENTRY FORM.
TAUNTON MCC LTD.                                                                                                 Sunday MAY 21st 2006
                                                  DECLARATION OF INDEMNITY.
I Hereby declare that I have read and understand the National Sporting Code of the ACU, the ACU Standing Regulations, and agree to be bound by them
together with such Supplementary Regulations as have or may be issued for the Event.
I further declare that I am physically and mentally fit to take part in the event and am competent to do so.
I confirm that I understand the nature and type of the event and the risks inherent with the sport and agree to accept the same notwithstanding that such
risks may involve negligence upon the part of the organisers / officials.
I further agree that I shall not seek to claim against the ACU, the organisers nor the Officials, the Landowner, Lessees of land, the promoter or other bodies
or individuals connected with the event in respect of any damage to my property howsoever caused, and whether by the negligence or breach of statutory
duty of the said bodies and persons.
I further agree that the machine, which I enter and compete on, shall be suitable and proper for its purpose and that it will comply with the regulations in
respect thereof and is described below.
I understand and agree that I am required as soon as I arrive to register my arrival and sign on with the Secretary of the Meeting.
I declare that whilst taking part in the event, I will have an operative insurance policy covering me in respect of all Road Traffic Act liabilities.



NAME ………………………………………………………………………………………

ADDRESS……………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………POST CODE……………………..

TELEPHONE NUMBER………………………………………………………………………..

MAKE AND MODEL OF MACHINE………………………………………………………REG. NO. ………………………………

CLASS ENTERED               1       2       3     4      5      6         PLEASE CIRCLE THOSE ELIGIBLE ( See Regulations)

CIRCLE AS REQUIRED
    TRIAL ENTRY FEE           £ 22-00                                       plus 2 x large stamped addressed envelopes.
    CLUB MEMBERSHIP FEE       £ 3-00                                        if required ( see Regulations)
    ACU ANNUAL AFFILIATION £ 10-00 FEE                                      if required (application forms will be available at the start)
    TOTAL FEE ENCLOSED £_____                                          CHEQUES PAYABLE TO TAUNTON M.C.C LTD.

I declare that I am a fully paid up member of ……………………………………ACU Club and that I will
produce my current 2006 Club membership card, and ACU 2006 Affiliated Member Card when signing on.

My ACU affiliate number is . ……………….

SIGNED.. ………………………………………………………………………………………………………………..

N.B. ENTRIES RECEIVED WITHOUT THE BIKE REGISTRATION NUMBER WILL BE REJECTED.

Team entries: I HAVE AGREED TO RIDE AS A MEMBER OF THE ………………………………………..TEAM WITH THE
        OTHER 2 RIDERS NAMED HEREWITH

1……………………………………………………………………………………………………..

2………………………………………………………………………………………………………

RETURN THIS FORM WITH 2 LARGE SAE’s TO; IAN BURTON, 3 ROMAN ROAD, TAUNTON, TA1 2BD

				
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