Plum Pudding

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.

Course Lic / Cert No

ACU Permit Number *

EMN Number *

First Name *

Surname *

Date of Birth *

Phone Number *

E-Mail Address *

Address Line 1 *

Address Line 2 *

Town / City *

County *

Postcode *

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 am not currently suspended from ACU permitted competition or on the ACU STOP LIST as a result of incurring a concussion/suspected concussion injury.

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 have read and understood the Auto Cycle Union Ltd Data Protection Policy and consent to the collection and retention of my personal information by the ACU.

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 it / they will comply with the regulations in respect thereof.

I confirm that the machine(s) as described overleaf, which I 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 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, 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.

I accept the entry declaration shown above *

Yes

Covid 19 Declaration

I acknowledge the Organisers are operating this event in accordance with Government guidelines, advice and instruction so as to minimise the risk to Competitors, Marshals and Officials and the public from Covid-19.

By participating in this event, I will take all necessary steps to protect myself and others from the risk of infection. I agree to follow and abide by any instructions set down by the Organiser in an effort to minimise the risk of the Covid-19 virus.

I acknowledge and accept the underlying and unavoidable risk of infection from the Covid-19 virus.

I accept the Covid 19 declaration shown above *

Yes

Change Of Rider, Passenger or Machine

It is not permitted to change a rider, passenger, make or capacity of motorcycle, after the start of any meeting (see National Sporting Code).
In the event of any driver, passenger or entrant cancelling an entry they MUST send ALL passes and paperwork to the ENTRIES SECRETARIAT of the meeting to arrive at least 48 hours before the date of the event. NO REFUND WILL BE CONSIDERED AFTER THE CLOSE OF THE MEETING. A MINIMUM £50 administration fee and the value of any unreturned passes will be deducted from all cancelled entries (see regulation sheet for information).

I accept the Change of Rider declaration shown above *

Yes

Acknowledgement of the Risk 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 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.

I accept the Motorsport declaration shown above *

Yes

Riders Signature

If you are under 18, please get a parent or legal guardian to sign the box. You will be both required to sign on upon arrival on race day

ACU Licence Number *

Licence Category *

Novice

Intermediate Novice

Clubman

National

Emergency Contact Name *

Emergency Phone Contact No. *

Preferred Race Number *

Do you want to hire a transponder? *

Yes

Are you bringing your own transponder? *

Yes

Transponder Number

Make of Machine *

Capacity * cc

Please Choose Your Primary Event *

Solo 125cc - 450cc

Open 501cc - 1300cc

CB500 & Twins

Entry Fee for the Day * £

Checkout Price * £