4x4 Trial Mannington 19th May - Woolbridge Motor Club

Woolbridge Motor Club Ltd.
Held under the General Regulations of Motorsport UK (incorporating the provisions of the International Sporting Code of the FIA, the supplementary regulations and any written instructions the organising club may issue.

Motorsport UK Permit No. ****** has been issued

Drivers Details

Name*

First Last

Address*

Address Line 1 Address Line 2 Town/City County Post code Country

Phone*

Mobile*

Email*

RTA Driving Licence*

Do you hold a valid Road Traffic Act driving licence?

Yes
No

Motorsport UK Competition Licence Grade & Number

Minimum is the free RS Clubman. If this is your first event of 2024, you must renew before the event - go to motorsportuk.org

Status*

Expert
Novice

Club*

I am a fully paid up member of

Vehicle Details

Make of Vehicle*

Model*

Engine Capacity*

Registration No.*

Tyre Make/Size*

Class*

IMPORTANT - See Supplementary Regs for full details of modifications allowed or required - there are changes this year

Entry Fee

Is the car double driven?*

Yes
No

Name of other driver*

Are both drivers adults?*

Juniors have to accompanied by an adult, full licence holder.

Yes
No - one is a junior (age 14 to 18)

Are both drivers paying individually?*

Yes
No

Who is paying?*

I am paying for both drivers
The other driver is paying

Entry Fee: £25.00*

Entry Fee

Entry Fee: £37.00*

Entry Fee

Entry Fee: £50.00*

Entry Fee

Entry Fee: £0.00*

Entry being paid by the other driver.

Entry Fee

Membership subscription

Renewals can be paid with this entry - check the expiry date on your card. Remember to bring your membership card and competition licence to the event with you.

Price: £ 15.00

Competing / Participating Family Members

Price: £ 2.50

Total:

£ 0.00

Declaration

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

By ticking this box you agree to the above declaration.*

I Agree

State your age if you are under 18 – Driver

Parent Guardian

Any indemnity and / or declaration as prescribed above which is signed by a person who has not reached his or her eighteenth birthday shall be countersigned below by that person’s parent or guardian, whose full name and address shall be given.

Signed - parent / guardian - Driver

Signed - parent / guardian - Passenger

Address

Address of parent / guardian of Driver

Emergency Contact - Driver

Relative or friend to be contacted in the event of a serious accident.