Golden Springs Trial 22nd Sept 2024 - Woolbridge Motor Club

Woolbridge Motor Club Ltd.
Held under the General Regulations of the RAC Motor Sports Association Ltd (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. 135989 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

Status*

Expert
Novice

Competition Licence Grade and Number*

Minimum RS Clubman

Club*

I am a fully paid up member of

Championships

Please select any championships you are registered for:

Motorsport UK Championship
BTRDA Championship
ASWMC Championship

Emergency contact - driver*

Give name, relationship, and address or phone numbers

Passenger Details (if carried)

Name

First Last

Address

Address Line 1 Town/City Post code

Phone

Mobile

Email

Competition Licence Grade and Number

Club

I am a fully paid up member of

Emergency contact - passenger

Give name, relationship, and address or phone numbers

Vehicle Details

Make of Vehicle*

Model*

Engine Capacity*

Registration No.*

Tyre Make/Size*

Class*

Please refer to the Supplementary Regulations for full details.

Is the car double driven?*

Yes
No

Name of other driver

Both drivers of a double-driven car must complete an entry form.

Entry Fee

Single entry Woolbridge/Windwhistle
Single entry Woolbridge/Windwhistle under 18yrs
Double entry Woolbridge/Windwhistle paying for both
Double entry Woolbridge/Windwhistle, one driver under 18yrs
Single entry other clubs
Single entry other clubs under 18yrs
Double entry other clubs paying for both
Double entry other clubs, one driver under 18yrstry o
Double entry other driver paying

Woolbridge MC Membership: £15.00

Current members check the expiry date on your membership card. You can renew here if necessary

New
Renewal
Not required

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

State your age if you are under 18 – Passenger

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. These entries cannot be made electronically at present.

Signed - parent / guardian - Driver

Signed - parent / guardian - Passenger

Address

Address of parent / guardian of Driver

Address

Address of parent / guardian of Passenger

CAPTCHA