Motorcycle Online Entry Form | Event Entries Website

Event: Yorkshire Dales Classic Reliability Trial
Date of Event: Sunday 12th May
Permit No: applied for
Route Authorisation No: applied for

Please make sure you have the following details to hand:
ACU Licence number
Bike and Tyre Details
Which class you are entering, details are available in the Regs.
Debit/Credit Card if paying by card

Solo, Combination or 3 Wheeler:*

Rider Name:*

First

Last

Rider Address:

Street Address Street Address Line 2 City County Post Code

Rider Phone Number:

E-mail for final instructions:*

Rider Club:*

Novice (never won a classic trial award before):

ACU Licence/Registration Number:

Rider ACTC Championship Number:

Rider Emergency Contact Name:*

Rider Emergency Contact Phone:

Rider Emergency Contact Address:

Rider's Age:*

Name of Parent or Guardian (Rider):

First

Last

Parent/Guardian Address (Rider):

Street Address Street Address Line 2 City County Post Code

I have read and understood the “Acknowledgement of the risks of motorsport” which appears below. I appreciate the dangers inherent in motorsport which include the risk of death or permanent disablement. The child does not suffer from any physical, medical or mental disability which would make it unsafe for him/her to participate either as a Competitor or for Practice. I accept that it is my responsibility to ensure that the child and I have had the opportunity to read and understand the National Sporting Code of the ACU, Standing Regulations, Supplementary Regulations and Final Instructions subsequently issued and this Entry Form and that he/she will comply with them. I accept that photographs or video films may be taken of my child by officials dealing with safety issues or accident investigations. Photographs may also be taken for promotional purposes and may appear on the ACU website or in ACU publications.

P/G Declaration (Rider):

I accept this declaration:

Passenger Name:

First

Last

Passenger Address:

Street Address Street Address Line 2 City County Post Code

Passenger Club:

Passenger ACU Licence/Registration Number:

Passenger Emergency Contact Name:

Passenger Emergency Contact Phone:

Passenger Emergency Contact Address:

Passenger Age:*

Name of Parent or Guardian (Passenger):

First

Last

Parent/Guardian Address (Passenger):

Street Address Street Address Line 2 City County Post Code

I have read and understood the “Acknowledgement of the risks of motorsport” which appears below. I appreciate the dangers inherent in motorsport which include the risk of death or permanent disablement. The child does not suffer from any physical, medical or mental disability which would make it unsafe for him/her to participate either as a Competitor or for Practice. I accept that it is my responsibility to ensure that the child and I have had the opportunity to read and understand the National Sporting Code of the ACU, Standing Regulations, Supplementary Regulations and Final Instructions subsequently issued and this Entry Form and that he/she will comply with them. I accept that photographs or video films may be taken of my child by officials dealing with safety issues or accident investigations. Photographs may also be taken for promotional purposes and may appear on the ACU website or in ACU publications.

P/G Declaration (Passenger):

I accept this declaration:

Make:*

Model:

Engine cc:*

Registration Number:*

Year Registered:

Link to Bike Regulations if you need to look up information on classes
Don't use the menu at the top or else you will lose all the information you have typed in so far!

Class Entered (please refer to Regs for full details):*

ENTRY DECLARATION:

I the undersigned apply to enter the event described above and in consideration thereof: -

·I 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 SupplementaryRegulations as have or may be issued for the 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 confirm that I understand the nature and type of event I amentering 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 confirm that I am not currently suspended from ACU permitted competition or on the ACU Stop List as a result of incurring a Concussion injury.

·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 thisform 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 the machine(s) as described below which I shall participate on shall be suitable and proper for the purpose. I confirm that I am eligible to compete on themachines for which I have entered.

·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 equivalentlegislation, and that they will comply with the regulations in respect thereof.

·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 itemsborrowed 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.

ACKNOWLEDGEMENT OF THE RISKS OF MOTORSPORT:

I understand that by taking part in this event I am exposed to a risk of death, becomingpermanently disabled or suffering some other serious injury and I acknowledge that even in the event that negligence on the part of the ACU, any event organiser, anycircuit owner, 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 Imay suffer, the dominant cause of any serious injury will always be my voluntary decision to take part in a high risk activity.

Under the provision of GDPR 2018, the Airedale and Pennine Motor Car Club require your permission to hold the information on this entry form on a computer for the purpose of producing address lists, results and other such data for running the trial. Your signature below gives the organisers the right to enter this information into a computer.

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/Race, Trials or Enduro.

Declaration (please tick):*

I Accept

Card Payment Options:*

Bike Entry £39

Paying separately by BACS/Cheque

If paying by BACS or cheque the details can be found in the top menu after submitting and there is no need to fill in any card details below.

Total amount due:

Card Payment

Name on card

If you don't see the submit button please check you have ticked accept to the declaration and completed all fields marked *