Please fill in the form below to register your entry for Marshals North West’s Sprint Races. If you are unable to fill in this form please contact secretary@marshalsnw.co.uk Please note Marshals North West is run by volunteers and filling in this form online helps us to reduce admin time and concentrate on making racing happen! Please read the race introduction letter before submitting your entry, these can be found at the link below: View Marshals North West Forms and Introduction Letters For Guidance on race classes and fees please please view the race specific details using the link below: View Marshals North West Race Details Select the event you would like to enter Leighton Hall Motorcycle Hillclimb (28/07/2024)2nd Hoghton Tower Motorcycle Sprint (08/09/2024) Rider Details Full Name House Number or Name Street Local Area Post Town County Post Code Email Telephone Number (please include dialing code at start of number, for example +44) Date of Birth (No under 8’s allowed, under 16’s require a Parental Agreement Form to be completed) Select Club Marshals North WestAintree Motorcycle Racing ClubPreston & District Motorcycle ClubMersey Motorcycle clubVintage Motorcycle Club LtdClassic Racing Motorcycle Club LtdNational Sprint AssociationNo Club Club Membership Number (if not a member of an applicable club leave blank) Select License Type NORA Basic or Advanced LicenseNORA One Event License (No License Card)NORA one event Licence with pre-registered NORA one event licence cardACU licence holders without a pre-registered NORA one event licence cardACU licence holders who have pre-registered NORA one event licence card ACU or NORA License Number (if a day license is required and you dont have a NORA one day license card please leave blank) ACU or NORA License Expiry Date (if you dont have a license please leave blank) Next of Kin – Name Next of Kin – Contact Number (please include dialing code at start of number, for example +44) Passenger Details (If Applicable) Full Name House Number or Name Street Local Area Post Town County Post Code Email Telephone Number (please include dialing code at start of number, for example +44) Date of Birth (No under 8’s allowed, under 16’s require a Parental Agreement Form to be completed) Select Passenger Club Marshals North WestAintree Motorcycle Racing ClubPreston & District Motorcycle ClubMersey Motorcycle clubVintage Motorcycle Club LtdClassic Racing Motorcycle Club LtdNational Sprint AssociationNo Club Club Membership Number (if not a member of an applicable club leave blank) Select License Type NORA Basic or Advanced LicenseNORA One Event License (No License Card)NORA one event Licence with pre-registered NORA one event licence cardACU licence holders without a pre-registered NORA one event licence cardACU licence holders who have pre-registered NORA one event licence card ACU or NORA License Number (if a day license is required and you dont have a NORA one day license card please leave blank) ACU or NORA License Expiry Date (if you dont have a license please leave blank) Next of Kin – Name (Please note on sidecars drivers and passengers cannot be each others Next of Kin) Next of Kin – Contact Number (please include dialing code at start of number, for example +44) Machine Details Entry One Class, Note: A = Race machines, B = Run what you Brung (Road bike with MOT) 1A1B2A2B3A3B4A4B5A5B6A6B7A7B8A8B9A9B10A10B11A11B12A12B13A13B1415 Sub Class (If Applicable) ABCDHMPSTN/A Machine Make Machine Model Year of Manufacture Machine CC Stroke 24 Preferred Race Number Entry Two (If applicable) Class, Note: A = Race machines, B = Run what you Brung (Road bike with MOT) 1A1B2A2B3A3B4A4B5A5B6A6B7A7B8A8B9A9B10A10B11A11B12A12B13A13B1415 Sub Class (If Applicable) ABCDHMPSTN/A Machine Make Machine Model Year of Manufacture Machine CC Stroke 24 Preferred Race Number Entry Three (If applicable) Class, Note: A = Race machines, B = Run what you Brung (Road bike with MOT) 1A1B2A2B3A3B4A4B5A5B6A6B7A7B8A8B9A9B10A10B11A11B12A12B13A13B1415 Sub Class (If Applicable) ABCDHMPSTN/A Machine Make Machine Model Year of Manufacture Machine CC Stroke 24 Preferred Race Number Commentators Notes (optional) Entry Fees Entry fees for racing are outlined in the specifc race documents found at the link below. The amount due and information on how to pay will be confirmed by email once the entry is accepted. View Marshals North West Race Details Entry Declaration I, the undersigned, apply to enter the event described in this entry form. In consideration of being permitted to participate in this event I declare as follows: That I have read the Codes of Practice and Regulations for NORA 92 Ltd, the Event Regulations and entry form (when applicable) and I agree to be bound by them in every respect. That I am fit and not suffering from any physical or mental disability which would impair my safe participation in the event. I undertake to inform NORA 92 Ltd immediately should any change in my condition occur which I have reason to or ought to have reason to believe would affect my ability to participate in this competition. That I have completed a medical questionnaire form (as requested during my licence application) and that I will inform NORA 92 Ltd should my medical status have changed. As a participant I may be exposed to the risk inherent in motor sport and that I am prepared to take such risks. I further agree that I shall not seek to claim against NORA 92 Ltd, the organisers, their officials, the landowners, the promoter or other bodies or individuals connected with the event(s) in respect of any damage to my property howsoever caused, and whether by negligence or breach of statutory duty of the said bodies or persons. NORA 92 does not provide personal accident insurance other than through annual licences. I have read and accept the above