SPRINT REGISTRATION FORM 2022 | Marshals North West

Please fill in the form below to register your entry for Marshals North West’s 2022 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 2022 Forms and Introduction Letters

For Guidance on race classes please see the link below:

View Marshals North West 2022 Classes and Fees

Select the event you would like to enter

Rider Details

Full Name

House Number or Name

Street

Local Area

Post Town

County

Post Code

Telephone Number

Date of Birth (No under 11’s allowed, under 16’s require an ACU Parental Agreement Form to be completed)

Select Club

Club Membership Number (if not a member of an applicable club leave blank)

ACU License Number (if a day license is required please leave blank)

ACU License Expiry Date (if a day license is required please leave blank)

Next of Kin – Name

Next of Kin – Contact Number

Passenger Details (If Applicable)

Full Name

House Number or Name

Street

Local Area

Post Town

County

Post Code

Telephone Number

Date of Birth (No under 11’s allowed, under 16’s require an ACU Parental Agreement Form to be completed)

Select Passenger Club

Club Membership Number (if not a member of an applicable club leave blank)

ACU License Number (if a day license is required please leave blank)

ACU License Expiry Date (if a day license is required 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

Machine Details

Entry One

Class, Note: A = Race machines, B = Run what you Brung (Road bike with MOT)

Sub Class (If Applicable)

Machine Make

Machine Model

Year of Manufacture

Machine CC

Stroke

Preferred Race Number

Entry Two (If applicable)

Class, Note: A = Race machines, B = Run what you Brung (Road bike with MOT)

Sub Class (If Applicable)

Machine Make

Machine Model

Year of Manufacture

Machine CC

Stroke

Preferred Race Number

Entry Three (If applicable)

Class, Note: A = Race machines, B = Run what you Brung (Road bike with MOT)

Sub Class (If Applicable)

Machine Make

Machine Model

Year of Manufacture

Machine CC

Stroke

Preferred Race Number

Commentators Notes (optional)

Entry Fees

Entry fees for racing are outlined in 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 2022 Classes and Fees

Declaration

I confirm I have read and agree with the Declaration found below and acknowledge/accept the risk of motorsports.
• In consideration of being permitted to participate in this event I declare that I will be bound by the declaration signed on my behalf on the Parental Agreement Form associated with this event and by the declaration which I have signed on the event entry form. The answers on the said Entry Form are true. Further I will be bound by the directions of my parents(s)/guardian(s)
• I also acknowledge and accept the Risks of Motorsport as shown on the said entry form.
• I give permission for details of any injuries I may suffer during this event to be given to the Clerk of the Course.
• I confirm that I am eligible to compete on the machines for which I have entered.
• I confirm that I am not suspended or my ACU Licence has not been suspended and I have not been withdrawn from any ACU competition.
• 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 declare that I have not tested positive or been required to self-isolate as a result of having had symptoms related to Covid-19 or been in contact with someone who has been infected with the virus in the last ten day period leading up to this event.

Acknowledgement of the risks of motorsport

I hereby acknowledge that as an official I may be exposed to the risks inherent in motorsport and I will undertake my duties with due and proper regard for my own safety. I have read the above and acknowledge that my participation in motorsport is entirely at my own risk

I have read and accept the above