SPRINT REGISTRATION FORM 2023 | Marshals North West

Please fill in the form below to register your entry for Marshals North West’s 2023 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 2023 Forms and Introduction Letters

For Guidance on race classes please see the link below:

View Marshals North West 2023 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 8’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 8’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 2023 Classes and Fees

Declaration

I confirm I have read and agree with the Declaration found below and acknowledge/accept the risk of motorsports.
: I the undersigned apply to enter the event described above and in consideration thereof: –
• I hereby 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 Supplementary Regulations 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 am entering 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 nor 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 this form 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 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 participate on the machines 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 equivalent legislation, 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 items borrowed 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.
• 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 should I contract coronavirus in a ten day period prior to the event taking place, I will not travel to or participate/officiate at the event and will follow Gov.UK guidance/advice as appropriate.

Acknowledgement of the risks of motorsport

I understand that by taking part in this event I am exposed to a risk of death, becoming permanently 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, any circuit 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 I may suffer, the dominant cause of any serious injury will always be my voluntary decision to take part in a high risk activity.
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 or Race.

I have read and accept the above