Home Noggins and Events Christmas Fayre 2016 Midland Trial For Sale Contacts

THE MIDLAND CENTRE

of the

MORGAN SPORTS CAR CLUB


CAR TRIAL

TIMBERHONGER LANE, BROMSGROVE

SUNDAY 8th May 2016


ENTRY FORM


“Held under the General Regulations of the Motor Sports Association Ltd. (incorporating the provisions of the International Sporting Code of the FIA),” the Supplementary Regulations and any written instructions that the organisers may issue for the event. I have read the supplementary regulations issued for this event and agree to be bound by them and by, the General Regulations of the Motor Sports Association Ltd 2011.

 Indemnity: In consideration of the acceptance of this entry I agree that neither any one of or any combination of the MSA and its associated clubs, the organisers, the land owners or other occupiers, the promoters and their respective officers, servants, representatives and agents (the “Parties”) shall have any liability for loss or damage which may be sustained or incurred by me as a result of participation in this event. Nothing in this clause is intended to or shall be deemed to exclude or limit liability for death or personal injury. To the fullest extent permitted by law I agree to indemnify and hold harmless each of the Parties in respect of any loss or damage whatsoever and howsoever arising from my participation in this event.

Completed Entry Forms together with the appropriate Entry Fees should be sent to :-

Jane Austin

16 Park Lane, Kingswinford, West Midlands, DY6 8AT

Tel. 01384 297152       e-mail: trialssecretary@midmog.org.uk

ENTRY FEES.

For entries received up to 2nd May 2016, £25.00 per Driver

For entries received after 2nd May 2016, £35.00 per Driver

Entries from MSCC members who are first time entrants will be free of charge

Cheques should be made payable to “M.S.C.C. Midland Centre”

N.B. Drivers/Entrants must bring and produce valid Club Membership Cards (and MOTs for cars over 3 years old which require them) at signing on.

Penalty: Exclusion (Non MOT’d cars may be accepted by special arrangement.) Among items to be checked: seats and batteries must be secure, brake pedal travel acceptable and steering should not have excessive play. Rear Tyre Pressures will be checked for compliance with that specified for the Class (Please See Next Page)


Please bring a Marshal, if possible. Experience is not essential.

 


MidMog – Car Trial Entry Form (2016)



DRIVER’S FIRST AND SURNAMES:  ...........................................................................

MORGAN NOVICE? (“A Morgan Novice is a Morgan entrant who, at the beginning of the current calendar year, has not won an Overall, Novice or 1st in Class Award in a car trial”)   YES/NO Please delete as appropriate

DUAL ENTERED?        YES/NO Please delete as appropriate

CLUB MEMBERSHIP NO(s): ..............    ..............   MSCC, DELLOW REGISTER, PRE WAR AUSTIN 7 CLUB or 750 MOTOR CLUB(delete as appropriate)

ADDRESS: ................................................................................................................................................

....................................................................................       POST CODE:……………….........

TELEPHONE NOS., DAYTIME: ...................................... EVENING: ..................................


EMAIL ADDRESS................................................................................................................

FIRST AND SURNAMES OF PASSENGER(S):

..............................................................................................................................................

..............................................................................................................................................

………………………………………………………………………………………………………..

MAKE AND MODEL OF VEHICLE (Standard or Modified/Special Austin 7) :

................................................................................................................................................

Does the Vehicle have a Torque Biasing Differential?  YES/NO Please delete as appropriate

VEHICLE REG. NO: ........................................................ CLASS ENTERED: .......................


SIGNED: ...................................................................................................  DATE:..................

MY AGE IS ....................................................... (if under 18 years)

N.B. If the Driver/Passenger is under 18, the Consent Form below must be completed.


DRIVER’S/PASSENGERS’ SIGNATURES (ALL MUST SIGN)

.....................................................................................................................DATE....................

.....................................................................................................................DATE....................

.....................................................................................................................DATE....................

.....................................................................................................................DATE....................


THIS FORM MUST BE COUNTERSIGNED BY THE PARENT OR GUARDIAN (AS APPROPRIATE) IF:

THE DRIVER OR ANY PASSENGER IS UNDER 18 YEARS OF AGE.

THIS ENTRY IS MADE WITH MY CONSENT (PARENT OR GUARDIAN OF DRIVER OR ENTRANT OR PASSENGER)

FULL NAME (S): ................................................................................................................................................

RELATIONSHIP DRIVER/ENTRANT/PASSENGER .............................................................


TEL NO: ............................

ADDRESS:

 ...................................................................................................................................................


SIGNATURE: ..............................................................................................DATE: .................