ONLY FULLY COMPLETED FORMS WILL BE CONSIDERED

George Peach, Race Secretary, Ellerslie, 128 Malew Street, CASTLETOWN, Isle of Man.IM9 1LT Tel. 01624 822546 (H) 07624 471301(M) Email: georgepeach@manx.net

08-

Entry Form

2008 Steam Packet Company National Road Race

TO BE RUN AS A SUPPORT RACE DURING THE 125cc and 250cc TT RACE MEETING

At Billown Circuit nr Castletown, Isle of Man.

A European Open National Status Competition

On Saturday 7^th June 2008.

Held under the National Sporting Code (4^th Edition) and the 2008 Standing Regulations of the Auto-Cycle Union. Together with the Supplementary Regulations of Southern 100 Motor Cycle Racing Ltd. and Final Instructions to be issued. PCL 028 Permit ACU21279 Permit EUM No 10/115

Official Entry Form

RIDER/PILOTE

First Name(s)/Prĕnom________________________________Surname/Nom______________________________

Address_______________________________________________________________________________________

Town _____________________County_______________________Country ________Post Code_____________

Tel. No ___________________Mob. No.__________________ Licence No._____________________

Date of Birth D/M/Y ____/_____/____Nationality_________________ Marital Status_______________

Name of

Next of Kin________________Spouse/Partner/etc.__________ No. of Children(State Ages)_____________

Next of Kin Address____________________________________________________________________________

_______________________________Tel No.(day) ___________________(evening)________________________

Isle of Man Address___________________________________________________________________

_________________________IOM Tel No.______________________________________

Entries must be received by Saturday 10^th May

DETAILS OF RACES ENTERED

DECLARATION: (1) I/we hereby apply to enter the race(s) indicated below and declare that the motorcycle I/we enter complies in every detail with the regulations and that the particulars thereof are correct. The appropriate entry fee is enclosed

RACE 1 – Ultra Lightweight 125cc T.T. Race Could you please submit your entry for this race on the Official TT Entry Form which are available from Jacquie Dawson, The TT & Motorsport Development Team, Isle of Man Department of Tourism and Leisure, 3^rd Floor St Andrew’s House, Finch Road, Douglas, Isle of Man IM1 2PX.

RACE 2 Lightweight 250cc T.T. Race Could you please submit your entry for this race on the Official TT Entry Form which are available from Jacquie Dawson, The TT & Motorsport Development Team, Isle of Man Department of Tourism and Leisure, 3^rd Floor St Andrew’s House, Finch Road, Douglas, Isle of Man IM1 2PX. .

RACE 3 600cc/1000cc Race Class 1 – 600cc Fourstroke 4 cylinder. 675cc Fourstroke 3 cylinder. 750cc Fourstroke 2 cylinder. Class 2 – up to 1010cc Fourstroke
Make		Machine	cc	Year	600 or 1000 class	Transponder Id No
Entrant Details	Name		Signature
	Ent. Licence No		Tel No.

Mutual Responsibility of Entrant and Rider:(as per the A.C.U. N.S.C.) An Entrant shall be responsible for all acts or omissions on the part of his riders, passengers, mechanics or any member of his entourage, but each of these shall be equally responsible for any infringement of the ACU National Sporting Code.

The club reserves the right to refuse any entry or forbid the use of any particular machine, which it considers inappropriate. All machines must be prepared to a high standard of cosmetic appearance.

. Personal Accident Insurance, of the Auto-Cycle Union. For ACU/SACU Licence holders the entry fee will include Third Party Insurance and Personal Accident Insurance of the Auto Cycle Union. All other competitors must produce a Start Permission from their own federation this included MCUI members. Together with confirmation that they hold insurance to the following minimum benefits: in US Dollars $ $35,000 Death Benefit, £70,000 Temporary Total Disablement,

$184,000 Medical treatment and $74,000 Repatriation

Entry Fees

RACE - ENTRY FEES	ACU/SACU	MCUI/FMN
3- 1000cc RACE	£60-00	£40-00
Newcomers Jacket hire £7-00 refundable on return of Jacket
Transponder hire (if required) 1 = £20,
2008 Club Membership (if required)	£ 7-00	£ 7-00
If already a member tick box	TOTAL

Please make Cheque or Money Order payable to Southern 100 Motorcycle Racing Ltd.

Please Note Post Dated Cheques are not acceptable

Closing date for Entries 10th May 2008

Entries will be received up to the last post on 10th May 2008. This Entry Form, when completed, should be sent together with the appropriate remittance, to the Secretary of the Meeting

George Peach, Ellerslie, 128 Malew Street, Castletown, Isle of Man, IM9 1LT

Mobile 07624 471301 Fax 01624 823771 email georgepeach@manx.net

ENTRY DECLARATION: 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 further declare that I am physically and mentally fit to take part in the event and I am competent to do so.

· I further agree and consent to any necessary information concerning an injury at this or any event being given by any attending doctor/paramedic/first responder or any hospital health care worker to the Clerk of the Course or his designated officials, and also to my own doctor and relatives. The doctor(s) may also give information to other persons according to the doctor’s own professional ethical code.

· 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 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 it / they will comply with the regulations in respect thereof.

· I confirm that the machine(s) as described below which I compete on shall be suitable and proper for the purpose.

· I understand and agree that I am required to register my arrival by signing-on at the event/race control office or other designated area at the times set out in the Final Instructions.

· I accept that this entry, if accepted, will form a contract between the Club and myself, which will be governed in all respects in accordance with Isle of Man Law. I irrevocably submit to the jurisdiction on the Isle of Man Courts in respect of any legal action or proceedings arising out of the contract or my participation in the meeting.

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, 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.

Rider’s signature: ……………………………………………

Entrant’s Signature ………………………………………………

ENTRIES CLOSE 10^TH MAY 2008

This section must be filled in by all competitors

Vehicle Make, Model & Colour …………………………………………………………..

(to help us find you in Paddock)

Vehicle Registration No ……………………………………………………………………

Registered Club Member (if any)…………………………………………………………..

Are you a newcomer to this circuit?………………………………………………………..

Are you a newcomer to the Steam Packet Races ? …………………………………………….

If not, details of any previous experience of the Billown Circuit

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

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

Details of other Road Racing experience and recent successes, over the last five years from – 2003 to Present

DATE

CIRCUIT

STATUS – Club/Nat/Int.

POSITION

DATA PROTECTION ACT

The club has a list of all the rider’s addresses on computer, which will be only used by the Club. If you have any objection to your name being held on our computer, please let the secretary know and your name will be removed.