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-

 

 

2008 Blackford Financial Services

Pre TT Classic Road Races

Billown Circuit, Castletown, Isle of Man.

A European Open National Status Competition

On Friday 23rd Saturday 24th and Monday 26th May.

Held under the National Sporting Code (4th 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     ACUPermit No.ACU20928     UEM No.EMN  TBA

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._______________________________

PASSENGER

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 Monday 31st   March

DETAILS OF RACES ENTERED

DECLARATION:  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 – SINGLES RACE – 175cc to 250cc and 251cc to 350cc  

Make

Machine

cc

Year

2/4

stroke

Transponder Id No

 

 

 

 

 

 

 

 

 

 

 

 

Entrant

Details

Name

Signature

Ent. Licence No

Tel No.

 

RACE 2 – LIGHTWEIGHT RACE – 175cc to 250cc

Make

Machine

cc

Year

2/4

stroke

Transponder Id No

 

 

 

 

 

 

 

 

 

 

 

 

Entrant

Details

Name

Signature

Ent. Licence No

Tel No.

 

RACE 3 – SENIOR RACE – 351cc to 500cc

Make

Machine

cc

Year

2/4

stroke

Transponder Id No

 

 

 

 

 

 

 

 

 

 

 

 

How many cylinders

 Single  [   ]  Twin [   ]

 

 

 

 

Entrant

Details

Name

Signature

Ent. Licence No

Tel No.

 

RACE 4 - SIDECAR RACE – 300cc to 1300cc

Make

Machine

cc

Year

2/4

stroke

Transponder Id No

 

 

 

 

 

 

 

 

 

 

 

 

Entrant

Details

Name

Signature

Ent. Licence No

Tel No.

 

RACE 5 – JUNIOR RACE – 251cc to 350cc

Make

Machine

cc

Year

2/4

stroke

Transponder Id No

 

 

 

 

 

 

 

 

 

 

 

 

Entrant

Details

Name

Signature

Ent. Licence No

Tel No.

 

RACE 6 – 850cc CLASSIC RACE and POST CLASSIC RACE –

                        400cc to 850cc Classic and 230cc to 1000cc Post Classic

Make

Machine

cc

Year

2/4 stroke

Transponder Id No

 

 

 

 

 

 

 

 

 

 

 

 

Please circle which class entered in

Classic

 

Post Classic

 

 

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.

 

ENTRY FEES: 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 copy of their start permission issued by their own federation (this includes MCUI members), which must be proof that they hold personal accident cover to the FIM minimum benefits.

 

RACE  - ENTRY FEES

ACU/SACU

MCUI/FMN

 

1 - SINGLES RACE

£60-00

£35-00

 

2 – LIGHTWEIGHT RACE

£60-00

£35-00

 

3 – SENIOR RACE

£60-00

£35-00

 

4 – SIDECAR RACE

£95-00

£50-00

 

5 – JUNIOR RACE

£60-00

£35-00

 

6 – POST CLASSIC

£60-00

£35-00

 

Insurance surcharge per rider/driver not passenger                    £10-00

£10-00

 £10 - 00

Newcomers Jacket hire £7-00 refundable on return of Jacket      £7-00

         £7-00

 

 Transponder hire (if required)  1 = £20,  2 = £30,  3 = £35    

 

 

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. Post dated cheques are not accepted

Closing date for Entries 31st   MARCH 2008

Entries will be received up to the last post on 31st March 2008. This Entry Form, when completed, should be sent together with the appropriate remittances, to the Secretary of the Meeting George Peach, Ellerslie, 128 Malew Street, Castletown,

Isle of Man, IM9 1LT.  Tel 01624 822546     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 on page 2 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:  …………………………………………… 

                                                                                                                                        Passenger’s signature: …………………………………………

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

 

 

 

 

 

ENTRIES CLOSE 31st   MARCH 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 Pre T.T. Classic ? …………………………………………….

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