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8th October - Sprint Entry Form
I wish to enter the;
2023 SBD Motorsport UK HSA British Sprint Championship (National)
2023 SBD Motorsport UK HSA Sprint Leaders Championship (Interclub)
Driver Information
Driver Name:
*
First
Last
Address:
*
Street Address
Address Line 2
City
County
Post Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email Address:
*
Mobile Telephone Number:
*
Date of Birth:
*
MM slash DD slash YYYY
Motorsport UK Licence Number:
*
Motorsport UK Licence Grade:
*
Vehicle Information
Vehicle Make:
*
Vehicle Model:
*
Emergency Contact Information
Emergency Contact Name:
*
First
Last
Emergency Contact Telephone Number:
*
Emergency Contact Postcode:
*
Post Code
If you are sharing the car with another driver please enter the 2nd drivers name (the 2nd driver will also need to complete an entry form and pay the entry fee):
Consent
*
I declare that:
*
1) I have been given the opportunity to read the General Regulations and all Official Documentation and will abide 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 acknowledge that I
understand the nature and type of competition and the potential risk inherent with motor sport and agree to accept that risk. I
understand that motor sport can be dangerous and accidents causing death, injury, disability and property damage can and do
happen. I understand that these risks may give rise to my suffering personal injury or other loss and I acknowledge and accept
these risks.
2) To the best of my belief the driver(s) possess(es) the standard of competence necessary for the Event to which this entry
relates and that the vehicle entered conforms to the Regulations of the Event. Where applicable the use of the vehicle hereby
entered will be covered by insurance as required by law
3) I agree that should I at the time of this Event be suffering from any disability whether permanent or temporary which is likely
to affect prejudicially my normal control of the vehicle, I may not take part unless I have declared such disability to Motorsport UK
which has, following such declaration, issued a licence which permits me to do so. I undertake that at the time of the Event to
which this entry relates I shall have passed or am exempt from an ASN specified medical examination within the specified period.
(H10.1.6)
4) If I am the Parent/Guardian/Guarantor of the driver I have countersigned the competitor licence application and understand
that I shall have the right to be present during any procedure being carried out under the Event Supplementary Regulations and
the General Regulations and that I have acquainted myself and the minor with them, agree to pay any appropriate charges and
fees pursuant to those Regulations and agree to be bound by and submit myself without reserve to the consequences resulting
from them (and any alteration thereof). Further, I agree to pay as liquidated damages any fines imposed upon me up to the
maxima set out in Part 3, Appendix 1.
Note: Where the Parent/Guardian/Guarantor will not be present the Parent/Guardian/Guarantor must advise the organisers in
advance, in writing, authorising their appointed representative to so act.
5) I hereby agree to abide by all applicable Motorsport UK Policies and Guidelines including but not exclusively Safeguarding and
Anti Alcohol and Drugs policies and the National Sporting Code of Conduct.
6) I have read and shall respect the regulations for Control of Drugs and Alcohol as contained in the General Regulations C1.1.7,
D35.1, G15.1.4, H38 and have also fully familiarised myself with the information on the web sites referred to
(www.motorsportuk.org, www.ukad.org.uk and www.wada-ama.org) in particular the UK Anti-Doping Rules which have been
adopted by Motorsport UK. Further, if I am counter-signing as the parent or Guardian of a minor then in addition to the deemed
consent to the testing of that minor (UK Anti-Doping Rule 5.7.2) I hereby confirm that I give such consent for the minor concerned
to be so tested.
7) I understand and agree that my personal data, and that of the persons connected to my entry are being processed solely for
the purposes of running this and will be handled by the organisers in accordance with Motorsport UK data protection policy:
www.motorsportuk.org/data-protection.
Indemnity: In consideration of the acceptance of this entry I agree that neither any one of or any combination of Motorsport UK
and its associated clubs, the organisers, the track 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 the event including but not limited to damage to property, economic loss, consequential loss
or financial loss howsoever caused. 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.
IMPORTANT UNDER 18’s:
Any indemnity and/or declaration as prescribed by the paragraphs above is signed by a person under the age of 18 shall be countersigned by that person's parents or guardian, whose full name & address shall be given below.
Guardian Name:
First
Last
Guardian Address:
Street Address
Address Line 2
City
County
Post Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Guardian Telephone Number:
Entry Fee
*
Price:
Total
£ 0.00
Credit Card
*
Card Details
Cardholder Name