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  1. Venues: (as per signing on form)

    Date(s) of Event: (as per signing on form)

    IOPD Authorisation No: 210039

    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 Straightliners 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 confirm that I understand the nature and type of event we are 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 accept that insurance arranged on my behalf by the organisers of the event(s) 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/our voluntary decision to engage in a high risk activity.
    • I consent to details of any injuries I may suffer at this/these events 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 IOPD and Straightliners.
    • I confirm that the machine(s) as described below which I compete on shall be suitable and proper for the purpose.
    • I confirm that I am eligible to compete 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 it / 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(s). These items include but are not restricted to (safety clothing, transponders, accessories) I understand that I am liable for the cost of 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 the machine(s) as described below which I compete on shall be suitable and proper for the purpose.
    • I confirm that I am eligible to compete 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 it / they will comply with the regulations in respect thereof.
    • I confirm that I am not suspended from competition in IOPD permitted events.
    • Acknowledgement of the risks of motorsport: I understand that by taking part in this event I are 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 IOPD, 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 / our voluntary decision to take part in a high risk activity.

      I have read the above and acknowledge that my / our participation in motorsport is entirely at my / our 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.

  2. Terms*
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  3. Date of birth*
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  4. Riders and Passengers under 18 years must also complete a ‘Parental Agreement Form’ in addition to this entry form. Parental Agreement Forms are available from the organisers. Their Parent or Legal Guardian must attend signing on with them and must be available for the duration of the meeting. Parental Agreement forms are available from the organisers.

    I agree to my details being held on the Straightliners database which will not be passed on to anyone else. I will notify Straightliners of any changes to my details during the year.

  5. First Name*
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  6. Surname*
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  7. Full Address*
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  8. Postcode*
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  9. Tel*
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  10. Emergency Tel*
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  11. Emergency Contact Name*
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  12. Emergency Contact Relationship*
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  13. Driving Licence No (Section 5 on licence)*
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  14. Any Medical Relevant History*
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  15. Medical Allergies*
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  16. MSA / IOPD Competition Licence No
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  17. Facebook
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  18. Email*
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  19. Machine

  20. Make*
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  21. Model*
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  22. Capacity cc*
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  23. Fuel
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  24. Class Entered*
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  25. Wheel Drive
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  26. Club and Team Name

  27. Club Name
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  28. Team Name
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  29. Please select your ticket choice from the drop down menu and then select add ticket before going to submit.
  30. Tickets
    Add ticket




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  31. Payment
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  32. Comments
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  33. When finished please press submit

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Straightliners HQ

Straightliners Limited
5 Carr Street
Brighouse
West Yorkshire
HD6 4AZ

Office: +44 (0)1484 710 850
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Company No: 04650082

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