MSA BRITISH TOURING CAR CHAMPIONSHIP - BTCC

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Regulations – BTCC 2012 2012 TOCA PACKAGE ENTRY FORM British Touring Car Championship Please complete this form in BLOCK CAPITALS and return it to the Co-ordinator with your Registration Forms. You must complete all sections in full. This entry form is valid for the following events: Date: Circuit: Meeting No: Org. Club: 31 March/01 April Brands Hatch (Indy) 1 BARC 14/15 April Donington Park 2 BARC 28/29 April Thruxton 3 BARC 09/10 June Oulton Park (Island) 4 BARC 23/24 June Croft 5 BARC 11/12 August Snetterton 6 BARC 25/26 August Knockhill 7 BARC 22/23 September Rockingham 8 BARC 06/07 October Silverstone 9 BARC 20/21 October Brands Hatch (GP) 10 BARC Name of Driver: ________________________________________________________________________________ Driver’s Home Address: __________________________________________________________________ ___________________________________________________________ Postcode: ____________________ Tel (Day): _________________________________________ Tel (Eve): ____________________________ 2012 Competition Licence No: _________________________________ Issuing ASN: _________________ Name of Entrant/Sponsor: ______________________________________________________________________ Address: __________________________________________________________________________________ __________________________________________________________ Postcode: ____________________ Tel: ______________________________________________ Fax: ______________________________ 2012 MSA Entrants Licence No: ____________________ Please send all correspondence to ENTRANT / DRIVER * • Please delete that which is not applicable PARTICULARS OF YOUR CAR Make: _____________________________________________ Model: ___________________________ Year of Manufacture: _________________________________ Colour: _____________________________ Engine – No. of cylinders: _____________________________ Cylinder Capacity: ___________________ Engine Make: _______________________________________________________________________________ RACE DETAILS Competition No: ____________________________________ 50 50 (03/01/12)
Regulations – BTCC 2012 NAME AND ADDRESS OF PERSON TO BE CONTACTED IN CASE OF ACCIDENT Name: _______________________________________________________________________________________ Relationship to Driver: ___________________________________________________________________________ Address: _____________________________________________________________________________________ _____________________________________________________________________________________________ Tel (Day): _________________________________________ Tel (Mobile): __________________________ DRIVER INFORMATION Regarding whether the driver has previously competed at each venue and whether they require their licence to be signed for up-grading purposes. Circuit Competed here before? Licence Signed? Brands Hatch Indy Yes/No Yes/No Donington Park National Yes/No Yes/No Thruxton Yes/No Yes/No Oulton Park Island Yes/No Yes/No Croft Yes/No Yes/No Snetterton Yes/No Yes/No Knockhill Yes/No Yes/No Rockingham International Supersports Yes/No Yes/No Silverstone Yes/No Yes/No Brands Hatch GP Yes/No Yes/No I declare that: 1. I have read the General Regulations of the Motor Sports Association, the Sporting and Technical Regulations and Commercial Undertakings for my Championship, and, if any, the Supplementary Regulations for this event and agree to be bound 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 the competition and the potential risk inherent with motor sport and agree to accept that risk. Further I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence. 2. To the best of my belief the driver(s) possess(es) the standard of competence necessary for an event of the type to which this entry relates and that the vehicle entered is suitable and roadworthy for the event having regard to the course and the speeds which will be reached. 3. The use of the vehicle hereby entered is covered by insurance as required by the law which is valid for such part of this event as shall take place on roads as defined by law. 4. I understand that should I at any 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 the ASN, who have, following such declaration, issued a licence which permits me to do so. 5. Any application form for a Licence which was signed by a person under the age of 18 years was countersigned by that person’s parent/guardian/guarantor, whose full names and addresses have been given. 6. If appropriate I am an parent/guardian/guarantor (delete as appropriate) of the driver and understand that I shall have the right to be present during any procedure being carried out under the Regulations issued for this event and the General Regulations of the MSA. Note: Where the parent/guardian/guarantor is not present there must be a representative who must produce a written and signed authorisation to so act from the parent/guardian/guarantor. Signature of Entrant: __________________________________________ Date: ______________________ Signature of Driver: __________________________________________ Date: ______________________ Signature of Parent/Guardian: ____________________________________________________________________ Name: _____________________________________________________ Date: ______________________ Address: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 51 51 (03/01/12)
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MSA BRITISH TOURING CAR CHAMPIONSHIP - BTCC

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