MSA BRITISH TOURING CAR CHAMPIONSHIP - BTCC
MSA BRITISH TOURING CAR CHAMPIONSHIP - BTCC
MSA BRITISH TOURING CAR CHAMPIONSHIP - BTCC
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Regulations – <strong>BTCC</strong> 2012<br />
TEAM MANAGER<br />
NAME<br />
ADDRESS<br />
POSTCODE<br />
TELEPHONE NUMBERS WORK:<br />
HOME: MOBILE:<br />
GENERAL PRACTITIONER<br />
NAME<br />
ADDRESS<br />
TELEPHONE NUMBER<br />
DRIVER INFORMATION<br />
POSTCODE<br />
WEIGHT kg./ st.lb.<br />
HEIGHT cm/ ft.in<br />
BLOOD GROUP (if known)<br />
RIGHT OR LEFT HANDED?<br />
DO YOU WEAR CONTACT LENSES? YES / NO<br />
If so are they hard or soft?<br />
DO YOU SMOKE? YES / NO<br />
If so how many a day?<br />
DO YOU TAKE ANY DRUGS PRESCRIBED BY YOUR DOCTOR? YES / NO<br />
If so please list<br />
DO YOU TAKE ANY DRUGS BOUGHT BY YOURSELF FROM A PHARMACY? YES / NO<br />
If so please list<br />
HAVE YOU EVER TAKEN STEROIDS (PREDNISOLONE/HYDROCORTISONE)? YES / NO<br />
If so please list with dates<br />
ARE YOU ALLERGIC TO ANYTHING (e.g. PENICILLIN/IODINE)? YES / NO<br />
If so please list<br />
54<br />
54<br />
(03/01/12)
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