.for
Confirmation
Whilton Mill Kart Club
Affiliated to Association of British Kart Clubs
ABkC Rotax 0 Plate Entry Form 11 & 12 August
Competition Secretary
Rita Chapman, 23 Foxglove Close, Castle Meadow, Buckingham MK18 1FU Tel: 01280 816512
Race meetings held under the General Regulations of the MSA Ltd (incorporating the provisions of the International Sporting Code of the FIA) and the Supplernentary Regulations.
Class......................................................
Driver (name printed in the programme): . .
Address: . ..
. Tel No:
Club: . . NATIONAL A Licence No: . ..
Kart No: Chassis... Transponder ID Number ... ..
Fee enclosed £190 including a set of Slick Tyres
to be used at the meeting
Made Payable to WMKC. Place cheque guarantee number on reverse of cheque.
Send
SAE or e-mail address ..
.for
Confirmation
SORRY BUT NO S.A.E. NO
CONFIRMATION OTHER THAN EMAIL. ENTRIES CLOSE
Name of Person to be contacted in case of Emergency:
Address: .................................................................................Tel:
I
declare that I have been given the opportunity to read the General Regulations
of the Motor Sports Association 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 of the competition and the potential
risk inherent with motor sport and agree to accept the risk. Further, I
understand that all person 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. I declare that to the best of my belief the
driver possesses the standard of competence necessary for an event of this type
to which this entry relates and that the vehicle entered is suitable and road
worthy for the event having regard to the course and speeds which will be
reached.
I understand that should I at the time of this event be suffering from any disability whether permanent or temporary which is likely to effect prejudicially my normal control of my vehicle, I may not take part unless I have declared such disability to the ASN which has, following such declaration, issued a licence which permits me doing 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 (E2.9)
My age is .... . (if applicable state Over 18 years ) Signed..............................................:
You must be in possession of a Club Membership Card and an MSA Competition Licence in order to take part in a race meeting.
As a Parent/Guardian/Guarantor of the driver - I understand that I have the right to be present during any procedure being carried out under the Supplementary Regulations issued for this event and the general regulations of the MSA. I confirm that I have acquainted myself with the MSA General Regulations, agree to pay any appropriate charges and fees pursuant to those Regulations (to include any appendices thereto) and herby agree to be bound by these Regulations and submit myself without reserve to the consequences resulting from these Regulations (and any subsequent alteration thereof). Further, I agree to pay as liquidated damages any fines imposed upon me up to the maxima set out in section Z.
Where the parent Parent/Guardian/Guarantor is not present there must be a representative who must produce a signed authorisation to so act from the Parent/Guardian/Guarantor as appropriate.
Counter Signed Drivers under 18 years only..................................................
Address of Counter Signatory:...........................................................................................................................................................................................
ELECTRONIC TRANSMISSION IS NOW ACCEPTABLE BUT THIS ENTRY FEE MUST
BE SENT BY POST
ATOL
Fuel Ltd has been appointed to supply a control fuel for use by all competitors
in the 2007 ABkC kart championships. The
control fuel is, MSA Kart 07, an
unleaded fuel complying with BS 7800 and is specifically fingerprinted for the
ABkC National and MSA British kart championships. Its blend fully complies with
current MSA regulations for both championship and club level events. All
competitors must use the Atol supplied MSA Kart 07 fuel for all official
qualifying, heats and finals held during this event.
Cost
of fuel:
10 Litre Can = £
40:00 Inc fuel duty and vat at the current rates.
If you require confirmation of receipt of your order or a VAT Invoice, please enclose a SAE with your order. Please note that transfers can only be made if a minimum of 1 weeks notice prior to the event is given. Refunds will only be made after each event on uncollected fuel and will be subject to a restocking charge of £10:00 per can. Un-cleared or returned cheques will be subject to a £25:00 administration charge per transaction.
If you
have any queries regarding your order or payment please contact Atol Fuel Ltd.
Rotax
O Plate - control fuel order form Whilton Mill 10th 12th
Aug 07
Drivers
Name_________________________ Class_________ Race No_______
Tel
No (Daytime)______________________ Eve_________________________
Total
number of 10 litre Cans required _______Total amount enclosed £_______:00
Please
note: the closing date for this fuel order is Friday 28th July 07
Office Use Only:
Date Received: