Affiliated to Association of British Kart Clubs

~ 2008 Festival Entry Form 2008 ~

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.  

Driver (name printed in the programme):…………………………………………………………………….……

Address:…………………………………………………………………………………

…………………………………………………………… Tel No:…………………………………………………

Club:………………….………………Licence No:………………….……………..……… NOVICE YES or NO…………….

Kart No:…………… (Class To ABkC Regulations)  Transponder ID Number………...………………………..

Engine(s)………………………………………………Chassis...………………...………………………...…………

Fee enclosed £80 you amy also pay the Friday test day in advance £30 (circle amounts enclosed)

Made Payable to WMKC.  Place cheque guarantee number on reverse of cheque.

ENTRIES CLOSE SATURDAY TWO WEEKS PRIOR TO THE EVENT

Send SAE for Confirmation or

e-mail address...........................................................................................

Name of Person to be contacted in case of Emergency:…………………………………………………………

Address:………………………………………………………………………………………………………………...

…………………………………………………………………………Tel:……………………………………………

I have read the supplementary regulations issued for this event and agree to be bound by them and by the General Regulations of the Motor Sports Association Ltd. In consideration of the acceptance of this entry and of my being permitted to take part in this event, in respect of any parts of the event not held on publicly adopted road, I agree to save harmless and keep indemnified the Motor Sports Association Ltd. Such person,. persons or body as may be authorised by The Motor Sports Association Ltd to promote or organise this event and their respective officials, servants, representatives and agents, together with other competitors and their respective servants, representatives and agents, from and against all actions, claims, costs, expenses and demands in respect of death of or injury to or damage to the property of myself my driver(s), passenger(s), mechanic(s) or associated personnel arising out of or in connection with this entry or my taking part in this event. I also agree to abide by the ABkC regulations as set down in the MSA Kart Race Yearbook.                            My age is…………....….(if applicable state Over 18 years )                                                                     I declare that to the best of my belief the driver(s) possess(es) 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 Motor Sports Association Ltd who have, 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 be in possession of a current valid MSA approved Medical Certificate.

You must be in possession of a Club Membership Card and an MSA Competition Licence in order to take part in a race meeting.

Signed..............................................: Counter Signed Drivers under 18 years only..................................................

Address of Counter Signatory:..........................................................................................................................................

IF THE PARENT OR GUARDIAN IS NOT AT THE MEETING WITH UNDER 18 DRIVERS, WILL YOU MAKE SURE THAT THE PERSON RUNNING THE DRIVER HAS YOUR WRITTEN AUTHORITY TO ACT ON YOUR BEHALF