2022 AMC Autosolo Entry Form Please enable JavaScript in your browser to complete this form.Driver Details - Step 1 of 2Complete each page of the form to apply for an entry to the eventDriver's name *AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAge: If applicable, state 'over 18'If under 18 please complete the Parent / Guardian Declaration at the end of this formTelephone NoLicence Number if applicableMotor Club: Championship Contenders or members of the following: BTRDA, CMSGCC, Farnborough District MC, Oxford MC, OUMF, Middlesex County AC, Club Triumph, CSMA, Harrow CC, Basingstoke MC. Bristol MC, Bath MC, Bournemouth MC, Salisbury& Shaftesbury CC, South Oxon CC and Devizes MCNext of Kin *Telephone Number *Email address for correspondence *AlternativelyI wish to join the organising clubDo you currently hold, or have held a UK driving licence issued under the Road Traffic Act *YesNoNextVehicle DetailsVehicle Make *Model *Engine capacity *Registration number (if registered)Fuel type *Pump PetrolPump DieselOtherForced Induction'Other' fuels require the vehicle to be marked with a day-glo 3" circleClass entered (See Supplementary Regulations Article 11) *A. Series production cars—Saloons up to 1400ccB. Series production cars—Saloons 1401cc and 2000ccC. Series production cars—Saloons over 2000ccD. Series production sports cars (open and fixed roof) Including MX5, Lotus Elise, Vauxhall VX220 etcE. Any other road legal car not eligible for classes A-D, (Specials, GBS, Caterham, Westfield, etc,).Shared vehicleYesNoIf shared - other driver nameChampionships EnteredChampionships enteredACSMCASWMCBTRDA All RoundersBTRDA AutosoloCMSGSelect all championships that applyPASSENGER (If applicable)Address Address Line 1Address Line 2CityState / Province / RegionPostal CodeAge: If applicable, state 'over 18' - If under 18 please complete the Parent / Guardian Declaration at the end of this formIf under 18 please complete the Parent / Guardian Declaration at the end of this formPARENT / GUARDIAN DETAILSAddress Address Line 1Address Line 2CityState / Province / RegionPostal CodeName of under 18Relationship to under 18A letter of Parent / Guardian permission must be supplied at signing on.DeclarationBy clicking the Submit Entry button below you agree to the following declarations; 1) I have been given the opportunity to read the General Regulations of Motorsport UK (‘General Regulations’) and, if any, the Supplementary Regulations for this Event as well as Motorsport UK COVID-19 Guidance for Events 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 the potential risks inherent with motor sport and accept that these risks may give rise to my suffering personal injury or other loss. 1(a)) I am not currently experiencing any symptoms of COVID-19 and have not knowingly been in contact with anyone showing symptoms within the last 14 days, except as a healthcare professional. If after submitting this form I do knowingly come into contact (except as a healthcare professional) with someone with COVID-19 or if I start to exhibit any of the signs indicating that I may be infected I will immediately withdraw from the Event, notify Motorsport UK and ensure that my close contacts also do not attend. Should I become ill at or start to exhibit COVID-19 symptoms at the Event I shall withdraw safely and notify the Secretary of the Meeting by telephone / SMS accordingly including identification of those others who I have come into contact with at the Event. 1(b)) I agree to abide by all Government and Motorsport UK requirements imposed in respect of COVID-19. I understand that Motorsport UK Guidance on COVID-19 in relation to Events has regulatory status and to the extent applicable shall supersede the General Regulations by virtue of GR A.2.4. Breach of this obligation may lead to being disqualified from the Event (C.2.5). 2) To the best of my belief the driver(s) possess(es) the standard of competence necessary for the Event to which this entry relates and that the vehicle entered conforms to the Regulations of the Event. Where applicable the use of the vehicle hereby entered will be covered by insurance as required by law. 3) I agree that should I at the 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 Motorsport UK which has, following such declaration, issued a licence which permits me to do 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. (H10.1.6) 4) If I am the Parent/Guardian/Guarantor of the driver I have countersigned the competitor licence application and understand that I shall have the right to be present during any procedure being carried out under the Event Supplementary Regulations and the General Regulations and that I have acquainted myself and the minor with them, agree to pay any appropriate charges and fees pursuant to those Regulations and agree to be bound by and submit myself without reserve to the consequences resulting from them (and any alteration thereof). Further, I agree to pay as liquidated damages any fines imposed upon me up to the maxima set out in Part 3, Appendix 1. Note: Where the Parent/Guardian/Guarantor will not be present the Parent/Guardian/Guarantor must advise the organisers in advance, in writing, authorising their appointed representative to so act. 5) I hereby agree to abide by all applicable Motorsport UK Policies and Guidelines including but not exclusively Safeguarding and Anti Alcohol and Drugs policies and the National Sporting Code of Conduct. 6) I have read and shall respect the regulations for Control of Drugs and Alcohol as contained in the General Regulations C1.1.7, D35.1, G15.1.4, H38 and have also fully familiarised myself with the information on the web sites referred to (www.motorsportuk.org, www.ukad.org.uk and www.wada-ama.org) in particular the UK Anti-Doping Rules which have been adopted by Motorsport UK. Further, if I am counter-signing as the parent or Guardian of a minor then in addition to the deemed consent to the testing of that minor (UK Anti-Doping Rule 5.7.2) I hereby confirm that I give such consent for the minor concerned to be so tested. 7) I understand and agree that my personal data is being processed solely for the purposes of running this Event and may be used for the purposes of COVID-19 infection tracing, and will be handled by the organisers in accordance with Motorsport UK data protection policy: www.motorsportuk.org/data-protection. 8) I confirm I will bring all required documentation, licences etc., to the Event as usual and I understand that spot checks will be made with regard to documentation and technical checks. Indemnity: In consideration of the acceptance of this entry I agree that neither any one of or any combination of Motorsport UK and its associated clubs, the organisers, the track owners or other occupiers, the promoters and their respective officers, servants, representatives and agents (the “Parties”) shall have any liability for loss or damage which may be sustained or incurred by me as a result of participation in the Event including but not limited to damage to property, economic loss, consequential loss or financial loss howsoever caused. Nothing in this clause is intended to or shall be deemed to exclude or limit liability for death or personal injury. To the fullest extent permitted by law I agree to indemnify and hold harmless each of the Parties in respect of any loss or damage whatsoever and howsoever arising from my participation in this event. 1) I have been given the opportunity to read the General Regulations of Motorsport UK 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 competition and the potential risk inherent with motor sport and agree to accept that risk. I understand that motor sport can be dangerous and accidents causing death, injury, disability and property damage can and do happen. I understand that these risks may give rise to my suffering personal injury or other loss and I acknowledge and accept these risks. 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. The use of the vehicle hereby entered will be 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 the law. 3) I understand that should I at the 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 Motorsport UK which has, following such declaration, issued a licence which permits me to do 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. (H10.1.6) 4) 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/legal guardian/guarantor, whose full names and addresses have been given. 5) If I am the Parent/Guardian/Guarantor of the driver I understand that I shall 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 Motorsport UK. As the Parent/Guardian/Guarantor I confirm that I have acquainted myself and the minor with the Motorsport UK General Regulations, agree to pay any appropriate charges and fees pursuant to those Regulations (to include any appendices thereto) and hereby agree to be bound by those Regulations and submit myself without reserve to the consequences resulting from those 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 Part 3, Appendix 1. Note: Where the Parent/Guardian/Guarantor is not present there must be a Guardian who must produce a written and signed authorisation to so act from the Parent/Guardian/Guarantor as appropriate. 6) I hereby agree to abide by the Motorsport UK Safeguarding Policy and Guidelines and the National Sporting Code of Conduct. 7) I have read and fully understood the regulations for Control of Drugs and Alcohol as contained in the Competitors’ and Officials Yearbook Regulations H39, D35.1, G15.1.4 and have also fully familiarised myself with the information on the web sites referred to (www.motorsportuk.org, www.ukad.org.uk and www.wada-ama.org) in particular the UK Anti Doping Rules which have been adopted by Motorsport UK. Further, if I am counter-signing as the parent or Guardian of a minor then in addition to the deemed consent to the testing of that minor (UK Anti-Doping Rule 5.7.2) I hereby confirm that I give such consent for the minor concerned to be so tested. 8) I understand that my personal data is being processed solely for the purposes of running this event and will be handled by the organisers in accordance with Motorsport UK data protection policy which can be found at www.motorsportuk.org/data-protection. Indemnity: In consideration of the acceptance of this entry I agree that neither any one of or any combination of Motorsport UK and its associated clubs, the organisers, the track owners or other occupiers, the promoters and their respective officers, servants, representatives and agents (the “Parties”) shall have any liability for loss or damage which may be sustained or incurred by me as a result of participation in the Event including but not limited to damage to property, economic loss, consequential loss or financial loss howsoever caused. Nothing in this clause is intended to or shall be deemed to exclude or limit liability for death or personal injury. To the fullest extent permitted by law I agree to indemnify and hold harmless each of the Parties in respect of any loss or damage whatsoever and howsoever arising from my participation in this event.Consent to Personal Data Processing *I consent for my personal data to be processed for the purposes of my entry to the eventIntended Payment Method *BACS (Sort Code: 205914 Account No: 70212121) Please reference payments with SOLO and your surnamePayment DetailsThe Total Entry Fee is £45 - Additional Charitable donations may be made if you wish. No entry will be deemed as accepted until this form has been submitted and payment has been received in full.BackSubmit Entry