I declare that:
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, neither is any person connected with my entry nominated to attend the event currently experiencing any symptoms of COVID-19 and have not done so for 14 days. I 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, or any person connected with my entry knowingly come into contact (except as a healthcare professional) with someone with COVID-19 or if I, or any person connected with my entry start to exhibit any of the signs indicating that they may be infected I will immediately withdraw from the Event together with all persons connected with my entry, notify Motorsport UK and ensure that my close contacts also do not attend. Should I, or any person connected with my entry 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. In addition, I confirm that the symptomatic person will as soon as practicable contact the NHS for the purposes of test and trace. I declare that I have been symptom free for at least 14 days, and am physically fit to compete with no new medical problems that may affect my ability to safely operate a motor vehicle in competition.
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)
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, and that of the persons connected to my entry are 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.
Please write your name in CAPITALS.
Date Format: DD slash MM slash YYYY
Details of persons connected to the entry who will be present at the event must be listed here: