| Round
1 - Permit No: AMCA/BT/12544 |
| VENUE:
North Shore, Blackpool, Lancashire |
| DATE:
Sunday 12th July 2009 TIME: 10.30am (sign on from 9.00am, pre-trial
briefing 10.15am) |
|
ENTRIES:
Closing Date Wednesday 8th July. LATE ENTRIES: may be
accepted at the discretion of the Secretary; an additional £5.00
late entry fee will be charged. This form will be removed from the
website at 10.00pm on the closing date.
|
| ENTRY
FEE: £20.00 + £1.00 to cover PayPal charges. Payment must
be received with the entry; entries without payment will be classed
as "late entries" and an additional £5.00 charged
when collecting the fee on the day. |
| If
entering on-line with this form, please make payment by clicking on
the "PayPal Payments" button on the website "Events"
page. You do not need to have a PayPal account and can make payment
directly from a debit or credit card, or from your bank account. Please
note the Payment ID reference to include on this entry form below.
|
| . |
| Clerk
of the Course: Fred Savage |
| Secretary
of Meeting: Barbara Wright, 27 Midland Terrace, Hellifield, Skipton,
North Yorkshire, BD23 4HJ. Tel: 07850 505298 |
| This
event is the third round of the British National Trials Cup 2009 and
will be run according to the Biketrial Federation rules as reproduced
on the website www.biketrialuk.co.uk. A printed copy can be obtained
from the Event Secretary if required. British Cycling will use the
results from this event when planning UCI World event entry selection. |
|
| Entry
Form: British National Trials Cup Round 3 (2009) Venue: North Shore,
Blackpool, Lancashire |
| DECLARATION:
I, the undersigned apply to enter the event described above and in
consideration thereof:- |
| * |
I
hereby declare that I have had the opportunity to read, and
that I understand the Biketrial Federation Rules, and Supplementary
Regulations as have or may be issued for the event, and agree
to be bound by them. |
| * |
I
further declare that I am physically and mentally fit to take
part in the event and am competent to do so. |
| * |
I
confirm that I understand the nature and type of event I am
entering and its inherent risks and agree to accept the same
notwithstanding that such risks may involve negligence on the
part of the organisers or officials. |
| * |
I
confirm that the bicycle as described below which I compete
on shall be suitable and proper for the purpose. |
| * |
I
agree that I am required to register my arrival by signing-on
at the designated place not less than 30 minutes prior to commencement
of my practice or first competition, whichever occurs first. |
|
| Acknowledgement
of the risks of the sport: I understand that by taking part in
this event I am exposed to a risk of death, becoming permanently disabled
or suffering some other serious injury and I acknowledge that even
in the event that negligence on the part of the organiser, the promoter,
the organising club, the venue owner, or any individual carrying out
duties on their behalf were to be a contributory cause of any serious
injury I may suffer, the dominant cause of any serious injury will
always be my voluntary decision to take part in a high risk activity. |
| I
have read the above and acknowledge that my participation in the sport
is entirely at my own risk. |
| Signature
of rider .............................................................................. |
|
| Parental
Agreement (if under 18): I hereby declare that I have had the
opportunity to read, and that I understand the Biketrial Federation
Rules and Supplementary Regulations as have or may be issued for the
event, and agree to my son/daughter taking part in this event. I have
read the "Acknowledgement of the risks of the sport" that
my son/daughter has signed and agree that any injuries he/she may
suffer will be by his/her voluntary decision to take part in a high
risk activity. |
| Signature
of Guardian (if under 18) ............................................................................. |
