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PRE EVENT INFORMATION
2019 TT SERIES ONLINE ENTRY FORM
Round 1 - 17th February (Permit #18258)
Round 2 - 3rd March (Permit #18259)
Round 3 - 17th March (Permit #18260)
1290 Selwyn Lake Road, Leeston
Refer
Supplementary Regulations
for full event information.
Please submit a seperate entry for each competitor.
Ensure you complete all the fields and then scroll to the bottom of the page to submit (allow approx 20 seconds for this process)
CLASSES
Please select your class from the drop down list
The Mini Intro & Mini Trail class have been cancelled due to insufficient entries at closing
(Trail upto 110cc combined with 65cc)
Entries must be prepaid to guarantee starting spot in your class
*
Indicates required field
Class entered
*
.
Mini Intro CLASS CLOSED (First timers)
Mini 4-6yrs 50cc (little 50 - No SX's)
Mini 6-8yrs 50cc (big 50)
Mini 7-11yrs 65cc/Trail (max 110cc)
Mini Trail 7-11yrs Trail CLASS CLOSED
Jnr 8-11yrs 65cc Pro (60-65cc 2 stroke)
Jnr 8-11yrs 85cc (60-85cc 2 st + 100-150cc 4 st) Min 9yrs 150cc
Jnr 12-16yrs 85cc (60-85cc 2 st + 100-150cc 4 st)
Jnr 12-16yrs 125 (85-125cc 2 st only)
Jnr 14-16yrs 250 (151-250cc 4 st only)
MX1 (Senior Open class)
MX2+ (up to 250cc 2 st & 4 st)
Grassroots (Support) (for Senior Novice/1st timers only)
Senior 125cc & over 2 stroke only (17 years & over) - No Trophies
Ladies (12yrs & over as per MNZ regulations)
Vets (35-44yrs)
Vets (45yrs+)
Grassroot riders cannot enter a 2nd class
COMPETITOR DETAILS
Race Number
*
Name
*
First
Last
Machine & Capacity
*
Email
*
Phone
*
Date of birth (please select from drop down boxes)
DD
*
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MM
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YYYY
*
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Age on race day
*
2nd Class Race Number
*
2nd Class entered
*
.
Jnr 8-11yrs (60-85cc 2 st + 100-150cc 4 st) Min 9 yrs 150cc
Jnr 12-16yrs (60-85cc 2 st + 100-150cc 4 st)
Jnr 12-16yrs 125 (85-125cc 2 st only)
Jnr 14-16yrs 250 (151-251cc 4 st only)
MX1 (Senior Open Class)
MX2+ (up to 250cc 2 st & 4 st)
Senior 125cc & over 2 stroke only (17 years & over) - No Trophies
Ladies (12 yrs & over as per MNZ regulations)
Vets (35-44yrs)
Vets (45yrs+)
2nd Class Machine & Capacity
*
Address
*
Town/City
*
MNZ Licence # (or OE if purchasing One Event Licence)
*
Please Select Round/(s)
*
Round 1 - 17th February - ALREADY HELD
Round 2 - 3rd March - ALREADY HELD
Round 3 - 17th March
FEES -
(note: no 2nd class or family discounts)
Select applicable
*
One Event Licence - For each round $30
Series Entry Fee - $210 Series (All classes)
Per Round Entry Fee - $80 p/round (All classes except Snr 125cc) except Snr 125cc))
Own Transponder (provide p $120in number) Deduct $5 per round
Series Entry Fee - Senior 125cc 2 stroke $120
Per Round Entry Fee - Senior 125cc 2 stroke $50 p/round
Late Entry (Entry & Payment to be received by closing dates)
*
$20.00 - Round 3 - Compulsory from 9am 12th March
Intended Payment Method
*
Direct Credit
Cheque Being Sent
Total Payment $
*
Parent/Guardian to complete if rider is under 16 years of age on race day or Under 18 years & requires a One Event Licence
Parent/Legal Guardian Name
*
CLICK
HERE
to see the terms and conditions (Supplementary Regulations)
Any questions regarding this event, please refer to supplementary regs for
contact details of club officials.
I have read and accepted Disclaimer below & Terms and Conditions (Supplementary Regulations)
*
Yes
I confirm information I have supplied is correct
*
Yes
Comments/Queries/Transponder nbr
*
DISCLAIMER OF LIABILITY: To Christchurch Off-road Motorcycle Club, and Motorcycling New Zealand Inc.
I have read and understood the Supplementary Regulations for this competition and agree to be bound by them and the Manual of Motorcycle Sport of Motorcycling New Zealand Inc. Together with the terms of the indemnification hereunder, and the requirements of the Noise Restrictions as listed. I indemnify Christchurch Off-road Motorcycle Club Motorcycling New Zealand Inc., Local Bodies and Landowner, their agents and all Officials against any claims arising from my attendance at this meeting.
1. I have read the Supplementary Regulations* for this Competition and agree to be bound by them and the Manual of Motorcycle Sport, the MNZ Constitution, and the MNZ Code of Conduct. * Supplementary Regulations also available at www.timingtech.co.nz
2. I am aware that the sport of Motorcycle Competition might a) cause me injury; serious or otherwise b) damage my property.
3. I wish to take part in the
TT Series MX
despite the above risks.
4. Neither I, or anyone associated or connected with me will make any claim against you or your officers, employees or agents in respect of: a) any injury suffered by me; or b) any damage to any of my property regardless of how the injury or damage occurs.
5. I will indemnify you against all claims, damages or losses (including costs) which you incur as the direct or indirect result of any injury to me or damage to my property.
6. I am physically fit and there is no health or other reason why I should not participate in the sport of Motorcycle Competition.
7. I am aware that this disclaimer will not affect any legal obligations you have to me which you cannot contract out of under NZ Law.
8. I agree that in this disclaimer “my property” includes any property owned by me or in my possession or under my control.
9. I agree that this disclaimer will be binding on my family, my heirs, my legal assigns and my administrators and executors.
10. I accept that stripping and re-assembly for Technical Checks are at my cost.
11. I consent to the details contained in this form being held by the Christchurch Off-Road Motorcycle Club for the purpose of the promotion and the benefit of the race meeting concerned, and Motorcycling in general. I acknowledge my right to access and correction of this information. The consent is given in accordance with the Privacy Act 1993.
12. MNZ supports the FIM/IOC Charter on drugs in Sport. MNZ uses the services of Drug Free Sport NZ and other agencies to professionally carry out the testing. I acknowledge by signing this form I maybe subjected to a drug/alcohol test at any time. I agree to such testing. I further agree that my name can be published by MNZ as having taken part in a drug/alcohol test together with the results of that testing.
13. I confirm that my machine complies with any technical rule(s) set out in the Manual of Motorcycle Sport and/or the Supplementary Regulations and that, to the best of my knowledge and belief, it is in safe working order and fit for competition.
ONE EVENT LICENCE – I do not have a MNZ Competition Licence therefore require a One Event Licence for this event:
In the absence of holding a MNZ Competition Licence, I acknowledge that I am able to compete by partaking on a One Event Licence. By reading and acknowledging this disclaimer, the Supplementary Regulations and the following rules I acknowledge that I adhere to all conditions to compete at this event using the One Event Licence.
The ability to compete whilst using a one event licence may be withdrawn at any time by Motorcycling New Zealand.
I acknowledge that I will wear an approve helmet, along with approved boots, gloves, and motocross clothing as per the MNZ Manual of Motorcycle Sport – see
www.mnz.co.nz
I acknowledge that no drugs or alcohol are permitted at this event, and I am not under the influence of either.
I acknowledge that I may be subject to random drug & alcohol testing as per the MNZ Manual of Motorcycle Sport.
I acknowledge that I have no medical condition that prevents me from safely participating in this event. I have not suffered concussion, or a head injury in the last three weeks.
My motorcycle is in a safe operating condition and type suited to the events that I am partaking in.
I acknowledge that attending riders briefing is compulsory
It is a condition of entry that all person having any connection with promotion, organisation, and conduct of the event including land owners, will be absolved from any liability out of any accident however caused and resulting in damage to property and or in respect of death or personal injury.
I fully indemnify Motorcycling New Zealand Inc., its agents representatives, employees, contractors, other competitors and promoters from and against any liability, whether or not due to any act or omission of these parties which arises from my participation in the event including by way of example any accident, damage or injury.
I agree that I have no medical condition that prevents me from safely participating in this event. I have not suffered concussion or had a head injury in the last three weeks.
I acknowledge that should I suffer a head injury or concussion three weeks prior to this event that I will not partake due the MNZ stand down period.
PAYMENT DETAILS
Cheques payable to – Christchurch Off-road Motorcycle Club, and post to
TT Series
C/- Adele May
Timing Tech
38 Davisons Road
NO2RD
TIMARU 7972
Direct Credit – CORMCC 06 0851 0450851 01
Note - Club have changed their account number & bank
(Please include TT, class & name as ref)
Please make sure that you have filled out all * required fields.
Your entry has been sucessfully submitted if this page converts to one thanking you for your entry.
(Allow approx 20 seconds once you have clicked on 'Submit Entry')
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