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SS SURVEY 2019
2019 HANMER HEAT MINI & JUNIOR MOTOCROSS
ONLINE ENTRY FORM
13th & 14th April 2019
for important information relating to this event
Please submit a seperate entry for each competitor.
Once you have completed all compulsory fields, read & accepted the Disclaimer select 'SUBMIT' at bottom of page.
Note: Maximum 20 gate start (Open to first 20 prepaid entries received per class)
Indicates required field
Class entered (Select class from dropdown list)
4-6 year Intro/Trail (Intro max 50cc)
4-6 year 50cc MX (mini 50)
6-8 year 50cc MX (big 50/SX)
7-8 year 65cc MX
9-11 year 65cc MX
8-11 year 85cc (85cc 2 stroke - 150cc 4 stroke)
12-16 year 85cc (85cc 2 stroke - 150cc 4 stroke)
7-11 years Trail class (up to 145cc 4 stroke air cooled)
Date of birth
Age on race day
Own transponder pin #
Payable by Direct Credit to Hanmer Springs Dirt Bike Club 02-0876-0256449-001
(Please include Name, HHJNR, & Class in fields with payment)
Entry Fee (all classes)
Late Entry - Effective from midday 10th April
Total Payment $
to see the terms and conditions (Supplementary Regulations).
Any questions regarding this event, please refer to supplementary regs for contact details of club officials & event organisers.
IF RIDER IS UNDER 18 YEARS OF AGE ON RACE DAY/(S). Name of Parent/Legal Guardian (who will be present on race day/s)
I have read and accept the Disclaimer of Liability (below) for this event.
I confirm information I have supplied is correct
DISCLAIMER OF LIABILITY:
To Hanmer Springs Dirt Bike Club Inc
I understand motorcycling is a dangerous sport, and by entering the track I do so at my own risk.
The HSDBC, organizers, marshals and the landowner accept no liability, and are INDEMNIFIED against the results of:
Damages or loss of property (including my motorbike).
Any accidents, injuries or incidents that may occur.
I am physically and mentally fit to participate.
My motorbike is of safe and sound condition and I understand there may be random technical inspections.
I understand the rules and regulations of the club are to be adhered to at all times, and the club and organisers reserve the right to change, alter or structure the day at their discretion.
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 to submit)
If you have missed a field "Please correct the highlighted fields" will appear below Submit Entry and the applic field will be outlined in Red
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