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PRE EVENT INFORMATION
2019 HANMER HEAT SENIOR MOTOCROSS
includes 12-16 year 125cc & 14-16 250cc classes
ONLINE ENTRY FORM
27th & 28th April 2019
Refer
Supplementary Regulations
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.
CLASSES
Note: Maximum 20 gate start (Open to first 24 prepaid entries received per class)
Classes will be finalised from Prepaid entries received by closing date,
Some classes may be combined or cancelled if sufficient entries not received by closing date.
Ladies class cancelled 25th April due no entries
*
Indicates required field
Class entered (Select class from dropdown list)
*
.
12-16 year 125cc (125cc 2 stroke)
14-16 year 250cc (151-250cc 2 stroke)
Ladies (14 years & over) CLASS CANCELLED
MX1 (Open cc)
MX2 (upto 200cc 2 stroke & 250cc 4 stroke)
MX3 (1st timers)
Vets 35-44 years (any cc)
Vets 45 years & over (any cc)
COMPETITOR DETAILS
Race Number
*
Name
*
First
Last
Bike Make/CC
*
Phone
*
Email
*
Date of birth
DD
*
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MM
*
01
02
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12
YYYY
*
2015
2014
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2012
2011
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1940
Age on race day
*
2nd class Race Number (if applicable)
*
2nd class (if applicable)
*
.
12-16 years 125cc (85-125cc 2 stroke)
14-16 years 250cc (151-250cc 4 stroke)
Ladies (14 years & over)
MX1 (open cc)
MX2 (upto 200cc 2 stroke & 250cc 4 stroke)
Vets 35-44 years (any cc)
Vets 45 years (any cc)
2nd Class Make/CC (if applicable)
*
Address
*
Town/City
*
PAYMENT DETAILS
Payable by Direct Credit to Hanmer Springs Dirt Bike Club 02-0876-0256449-001
(Please include Name, HHSNR, & Class in fields with payment)
Entry Fee (all classes)
*
Entry fee $120.00
2nd class $60.00
Late Entry - (Extended) now effective from 24th April
*
$50.00
Total Payment $
*
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 & 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.
*
Yes
I confirm information I have supplied is correct
*
Yes
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
Submit Entry