Name: Southland Champs
Start: 2021-03-27
End: 2021-03-28
Location: The Sandpit, Invercargill

COMPETITOR INFORMATION

A seperate form must be completed for each competitor. All fields with a Red Asterisk are compulsory and must be completed for page to submit. (Classes will be finalised from prepaid entries received by closing date). Note: Some classes may be cancelled/combined if sufficient class registrations have not been received by closing date

Name*

First Last

Class*

Select class from drop down list. Classes will be finalised from prepaid entries received by closing date. Some classes may be combined or cancelled if sufficient numbers have not been received by closing date. JUNIOR 125/250 HAS BEEN COMBINED & VETS CLASSES HAVE BEEN COMBINED

Bike #*

Bike Make/Model & cc*

If you can't find your make in selection above please choose 'Other' & type it below. Makes in alphabetical order.

Other Bike Make/Model

Please write bike details if you can't find in the drop down selection

MNZ licence # or OEL (if you don't hold a MNZ lic)*

Put your MNZ licence number or OEL if needing to purchase a One Event Licence. First time Mini riders may apply for a Free One Event Licence by putting 'Free' in this box.

Date of Birth*

DD

MM

YYYY

Age on Race Day*

2ND CLASS INFORMATION

Only complete if applicable.

2nd Class (if applicable)

Mini riders are not permitted to double class at this event

Bike # (2nd Class - if applicable)

Bike Make/Model & cc (2nd class - if applicable)

If you can't find your make in selection above please choose 'Other' & type it below

Other Bike Make/Model (2nd Class - if applicable)

Please write bike details if you can't find in the drop down selection

CONTACT INFORMATION

Contact Phone Number*

Email*

Enter Email Confirm Email

Address*

Address Town

ENTRY FEES & CHARGES

Pay by Direct Credit to: Southland Motorcycle Club 03-0931-0152483-00.

Entry fee

Price: $ 0.00

ENTRY FEES Pay SMCC 03-0931-0152483-00)*

Mini Intro (Not lapscored)
Mini Entry Fee (all other mini classes)
Junior & Senior Entry Fee
Family Discount (1st member full price, additional members)
2nd Class (same competitor))
One Event Licence
One Event Licence (first time Mini only) FREE
Own Mylaps Transponder
Event Membership SMCC

Please tick each applicable category relating to the competitor you are entering. This will then self calculate in the Total box. For example in a 2nd family member entry you would tick the applicable Entry Fee box & the Family discount box. Each family member must be entered seperately. Each rider must be a member of a MNZ affilliated club or join the Southland club for this event

Own Mylaps Transponder (orange MX model only)

Please put your 7 digit pin number in box above

Late Entry Fee Now only applicable for day entries)

Late Entry - I acknowledge my entry is subject to the late entry fee

Total (Payable to SMCC 03-0931-0152483-00)

$ 0.00

All entries must be prepaid prior to event Please include your name, class & SChamps as a reference with your payment

DECLARATIONS

Parent/Guardian (to be present on race day/(s))

Parent/Guardian Consent is required if competitor is under 16 years of age or under 18 years & require a One Event Licence.

I have read the Supplementary Regulations (below) for this event*

I confirm the information I have provided is correct.

WHERE & WHEN – Sat 27th & Sun 28th March
The Sandpit
Pit Road, Otatara, Invercargill
Sand track with man-made enhancements
(Track changed to make it easier for all abilities)

ENTRIES - Entry fees
$120 Seniors (includes transponder hire)
$120 Juniors (includes transponder hire)
$80 Mini’s (includes transponder hire)
$40 Mini Intro (Not lapscored)
Additional family member $10 discount.
Second class $40.00
Entries not completed in full and/or without entry fee will
NOT be accepted.
Entry options Online www.timingtech.co.nz (entry form page)
& pay by Direct Credit to: Southland Motorcycle Club
Payment to: 03 0931 0152483 00
Please use your surname and class as a reference
Entry confirmation: will be posted on www.timingtech.co.nz once entries have closed.

ENTRIES CLOSE
17th March 2021
There will be a minimum of 6 prepaid entries for a class to exist, and a maximum of 40 riders per class Senior/Junior & a maximum of 30 riders per class for Mini’s.
Mini’s licenced riders not permitted to double class.
Late entry fee will be enforced; entry and payment must be received by 17th March. Late entries only accepted at the discretion of the organisers.

TIMING TECH – TRANSPONDERS
Lap-scoring will be by Electronic Transponder System supplied by Timing Tech for all classes (except Mini Intro).

MNZ LICENCE
Riders must hold a current MNZ Licence and must present that licence along with a current club membership at sign in OR purchase a one event licence (minimum age 4yrs & over) for $30.00.
Club membership $5 (if not member of MNZ affiliated Club).

RACE FORMAT
The COC/Secretary reserve the right to change or alter classes if necessary. Some classes may have a split start. Depending on entries received by closing date (17 March) and weather /time permitting –
Saturday 3 Races + practice – Junior/Senor classes
Sunday 2 Races + practice - Junior/Senior classes
Saturday 4 Races + practice – Mini classes
Sunday 3 Races + practice - Mini classes
+ Sunday Feature Races - Senior All in, Jnr 65/85cc, Jnr 125/250cc & Mini Feature (top 20 fastest times)

FOOD
Hot & Cold food available to purchase on site

SIGN ON & RIDERS BRIEFING
7.30-815am on Saturday 27th March 2021
Riders briefing 8.30am sharp in your gear

REFUNDS
Refunds of entry fees will be as per rule 5.5a

ALCOHOL
The use of alcohol is not permitted as per rules 6.20

LIVE TIMING
Subject to sufficient coverage at track – available to view via
Mylaps App. Go to www.timingtech.co.nz

START
Will be a clutch start behind backward falling gates.

BIKE & BACK NUMBERS
Correct racing numbers are to be worn on the back of body armour or jersey & on bike as per rule 10.2.

TRACK/PIT RULES
Pit bikes – Under no circumstance will pit bikes be permitted at the event. No dogs – No exceptions

INSPECTION
Random technical inspection as per rule 10.1
No motorcycle at any event shall exceed the stipulated noise emission level of 96dBA as per rule 10.6a.

FORCE MAJEURE CLAUSE
For any reasons of Force Majeure, should a meeting or part of a meeting be cancelled, any entry fee refunds will only be made at the sole discretion of the organizers. The COC/Secretary reserve the right to alter the meeting format/race duration as may be deemed necessary.

POINTS SCALE – For all races
Points awarded as FIM System. In the event of a tie, overall result will be based on count back as per Rule 6-14-1.
1st 25; 2nd 22; 3rd 20; 4th 18; 5th 16; 6th 15; 7th 14; 8th 13; 9th
12; 10th 11; 11th 10; 12th 9; 13th 8; 14th 7; 15th 6; 16th 5; 17th 4;
18th 3; 19th 2; 20th 1
Part points issued from 21st position.

TROPHIES/PRIZEGIVING
To be held at Track Clubrooms as soon as possible after event.
Trophies for 1st to 3rd for all Mini competition classes, participation medal for all other Mini’s including mini intro class.
Trophies 1st to 3rd for Junior & Senior classes.
Feature Races – Trophies 1st-3rd

CAMPING
Camping permitted at the track.
Outside flush toilets are available but no running water.
Local regulations at the time may restrict fires.

OFFICIALS
MNZ Steward: Larry Mouat (Tara Pennicott under assessment)
Organiser: Greg Baynes Ph: 027 229 4500
Pam Morrow Ph; 021 777 232
Race Secretary: Adele May 03 6864901 or 027 4576430
Clerk of Course: Brent Scammell & Brendan Stevens (Mini)
Protest committee: MNZ Steward, Club representative & Riders Rep

Disclaimer of Liability*

I have read and understand the Discaimer of Liability below 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.

DISCLAIMER OF LIABILITY: To Southland 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 Southland 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 Southland Champs 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 South Canterbury 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.

CAPTCHA

Southland Champs