Narberth Online Entry 15/16th June 2019

Rider Name *

First

Last

Online entry can only be accepted for riders over the age of 18, younger riders need to enter by post which includes the parental declaration

Passenger Name (optional, for sidecars)

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date of Birth *

Riding Number *

This should be your AMCA rider number if you are a license holder. Any other number may be subject to change if there is a clash.

Classes *

The Welsh Championship classes for Sunday. There will be Evo and Pre83 championship racing also on Saturday, with a range of other classes for classics and twinshcks on Sunday

AMCA License Number *

AMCA Classic or Modern License Number; enter 0 if no license held and day license required.

AMCA Club

Machine #1 Make, Model *

Make and model of machine

Machine #1 Capacity (in cc) *

In cc numbers only

Machine #1 Year *

Year of manufacture

Machine #2 Make, Model

Make and model of machine 2 (if you have one)

Machine #2 Capacity (in cc)

In cc numbers only

Machine #2 Year

Year of manufacture

Choose your entry type *

Select the items you need; if you don't have an AMCA license you need to select a day licence. Licenses will be checked at the event. Day licenses are for both days of the event, so 1 per person for the weekend

Entrants over 18 years of age please sign below : *

Clear Signature

Declaration: Motor racing can be dangerous and may involve serious injury or death. You must read and agree to the following declaration which is designed to create a legally binding relationship in order for you to enter and compete. I confirm that the machine (s) entered by me comply with AMCA Classic Rules. 1. I confirm that the information in this entry form and the information and my acceptance of the terms of my licence are correct. 2. I confirm that I understand the nature of the competition and I am competent to take part 3. I confirm that the vehicles I use will comply with the regulations and will be safe and fit for use in competition. 4. Before taking part in the event I will ensure (unless prohibited) that I have inspected the venue, track and the facilities and geographical features and that I am satisfied that it is safe to compete 5. I will not take part if I have any doubt about my ability or the safety of the venue 6. I accept that the completion in motor sport may involve the risk of injury or death and I agree to take part at my own risk 7. Before taking part in the event I read and be bound by and comply with general regulations and my supplemental and final instructions issued by the AMCA, the organisers, the circuit owners and the regulatory body. 8. I will not participate whilst under the influence of alcohol or intoxicating drugs and that if I am taking any prescribed medication I will inform the event organisers and seek approval before taking part.