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Boisdale Hillclimb
Event Entry Form

VEHICLE details

Make
Colour
Reg
Model
Capacity
Class

Entrant

Name
Address
PostCode
Phone
CAMS Lic No.

Driver 1

Competition Number
Class
Name
Address
PostCode
Phone
CAMS Lic No.
Club

Driver 2

Competition Number
Class
Name
Address
PostCode
Phone
CAMS Lic No.
Club

 

Driver 3

Competition Number
Class
Name
Address
PostCode
Phone
CAMS Lic No.
Club

Adult entry fee - $30     $40 on the day
Junior entry fee - $15    $20 on the day

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Please print the Indemnity form to your printer and
provide your signed copy on the day of the event.

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INDEMNITY ENTRANTS AND DRIVER

ENTRANT STATEMENT
"I/We being the entrant/s of the vehicle described on the entry form wish to enter that vehicle for the above meeting."
"I/We certify that the particulars on the form are true and correct in every particular, to the best of my/our knowledge and belief"

ENTRANT AND DRIVER/S STATEMENT
"I/We declare that we have read and understood the Supplementary Regulations issued for the meeting, and agree to be bound by them and the provisions of the National Competition Rules of CAMS Limited."

"I/We acknowledge and agree as a condition of entry that neither CAMS Limited, nor the promoters nor the sponsors organisations, nor the land owners or lessees, nor the Organiser of the race meeting/event, nor their respective servants, officials, representatives or agents (all of whom shall be collectively called the organisers) shall be under any liability for my/our death or bodily injury, loss or damage which may be sustained or incurred by me/us, as a result of participation in or being present at the event, except in regard to any rights I/we may have arising under the Trades Practise Act 1974. I/We acknowledge the motor racing is dangerous and accidents causing death, bodily injury, disability and property damage can, and do happen"

Entrant's signature ..................................Date...../....../.....
Driver's signatures ..................................Date...../....../.....
                                 ..................................Date...../....../.....
                                 ..................................Date...../....../.....

Consent (for persons under the age of 18 years)

I,..........................................being the Parent / Guardian of .................................................... have read the whole of this document and consent to him / her participating. In doing so, I acknowledge that Motor Sport is dangerous, and agree that neither CAMS Limited nor "the Organisers" shall be under any liability whatsoever for any death or bodily injury, loss or damage which may be sustained by .............................................. or by me, however such death or bodily injury, loss or damage is caused be negligence or other wise.

Signed: ............................................................Parent / Guardian   Date...../...../.....

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