All British 2010 - Jun 27 2010



1. Category Selection



This is the entry form for:


All British 2010 - Jun 27 2010


If this is not the event you were after, click here to select a different event, or return to the Wakefield Park homepage and find the correct event.


Use the event selection drop down menu to select an upcoming event held at Wakefield Park Raceway.
The following event categories are catered for through this service.

  • Speed off the Streets - Cars and Bikes
  • Wakefield Park Raceway Xtreme Ride Days
  • NSW State Championships
  • AASA Mini Race Series

All mandatory fields are marked with a *


Select Event Type: *



Select Event to Enter: *



For entry to scheduled events not listed above, please contact the Wakefield Park office during normal business hours.




Select the Categories to Enter: *


All categories are subject to supplementary regulations published on Wakefield Park homepage. Discounts may apply for multiple category entries


 CategoryName      
Super TT (Sedans)
Superkarts
Mini's
Triumph's
Alfa's
Jaguars
MG's
Other British
MX5 Challenge


Online Entry Forms



All race meetings will be held under the International Sporting Code of the FIA, the National Competition Rules (NCR) of the Confederation of Australian Motor Sport Limited (CAMS) and the Supplementary Regulations of the meeting of which this entry form is a part.


Before proceeding, please ensure you read our refunds policy, our privacy policy, and our Terms and Conditions of Use.

2a. Entrant Details



Competitor First Name: *


Competitor Surname: *



Competitor Licence No: *



Sponsors:

If you have more than one sponsor, enter them as a list separated by commas.





2b. Entrant Contact Details



Phone (Business): *


Phone (Home): *


Phone (Mobile):


Fax:


Email Address: *

 





Street Address: *


Suburb/Town: *


State: *


Postcode: *




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3a. Driver Details




If driver details are the same as entrant details, simply check the this box to autofill this page. Please note, there is still additional information required further down the page.


Driver First Name: *


Driver Surname: *



Driver Licence No: *


Driver D.O.B: *

DD/MM/YYYY





3b. Driver Contact Details




Phone (Home): *


Phone (Mobile):


Email Address: *

 



Emergency Contact: *


Emergency Phone: *






Street Address: *


Suburb/Town: *


State: *


Postcode: *





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4a. Co-Driver Detail



This section is Optional, and applies to approved endurance events only. If you do not have a Co-Driver, please proceed to the next page now.

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Co-Driver First Name:


Co-Driver Surname:



Co-Driver Licence No:


Co-Driver D.O.B:

DD/MM/YYYY





4b. Co-Driver Contact Details




Phone (Home):


Phone (Mobile):


Email Address:

 



Emergency Contact:


Emergency Phone:






Street Address:


Suburb/Town:


State:


Postcode:





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5a. Vehicle Details



Make/Model: *


Colour: *


Capacity: *

CC

Preferred Race No:


Logbook No: *


Race Transponder No:

Dorian race transponders are also available for hire from Wakefield Park




5b. Pit Crew Details



If you have a pit crew, please enter their details below



1. Firstname:


     Surname:



2. Firstname:


     Surname:



3. Firstname:


     Surname:



4. Firstname:


     Surname:



5. Firstname:


     Surname:




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6. Disclaimer

CAMS Disclaimer

For Competitors

I/We being the competitor/s of the vehicle described on this Entry Form wish to enter that vehicle for the above event.

For Drivers

I/We being the competitor/s and/or driver, certify that the particulars on this form are true and correct in every particular, to the best of my/our knowledge and belief. I/We declare that I/we have read and understood the Supplementary Regulations issued for the event, and agree to be bound by them and the provisions of the National Competition Rules of the Confederation of Australian Motor Sport Limited ("CAMS"). In exchange for being able to attend or participate in the event (including entering the event), I agree:


  • To release CAMS and Australian Motor Sport Commission Ltd, promoters, sponsor organizations, land owners and lessees, organizers of the event, their respective servants, officials, representatives and agents (collectively, the "Associated Entities") from all liability for my death, personal injury (including burns), psychological trauma, loss or damage (including property damage) ("harm") howsoever arising from my participation in or attendance at the event, except to the extent prohibited by law;
  • That CAMS and the Associated Entities do not make any warranty, implied or express, that the event services will be provided with due care and skill or that any materials provided in connection with the services will be fit for the purpose for which they are supplied; and
  • To attend or participate in the event at my own risk.

I/We Acknowledge that:


  • The risks associated with attending or participating in the event include the risk that I may suffer harm as a result of:
  • Motor vehicles (or parts of them) colliding with other motor vehicles, persons or property;
  • Acts of violence and other harmful acts (whether intentional or inadvertent) committed by persons attending or participating in the event; and
  • The failure or unsuitability of facilities (including grand-stands, fences and guard rails) to ensure the safety of persons or property at the event.
  • Motor sport is dangerous and that accidents causing harm can and do happen and may happen to me.

I accept the conditions of, and acknowledge the risks arising from, attending or participating in the event and being provided with the event services by CAMS and the Associated Entities.
I understand that this disclaimer is not intended to exclude any valid claim I may have under the CAMS Personal Insurance Scheme.

DECLARATION OF COMPLIANCE, SAFETY AND RESPONSIBILITY by the Competitor;

I declare that I have caused the vehicle to be inspected according to a maintenance schedule that I have developed, and that it is free from mechanical defects, be they of design, or structural integrity that may render the vehicle unsafe for competition. I acknowledge that where any aspect of the car or related equipment and components is found:

  • To be in breach of the NCR's and/or the Regulations of the event, or;
  • To the opinion of the Chief Scrutineer, to be subject to a serious mechanical defect.

I hereby acknowledge and agree to abide by the CAMS NCR and Supplementary Regulations of the meeting. By proceeding I indicate my acceptance of the above Disclaimer and Declaration.

DECLARATION OF ACCEPTANCE BY DRIVER

I, the Driver, as listed on the Accompanying Entry Form, do hereby declare that;


  • I have been fully briefed by the Competitor on all aspects of the operation of the vehicle, including peculiarities relating to its handling and performance during competition, and,
  • I have satisfied myself that the vehicle is safe and suitable for the intended competition. By proceeding I indicate my acceptance of the above

AASA Disclaimer

RELEASE AND WAIVER OF LIABILITY ASSUMPTION OF RISK AND INDEMNITY AGREEMENT


WARNING!

Motor Racing is Dangerous and accidents can and do happen. All care is taken to protect you but you are warned that there is a possibility of an accident causing injury, death or property damage.

Subject to that warranty, if applicable and IN CONSIDERATION of being permitted to compete, officiate, observe, work for, or participate in any way in the EVENT(S) or being permitted to enter for any purpose any RESTRICTED AREA (defined as any area requiring special authorization, credentials, or permission to enter any area to which admission by the general public is restricted or prohibited), EACH OF THE UNDERSIGNED, for himself/herself, his/her personal representatives, heirs and next of kin.


1.

Acknowledges, agrees and represents that he/she enters and he/she further agrees and warrants that, if at any time, he/she is in or about RESTRICTED AREAS and he/she feels anything to be unsafe, he/she will immediately advise the officials of such and will leave the RESTRICTED AREAS and/or refuse to participate further in the EVENT(S).


2.

HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE Wakefield Park Motorsport Pty. Ltd.. the landowners, promoters, participants, racing associations, sanctioning organizations or any subdivision thereof, track operators, officials, car owners, drivers, pit crews, rescue personnel, any persons in any RESTRICTED AREA, promoters, sponsors, advertisers, owners and lessees of premises used to conduct the EVENT(S), premises and event inspectors, surveyors, underwriters, consultants and others who give recommendations, directions or instructions or engage in risk evaluation or loss control activities regarding the premises or EVENT(S) and each of them, their directors, officers, agents and employees, all for the purposes as herein referred to as “Releasees”, FROM ALL LIABILITY, TO THE UNDERSIGNED, his/her personal ON ACCOUNT OF INJURY TO THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OR RELATED TO THE EVENT(S), WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.


3.

HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY, DAMAGE OR COST they may incur arising out of or related to the EVENT(S) WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.


4.

HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE OF RELEASEES or otherwise.


5.

HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of the UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.


6.

Hereby assumes full responsibility for the preparation and safety of the vehicle to be used and further give an assurance that the vehicle has been checked for safety and is in a condition fit to be used on a motor racing circuit.


7.

Hereby agrees that this Release and Waiver of Liability, Assumption of risk and Indemnity Agreement extends to all acts of negligence by the Releasees, INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is permitted by the laws of the State/Territory in which the Event(S) is/are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.


Competitor Acceptance: *

By checking this box, I the Competitor hereby declare that I have read and agree to the abovementioned disclaimer, and all declarations relating to Competitors





Driver Acceptance: *

By checking this box, I the Driver hereby declare that I have read and agree to the abovementioned disclaimer, and declarations relating to Drivers





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7. Payment Calculation



The table below lists the event entry costs. Please now select any additional requirements for the event before proceeding with payment

Please Note: All Prices are $AUD, and include GST.



Entry Fee:

$00.00.00


Admin Fee:

$4.40


Garage:

$250


Carport:

$110


Additional Tickets:

$20/Ticket



Total Price:

$00.40





9: Payment Details



Select your preferred payment method below: *


Payment Method




To pay via cheque, please send a cheque for your total entry fee to the address below


Race Secretary

PO Box 151

Goulburn, NSW

2580


If you have nominated to pay by cheque, entry will not be confirmed until a cheque has been received for the exact amount as per 'Total Price' described through this event entry form process. All cheques are to be made out to Wakefield Park Management



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