Maidstone & Mid Kent Motor Club

Evening Autotest Online Entry Form

So as to streamline entry to our evening autotests you can now fill in an online entry form for the whole season. Your details are stored and printed out for each event so once payment is received its a simple sign on and start. You can now pay for your entry online as well - see website for details.

Please select those Autotests you hope/intend to enter, this is not a commitment. If you do not tick an event you later want to enter you can turn up on the day. This is to help us with administration and make signing on at an event easier and faster.

This event will be held under the General Regulations of The Motor Sports Association Ltd. (incorporating the provisions of the International Sporting code of the FIA) and the Supplementary Regulations.

You agree that we may wish to publish your personal data as part of the results of the event. We may pass such information to the MSA, national governing body and/or the FIA or any affiliated organisation for the purpose of insurance, safety, licences or combined with other events. Results include (but are not limited to) name, age, club affiliation, and competition times.


Please Select Dates for Evening Autotests
Name:*
Address:
E-mail:*
Phone:
-
Mobile*
-
Club
Do you hold a full RTA Driving Licence*
Are you Driver Passenger or Both?*
Vehicle Make
Model
CC
Overall Length
Class Entered

Name and address of relative or friend to be notified in the event of an accident (A.32)

Emergency Contact*
Emergency Phone Number*
-
Relationship*

DECLARATION

Every entrant, driver and passenger before taking part in any competition must sign an undertaking, as follows: I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event and I agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the competition and the potential risk inherent in motor sport and agree to accept that risk. Further, I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence.

If I am the Parent/Guardian/Guarantor of the driver, I understand that I shall have the right to be present during any procedure being carried out under the Supplementary Regulations issued for this event and the General Regulations of the MSA. As the Parent/Guardian/Guarantor, I confirm that I have acquainted myself with the MSA General Regulations, agree to pay any appropriate charges and fees pursuant to those Regulations (to include any appendices thereto) and hereby agree to be bound by those Regulations and submit myself without reserve to the consequences resulting from those Regulations (and any subsequent alteration thereof) . Further, I agree to pay as liquidated damages any fines imposed upon me to the maximum set out in Part 3, Appendix 1.