ALL COMPETITORS MUST COMPLETE THIS FORM
You must comply with the following:
I do not have the Third Party Road Section extension on my current Motor Insurance………….
I declare that (delete as appropriate):
- I am aged 20 or over…………………………………………………………………………………. YES/NO
- I have had no more than 1 fault claim in the last 3 years……………………………….. YES/NO
- I have no more than 6 conviction points on my driving licence……………………….. YES/NO
- I have the appropriate competition licence as well as a UK/EU driving licence and if my license is provisional I will be supervised by an adult over 25 and holding a full UK/EU driving licence……………………… YES/NO
- I have no Mental or Physical disabilities……………………………………………………… YES/NO
- My co-driver is aged 25 or over………………………………………………………. YES/NO
- I have no other Material Facts to disclose (See Notes overleaf)……………………… YES/NO
Return to the Event Secretary by Wednesday 15th Sept @8pm
