PMCRC Entry/Signing on List Ordered by racenum

Declaration

In consideration of being permitted to participate in this event I declare that I will be bound by the declaration on the event entry form.

I also acknowledge and accept the Risks of Motorsport as shown on the said entry form.

I give permission for details of any injuries I may suffer during this event to be given to the Clerk of the Course.

Race Number Name Class Licence Number Signature Notes
0Phil04 C/Man B12345 
0Simon Beken01 Championship22264 
0Elliot Beken01 Championship100167 
0  
0Georgia Brown07 Sportsman184116 
0John Brown07 Sportsman135718 

Total number of entrants = 6