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OFFROAD MOTORCYCLE ENDURANCE EVENTS www.torcireland.com Mt. Leinster Enduro 24th June 2007 For All Your Off-Road

OFFROAD MOTORCYCLE ENDURANCE EVENTS www.torcireland.com

Mt. Leinster Enduro 24th June 2007

Mt. Leinster Enduro 24th June 2007
Mt. Leinster Enduro 24th June 2007
For All Your Off-Road Needs…
For All Your Off-Road Needs…
For All Your Off-Road Needs…
For All Your Off-Road Needs…

For All Your Off-Road Needs…

www.ccmracing.com

Ph: 01 4526170

OFFICIAL ENTRY FORM

Entries to Secretary of the Event

TORC, C/O Derek Kehoe,

4 Elmway, Griffeen Valley, Lucan, Co. Dublin

E-mail: info@torcireland.com

All Pre-entries must be acompanied by payment. Cheques made payable to TORC

Sign on will close at 10.00am SHARP .

Sign on will close at 10.00am SHARP.

Sign on will close at 10.00am SHARP .

Entries received before 19th June 2007 60 (GBP£42.50)

Note: Sterling fee also includes the cost to the Club of lodging Sterling Cheques

Late Entries 80 (GBP£56.50)

Event Riders Name Address Phone # Please only fill in email address if you are
Event
Riders Name
Address
Phone #
Please only fill in email address if you are NOT already on the TORC email list
Email
Machine
CC
Reg #
Licence Number
Class
(circle class being entered)
Expert
Senior
Clubman
Sportsman
Novice
TORC Member for current year
Yes
No
Full
Associate
INDEMNITY (Must be Signed)
I declare that the foregoing particulars are true and complete to the best of my knowledge. I further declare that I have read
the rules and regulations, governing the meeting and I agree to abide by them. I admit the right of the promoters to refuse
any entry without assigning a reason. In consideration of the acceptance of this, my entry, I agree to save harmless and
keep indemnified The FIM, The Motor Cycle Union of Ireland, The Motor Cycle Union of Ireland S.C. Ltd and the promoting
club(s) (including the owners or leasers of the land used for this meeting) and their respective Officials, Servants,
Representatives, or Agents, from and against all actions, claims, costs, expenses and demands in respect of death of or
injury to or loss of or damage to the person or property of myself, my driver(s), passenger(s) or mechanic(s), as the case
maybe, howsoever caused arising out of or in connection with my taking part in this meeting, notwithstanding that the same
may have contributed to or occasioned by said bodies, their Officials, Servants, Representatives or Agents. Furthermore, in
respect of any parts of this meeting on grounds where Third Party Insurance is not required by Law, this agreement shall, in
addition to the Parties named above, extend to all and any other Competitors and their Servants and Agents. I agree to act
in accordance with the instructions of the Officials of the Event. Furthermore, I agree that the Preparation and Safety of my
motorcycle(s) for racing conditions is my sole responsibility. I state that I am a fully paid up member of an affiliated club of
the FIM and/or the MCUI and that I fully understand the GCR’s of the MCUI and the Supplementary Regulations for this
event and accept same.
SIGNED:
Date:
Signature of Parent or Guardian:
Date:
(if under 18 years of age)
THE TRAIL AND OFF ROAD CLUB LTD. ACKNOWLEDGES THE RECEIPT OF ….…………
BEING THE ENTRY FEE
FOR THE ABOVE NAMED RIDER FOR THE ABOVE NAMED EVENT. ENTRY FORMS BY POST ONLY. Any entries
attempted by e-mail are not received, and will incur the full entry fee on the day (No money recd., no pre-entry).