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    Personal Protective Equipment (ALL fields are required)

    Helmet has identification label YesNo

    Boots cover ankles YesNo

    Helmet straps/buckles in good condition YesNo

    Shirt and long pants YesNo

    Helmet shell and lining free from damage YesNo

    The declarant acknowledges the following:
    • I am familiar with the mechanical and electrical condition of the motorcycle
    • I may be penalised if the information in this document is false
    • My equipment and machine may be inspected by event officials
    • I will not attend the event if I am suffering any cold or flu symptoms
    • I will adhere to social distancing requirements at all times during travel to and from, while competing in and attending the event (1.5 Metres)

    Are you paying by direct deposit or cash on the day?

    Please pay amount owing to:
    Tasmanian Motorcycle Trials Club
    BSB: 632001
    Acc: 100107065
    Bank: Bank of Us
    Deposit must include:
    1. Payee: TMTC
    2. Your name
    3. Message: TMTC Round number (please specify)

    We require the use of the Check in TAS app, please download it from the Android Play Store or Apple App Store.

    I declare as the rider/declarant that the Information provided is true and correct.

    Signature

    Date