Choose event (required) Twin Shock Challenge, Melrose (November 20th)Round 7, Melrose (November 21st) Rider's full name (required) Declarants full name (if rider under 18) Email address (required) Mobile number (required, for contact tracing if required, or in case of cancellation of event) Machine make and capacity (required) Grade (required) ---ExpertABC+CTwin shockClubmanJuniorClassicSidecar Select entry type ---Adult ($40)Junior ($10)Personal Protective Equipment (ALL fields are required)Helmet has identification label YesNoBoots cover ankles YesNoHelmet straps/buckles in good condition YesNoShirt and long pants YesNoHelmet shell and lining free from damage YesNoThe 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)YesNoAre you paying by direct deposit or cash on the day? ---Direct depositPay on the dayPlease 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 Δ