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)
—Please choose an option—ExpertABC+CTwin shockClubmanJuniorClassicSidecar

Select entry type
—Please choose an option—Adult ($40)Junior ($10)

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)

YesNo

Are you paying by direct deposit or cash on the day?
—Please choose an option—Direct depositPay on the day

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

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