Auto Test Entry Form & Declaration

Entries must be paid by BACS using the following bank details:

Account name: Epynt Motor Club Ltd

Sort Code: 20-61-08

Account Number: 80010006

Reference: Driver's name 

I declare that:
1) I have been given the opportunity to read the National Competition Rules (NCR) and all Official Documentation and will abide by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I
acknowledge that I understand the nature and type of competition and the potential risk inherent with motor sport and agree to accept that risk. I understand that motor sport can be dangerous and accidents causing death, injury, disability
and property damage can and do happen. I understand that these risks may give rise to my suffering personal injury or other loss and I acknowledge and accept these risks.
2) To the best of my belief the driver(s) possess(es) the standard of competence necessary for the Event to which this entry relates and that the vehicle entered conforms to the Regulations of the Event. Where applicable the use of the vehicle
hereby entered will be covered by insurance as required by law.
3) I agree that should I at the time of this Event be suffering from any disability whether permanent or temporary which is likely to affect prejudicially my normal control of the vehicle, I may not take part unless I have declared such disability
to Motorsport UK which has, following such declaration, issued a licence which permits me to do so. I undertake that at the time of the Event to which this entry relates I shall have passed or am exempt from an ASN specified medical
examination within the specified period. (Ch 6 App 2 Art 6.5)
4) If I am the Parent/Guardian/Guarantor of the driver I have countersigned the competitor licence application and understand that I shall have the right to be present during any procedure being carried out under the Event Supplementary
Regulations and the NCR and that I have acquainted myself and the minor with them, agree to pay any appropriate charges and fees pursuant to those Regulations and agree to be bound by and submit myself without reserve to the
consequences resulting from them (and any alteration thereof). Further, I agree to pay as liquidated damages any fines imposed upon me up to the maxima set out in Ch 2 App 2.
Note: Where the Parent/Guardian/Guarantor will not be present the Parent/Guardian/Guarantor must advise the organisers in advance, in writing, authorising their appointed representative to so act.
5) I hereby agree to abide by all applicable Motorsport UK Policies and Guidelines including but not exclusively Safeguarding and Anti Alcohol and Drugs policies and the ASN Code of Conduct.
6) I have read and shall respect the regulations for Control of Drugs and Alcohol as contained in the NCR (Ch 2 App 1 Art 1.6, Ch 2 App 2, Ch 3 App 1 Art 1.7, Ch 5 App 11 Art 1.6) and have also fully familiarised myself with the information on
the web sites referred to (www.motorsportuk.org, www.ukad.org.uk and www.wada-ama.org) in particular the UK Anti-Doping Rules which have been adopted by Motorsport UK. Further, if I am counter-signing as the parent or Guardian of a
minor then in addition to the deemed consent to the testing of that minor (UK Anti-Doping Rule 5.7.2) I hereby confirm that I give such consent for the minor concerned to be so tested.
7) I understand and agree that my personal data, and that of the persons connected to my entry are being processed solely for the purposes of running this and will be handled by the organisers in accordance with Motorsport UK data
protection policy: www.motorsportuk.org/data-protection.
Indemnity: In consideration of the acceptance of this entry I agree that neither any one of or any combination of Motorsport UK and its associated clubs, the organisers, the track owners or other occupiers, the promoters and their respective
officers, servants, representatives and agents (the “Parties”) shall have any liability for loss or damage which may be sustained or incurred by me as a result of participation in the event including but not limited to damage to property,
economic loss, consequential loss or financial loss howsoever caused. Nothing in this clause is intended to or shall be deemed to exclude or limit liability for death or personal injury. To the fullest extent permitted by law I agree to
indemnify and hold harmless each of the Parties in respect of any loss or damage whatsoever and howsoever arising from my participation in this event.

Pre-Event Scrutineering declaration:
Pre-Event Scrutineering declaration:
By submitting this Declaration and in consideration of being permitted to take part in the above Event I undertake
and confirm with the Organisers and Motorsport UK that:
General
1) I have read and understand the requirements of General Regulations (H)31.1.5 – 31.1.8. As Entrant I shall comply
with all Regulations that apply to my Entry including General, Supplementary and Championship Regulations as
well as any other Final Instructions.
General Technical
2) The vehicle complies with all relevant General Vehicle Technical Regulations [(J)5] and relevant Supplementary
and/or Championship Regulations
3) The vehicle complies with the relevant Maximum Noise Limit [(J) Appendix 1: Chart 5.18]
Discipline specific Technical
4) The Vehicle complies with the specific Technical Regulations for the discipline [Autotests – (M), Autocross and
Rallycross – (N), Cross-Country – (P), Circuit Racing – (Q), Rallying – (R), Sprints, Hill Climbs and Drag Racing – (S),
Trials – (T), Karting – (U)].
Safety
5) The vehicle complies with the relevant General Vehicle Safety Regulations [Section (K)]. And in particular:
6) Where a Roll Over Protection System is required, it complies with the relevant parts of (K)1
7) Where FIA homologated harnesses are required, it has/they have not passed the expiration date on the label, or
any extension afforded by Motorsport UK Regulations [J2.1.7]
8) Where FIA homologated seats are required, it has/they have not passed the expiration date on the label, or any
extension afforded by Motorsport UK Regulations [R48.10.6].
9) Driver/Co-Driver Personal Protective Equipment (PPE) complies with the General Regulations where applicable.
Note: Helmets and FHR devices which do not bear a Motorsport UK (or MSA) Approval sticker must be presented to
the Scrutineers who will visually inspect the equipment and issue a sticker in accordance with the Motorsport UK
COVID-19 helmet stickering procedure.