SELF SCRUTINEERING FORM

SELF SCRUTINEERING FORM

HILLSTORM CHALLENGE
Event*
Name*

First NameLast Name
MA Licence Number*
Do not use your RiderNet ID number
Make*
EG: Sherco KTM Beta
Model*
EG: SE-F300 250EXC
VIN*
Usually found on the head stem
Class*

GoldSilverSilver o45BronzeBronze o45Womens (Bronze only)Junior
Date

MonthDayYear
Date
Check List

Brakes are operation and not bindingNo spokes are missing, all are tensioned correctly, no movement in wheel bearings, no cracks in rimRace numbers comply with the Manual of Motorcycle SportHandlebars & controls are in good condition and meet requirements listed in the Manual of Motorcycle SportKill Switch is working correctlyFootrests are in good condition and not binding on pivotSelf-Closing Throttle is operationalExhaust/Silencer/Noise is in good condition and meets sound emissions as listed in the Manual of Motorcycle SportAll Nuts, Bolts and Fasteners are tensioned correctlyHelmet is in good condition and meets standard listed in the Manual of Motorcycle SportBoots, Protective Clothing, Goggles & Gloves are all in good conditionChampionship decals are as specified in the Supplementary Regulations
I acknowledge the importance of my protective clothing, equipment and Machine being in good condition and fit for the purpose of taking part in this Event, and I further acknowledge that I alone am responsible for my protective clothing, equipment and Machine being and remaining fit for purpose throughout the Event.

I acknowledge
Guardian to sign if the competitor is under 18 years of age

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Guardians Name

First NameLast Name
Competitor to sign

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1. Random scrutineering will be conducted on machines and rider safety gear across all classes throughout the event

2. Incomplete forms will not be accepted.

3. One scrutineering sheet must be completed per machine.

4. For juniors both the rider and parent or guardian must sign this form for it to be considered complete.
Should be Empty: