2025 Pre '65 Entry Application Form

Pre '65 Scottish 2025
ENTRY FORM

Please complete this form to apply for an entry in the 2025 Pre '65 Scottish Trial.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Postal / Zip CodeCountry
Date of Birth*

DayMonthYear
Date
Gender (optional question)
Nationality*
Phone Number*

International CodePhone Number
Mobile Phone Number*

International CodePhone Number
Email*

Confirmation Emailexample@example.com
Club*
Centre*
Bike make*
Model
Year*
Capacity (cc)*
Registration Number*
Rider

Foreign RiderNewcomerScottish RiderWoman Rider
Machine Classes*

Rigid up to 250ccRigid over 250ccOver 350ccOver 250cc and up to 350ccOver 200 and up to 250ccUp to 200cc
Reserve List

If unsuccessful, I would like to be re-balloted
If yes, how much notice do you need
Licence Provider*
Licence number (insert TBA if you do not know number yet) *
INSURANCE

All competitors MUST have their own Road Traffic Act insurance valid on the days of this event.
Supplementary Insurance*

Yes, I will need the Supplementary Insurance as my own insurance DOES NOT cover me when riding on the public highway while competing in a trials eventNo, I will not need the Supplementary Insurance as my own insurance DOES cover me for riding on the public highway while competing in a trials event
Riding Companion
The rider nominated MUST also have your name down as their riding companion or this WILL NOT BE CONSIDERED. This assumes both riders are successful in the ballot.
T-shirt Size*
Machine Components
Fork Sliders - Manufacturer*
Year of Manufacture*
Fork Yokes - Manufacturer*
Year of Manufacture*
Front Hub - Manufacturer*
Year of Manufacture*
Rear Hub - Manufacturer*
Year of Manufacture*
Frame - Manufacturer*
Year of Manufacture*
Engine - Manufacturer*
Year of Manufacture*
Gearbox - Manufacturer*
Year of Manufacture*
Carburettor - Manufacturer*
Year of Manufacture*
Submit two (2) Clear, colour, landscape photos of your bike, one (1) from each side*

Cancelof
Declaration: I the undersigned apply to enter the event described above in the consideration of:-

1.   I hereby declare that I have had the opportunity to read, and that I understand the National Sporting Code of the ACU/SACU, the ACU/SACU standing regulations, such Supplementary Regulations as may have been issued for the event, (see www.pre65scottish.com), and agree to be bound by them.

2.   I further declare that I am physically and mentally fit to take part in the event and I am competent to do so.

3.   I confirm that I understand the nature and type of event I am entering and its inherent risk. I agree to accept the same notwithstanding that such risks may involve negligence on the part of the organisers or officials.

4.   I accept that insurance arranged on my behalf by the organisers for this event specifically excludes liability between the participants. I understand that this form may be used in litigation as evidence that any serious injury will be principally the result of my voluntary decision to engage in high risk activity.

5. I consent to details of any injuries I may suffer at this event being passed between all medical services and the Clerk of the Course/ Secretary of the Meeting.

6. I further agree that the machine which I enter and compete on shall be suitable and proper for its purpose, and it will comply with the event regulations in respect thereof, and as described on this entry form.

7. I confirm that, for the parts of the event that take place on a public highway, the machine described on my entry form shall be insured as required by the Road Traffic Acts, or equivalent legislation, and that it will comply with the regulations in respect thereof and a current full driving licence for the class of vehicle to which this entry relates.

8. I confirm that I have not been refused an SACU/ACU licence, nor had an SACU/ACU licence suspended, nor have I been excluded from any SACU/ACU competition.

9. I confirm that I am not currently suspended from SACU/ACU competition, or on the ACU/SACU Stop list as a result of incurring a Concussion injury. Further, I shall notify the Club should I incur such a suspension or concussion injury between now and the event.

10. I agree for the Edinburgh & District Motor Club Ltd to hold my personal details for their sole purpose in relation to my application to the Pre '65 Scottish Trial (General Data Protection Regulations - 25th May 2018)
Agreement:*

I agree to this declaration
Acknowledgement of the Risks of Motorsport

I understand that by taking part in this event I am are exposed to a risk of death, becoming permanently disabled, or suffering some other serious injury and I acknowledge that even in the event that negligence on the part of the ACU/SACU, the Promoter, the organising Club, the venue owner, or any individual carrying out duties on their behalf were to be a contributory cause of any serious injury I may suffer, the dominant cause of any serious injury will always be my voluntary decision to take part in a high risk activity.

I have read the above and acknowledge that my participation in motorsport is entirely at my own risk.
Acknowledgement:*

I acknowledge the risk
Signature*

Clear
Entries for the 2025 Pre '65 Scottish Trial will close at 23:59 on Wednesday 27 November 2024.
Should be Empty:

Pre '65 Scottish 2025

ENTRY FORM

Entries for the 2025 Pre '65 Scottish Trial will close at 23:59 on Wednesday 27 November 2024.