SandMasters Indemnity and Scrutineering Form

Indemnity & Scrutineering Form

MUST BE COMPLETED AND PRESENTED AT SIGN IN
Club Championship
Full Name

First NameLast Name
Email
example@example.com
Enter Make and Model of Bike 1
Enter Make and Model of Bike 2 (if completing this form for more than 1 bike)
Enter Make and Model of Bike 3 (if completing this form for more than 1 bike)
Enter Make and Model of Bike 4 (if completing this form for more than 1 bike)
Racing Class
Bike Make
Scrutineering Checklist
Brakes - Front and Rear
Wheels - Front and Rear
Machine Numbers - Front, Left and Right Sides
Handlebars & Levers
Kill Switch
Foot Rests
Self-closing Throttle
Nuts, Bolts and Fasteners
Helmet
Back Number
Boots
Gloves and Goggles
I acknowledge that the onus of presenting a safe machine that is compliant with the manual of motorcycle sport remains my sole responsibility throughout the duration of the event.
Signature - Signed by Rider or Parent / Guardian
Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Note:

1. All riders helmets must be presented at sign on for inspection (and when required to have the Eject System fitted). 2. Random scrutineering will be conducted on machines and rider safety gear across all classes throughout the event. 3. Incomplete forms will not be accepted. 4. When required both the rider and parent or guardian must sign this form for it to be considered complete. 5. One scrutineering sheet must be completed per machine. 6. By signing this form I acknowledge that I have read, understand and accept the conditions on the Indemnity provided for motorcycle activity.
Should be Empty:

Indemnity & Scrutineering Form

Club Championship

Scrutineering Checklist

Note: