Self Scrutineering Form

Self Scrutineering Form

SCRUTINEERING FORM MUST BE COMPLETED BEFORE SIGNON BY EACH RIDER
ROUND & RIDER INFO
Motorcycling Australia Self Scrutineering Instructional Video
Select Event*
Riders Name*

First NameLast Name
Email*
example@example.com
Date of Birth*

DayMonthYear
Class Entered*
Please enter relevant class to bike being self scrutineered in this form
Bike Number*
MOTORCYCLE INFORMATION
Motorcycle Make*
Motorcycle Model*
VIN #*
Must be a minimum of 17 digits
ALL ITEMS MUST BE CHECKED
Motorcycle has been checked and complies with the General Competition Rules (GCRs)*

Front BrakesRear BrakesWheel BearingsWheels SecuredFront Rider NumberLH Rider NumberRH Rider NumberHandlebars & LeversBar EndsKillswitchFootrestsSelf-Closing ThrottleExhaust/Silencer/Noise
Protective Equipment has been checked, and complies with the General Competition Rules (GCRs)*

HelmetBootsGloves & Goggles
Riders Signature*

Powered by Jotform SignClear
Parents/Guardians Signature (if rider is under the age of 18)

Powered by Jotform SignClear
NOTE:

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:

ROUND & RIDER INFO