2021 NZ Junior Motocross Championship

2021 NZ JUNIOR CHAMPIONSHIP - 5, 6 & 7 February 2021

Hosted by The Tauranga Motorcycle Club, TECT All Terrain Park, Whataroa Road (off SH36), Tauranga - Permit # 19201 - Entries close Wednesday 25th January 2021
Full Name *

First Name Last Name
E-mail *

Confirmation Email
Mobile Number *
Street Address *
Hometown
Other (If not shown above)
MNZ INTERCLUB CHALLENGE - BRYAN DAVIDSON MEMORIAL TROPHY - All Riders must nominate their Home Club and have club card for proof at sign on. Overall points from best 3 individual riders from each club will go towards Interclub Challenge Trophy
Home Club *
Birth Date *

Month Day Year
Age on the Day *
Racing Number *
MNZ Licence Type *
MNZ Licence # *
*SPECIAL EVENT UPGRADE LICENCE: For all riders who are competing in the Championship classes who hold a Club Licence, you can purchase a special event upgrade licence, this licence must be applied and paid for with this entry form by entry closing date. A rider can only purchase one Special Event Upgrade Licence in a licencing season. Riders in the Support Class can enter on a Championship / Club or One Event Licence
SPECIAL EVENT UPGRADE LICENCE $50 *

No Yes
Own Transponder - $5 will automatically be deducted from your entry fee *

Yes No
Transponder Number
Championship class $200

8-11 years 65cc- 60-65cc 2 stroke 8 -11 years 60-85cc 2 stroke & 100-150cc 4 stroke 12 -13 years 60-85cc 2 stroke & 100-150cc 4 stroke 14 -16 years 60-85cc 2 stroke & 100-150 4 stroke 12 -14 years 90-125cc 2 stroke 15-16 years 90-125cc 2 stroke 14-16 years 126cc -150cc 2 stroke/151cc-250cc 4 stroke 8-11 years Junior Womens 60-85cc 2 stroke & 100-150cc 4 stroke 12-16 years Junior Womens 60-85cc 2 stroke & 100-150cc 4 stroke 12-16 years Junior Womens 125cc/250cc
Bike
Other (if not shown above)
Sponsors
Prizegiving Tickets - $15 per person (*see note below)
PRIZEGIVING - To be held at Tauranga Race Course, Cameron Road, Tauranga at 4pm on 7 February 2021. Final results will be posted 30 minutes after racing is completed.
Camping Fee - $10 per vehicle per night *

1 night Fri/Sat - 2 nights Thurs/Fri/Sat - 3 nights N o
T Shirts available at cost - $25

Youth XS Youth S Youth M Youth L Youth XL Adults S Adults M Adults L Adults XL Adults XXL Adults XXXL
I would like to pay by credit card *

Yes - 5% will be automatically added to your total No
Credit Card Total
Total
I hereby accept the Disclaimer of Liability for this event *

Yes
Prove that you're a human. Please enter the text as shown *
VENUE:

The Tauranga Motorcycle Club MX track, TECT All Terrain Park, Whataroa Road (off SH36), Tauranga (the track is on the left hand side about 1km down Whataroa Road). Natural terrain with man-made enhancements.

SIGN ON:

Thursday 4th February: Early sign on 4-6pm at the track for all classes

Friday 5th February: Sign In 7.00-8.00am - Briefing at 8.30am Practice and Qualifying - followed by racing

Saturday 6th February: Briefing at 8.00am (If required) - Warm up 3 laps/Racing

Sunday 7th February: Briefing at 8.00am (If required) - Warm up 3 laps/Racing

CLOSING DATE: Entries close 5.00 pm, Wednesday 25th January 2021

MAXIMUM OF FIVE RACES PER CLASS
DISCLAIMER OF LIABILITY: To Tauranga Motorcycle Club and Motorcycling New Zealand Inc.

1.         I have read the Supplementary Regulations* for this Competition and agree to be bound by them and the Manual of Motorcycle Sport, the MNZ Constitution, and the MNZ Code of Conduct. * Supplementary Regulations also available at http://www.mxt.co.nz
2.         I am aware that the sport of Motorcycle Competition might a) cause me injury; serious or otherwise b) damage my property.
3.         I wish to take part in the 2021 NZ Junior Motocross Championship despite the above risks.
4.         Neither I, or anyone associated or connected with me will make any claim against you or your officers, employees or agents in respect of: a) any injury suffered by me; or b) any damage to any of my property regardless of how the injury or damage occurs.
5.         I will indemnify you against all claims, damages or losses (including costs) which you incur as the direct or indirect result of any injury to me or damage to my property.
6.         I am physically fit and there is no health or other reason why I should not participate in the sport of Motorcycle Competition.
7.         I am aware that this disclaimer will not affect any legal obligations you have to me which you cannot contract out of under NZ Law.
8.         I agree that in this disclaimer “my property” includes any property owned by me or in my possession or under my control.
9.         I agree that this disclaimer will be binding on my family, my heirs, my legal assigns and my administrators and executors.
10.       I accept that stripping and re-assembly for Technical Checks are at my cost.
11.       I consent to the details contained in this form being held by the Manawatu Orion Motorcycle Club for the purpose of the promotion and the benefit of the race meeting concerned, and Motorcycling in general. I acknowledge my right to access and correction of this information. The consent is given in accordance with the Privacy Act 1993.
12.       MNZ supports the FIM/IOC Charter on drugs in Sport. MNZ uses the services of Drug Free Sport NZ and other agencies to professionally carry out the testing. I acknowledge by signing this form I maybe subjected to a drug/alcohol test at any time. I agree to such testing. I further agree that my name can be published by MNZ as having taken part in a drug/alcohol test together with the results of that testing.
13.       I confirm that my machine complies with any technical rule(s) set out in the Manual of Motorcycle Sport and/or the Supplementary Regulations and that, to the best of my knowledge and belief, it is in safe working order and fit for competition.
Should be Empty:

2021 NZ JUNIOR CHAMPIONSHIP - 5, 6 & 7 February 2021