ENTRY FORM FOR THE LIONS CLASSIC VEHICLE RALLY – SUNDAY 3rd JUNE 2018
Full Name / For Lions use only
Address 01
Address 02 / Town
County / Post Code
E-mail address
Phone
Owners Club Name (if applicable):
Make / Year
Model / Reg. No.

INSURANCE DECLARATION

I declare that during the Event my exhibit will be covered by the insurance requirements of The Road Traffic Act if my exhibit is not excluded from use on the public highway, irrespective of whether it is licensed or not.

If my exhibit is excluded from use on the public highway, it will be covered by a Public Liability policy having a limit of indemnity of not less than £2,000,000 for any one accident. (And for Steam Entries only, by a Boiler Explosion Policy, both policies having a limit of not less than £2,000,000 for any one accident, and Sparks and Ashes cover for not less than £100,000. I further declare that the boiler of any steam plant entered carries a current Boiler Certificate and that I will produce documentary evidence of such Insurance and Inspection to you before participating in the event). If my vehicle participates in a cavalcade at the event, my vehicle will be covered by Third Party Motor Insurance. I further declare that the driver/rider of any exhibit entered by me holds a driving licence of the appropriate class for that exhibit.

I will ensure that my exhibit will be presented in a clean and safe working condition, and whilst at the event, any vehicle or equipment exhibited by me is safely parked and securely braked or chocked at all times, and that such vehicle or equipment will not be left running unattended at any time.

I agree to produce the insurance and licence documents to the Event Organiser or Safety Officer if requested. I agree to produce, on request, an inspection certificate in accordance with the IEE Regulations for any electrical equipment (i.e. generators, wiring, appliances).

I agree to operate my exhibit during the Event and comply with the instructions of stewards.In the event of a dispute, the Event Organiser’s decision is final.

My exhibit is currently insured by:

Name of Company / Certificate No. / Expiry Date
Signed / Date / Age if under 18

Return your application with a stamped address envelope no later than 10th April 2018 to:

Chris Robinson, 7 Wolstonbury Walk, Shoreham by Sea, West Sussex, BN43 5GU

Martin Oakley, 28 Boundary Road, Lancing, West Sussex BN15 8NE