Event: / Karting Hull
Venue: / Hull Karting Poorhouse Lane Preston Road Hull HU9 5HE
Date of event: / Sunday 4th September 2016
Arrival/ Start time: / 10:00/ 10:30

Please complete all sections in BLOCK CAPITALS. CSSC membership numbers must be included. You may find it helpful to ‘Tab’ from one field to another.

Section 1: Your Details (Delete as applicable)

Title: / Forename: / Surname:
Gender: / Over 18: / Yes / No
Home Address
Postcode
CSSC membership no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.
Age / Weight in kgs / Experience (Please delete accordingly) / An Expert (A Regular Karter)
A Novice (Races a few times)
A Beginner (Karted no more than 3 times)

Section 2: Entry Fee

CSSC/ CSMA Members: £33 ………… Non-Members: £35 …………..

How to pay

Bank Transfer- CSMA Ltd Karting Group (Sort Code- 16-14-24, Account Number- 10490349)

Please quote HULL followed by YOUR SURNAME as a BACS Reference.

All cheques should be made payable to ‘CSMA Ltd Karting Group’ and should accompany the entry form. Please do not send cash.

CSSC & HASSRA entries should contact Peter Jones before making a submission in case other arrangements have been agreed in the interim.
The nominal closing date for entries is nominally Friday 25 August: After this date entries may be accepted at the discretion of the Organiser.

Regretfully, we may not be able to make refunds for cancellations after this date if the entry fee has been transferred to the Circuit.

Payment Method: / Total Amount: / £

Section 3: Event Information

The series is open to allBoundless byCSMA Club, CSSC and HASSRA Members, their Families and Guests irrespective of whether they are also taking part in the Championship. We cater for all members with all levels of experience so whether you are a beginner or a seasoned veteran you will find a challenge out there on the track. Hull Circuit has been specifically designed to provide a real challenge to drivers of all abilities. They probably have one of the largest all weather circuits in the UK.

Event Reception
Please arrive by 10.00 am for a 10.30 am briefing and an 11.00am start
On arrival all Drivers and guests will need to report to the Event Organiser. All drivers will then be kitted out with racing overalls, a helmet and gloves (you may bring your own if you wish but they must be approved by the Circuit). Please wear suitable under clothing for the weather, and trainers or shoes. NO SANDALS, LONG HEELS, OR OPEN TOED SHOES please.
Following reception it’s off for a full safety briefing


Event Format: Sprints
After the safety briefing Drivers will be separated into Groups for a 10 minute Practice session followed by a 2 x 20 Lap Races (about 1 minute per Lap. Trophies will be provided for the top three drivers based on the results of both races.
Championship points will be awarded for positions on both Race 1 and Race 2 which will count as Rounds 7 & 8 of our Mid-North Karting Championship

Section 4: Important Information

Medical: Please let us know if you have any physical or medical conditions

Yes/No (Delete as applicable)

If yes, please give details
Any Dietary Requirements

IMPORTANT: These events are active and players should be aware of the physical activities involved. CSSC reserves the right to cancel the event if under subscribed.

All CSSC members taking part in the event are covered by CSSC Sports and Leisure Public Liability Insurance. Please note that this policy is NOT a Personal Accident Policy. Members are encouraged to take out their own insurance policy.
This event is open to your friends or family members. As a reminder, under our Linked membership scheme, up to three of your friends or family members can join CSSC and take part in our events at members’ rate. Membership is also available to staff working in the Public Sector such as NHS, local government, teachers, the police, fire fighters and HM Armed forces personnel.

Once entry forms and payment are received and processed an acknowledgement email will be sent out with further information a week before the event.

Signed: Date:

Please send all entries to:

Email:

Post: Peter Jones (Karting)

170 Devonshire Road

Hornchurch

Essex

RM12 4LP

01708 459547