Truro & District Motor Club

TDMC - Cornwall Coast to Coast Tour - Sunday 11th June 2017

Entry Form

Driver’s Name
Address
Telephone numbers
Email (final instructions will
preferably be sent by email)
Passenger’s name/s (age if under 18)
Parent/guardian will need to sign at the start of the
event to accept responsibility for any passengers under 18.
Car Make, Model & Colour
Year of manufacture and
Registration number
Any supporting information (especially if not pre ’85)
Car club (if applicable)

I declare that: 1) I have been given an opportunity to read the General Regulations of the Motor Sports Association and the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit and competent to take part in the event. I understand that motorsport is dangerous and accidents causing death, injury, disability and property damage can and do happen. I understand that these risks may give rise to my suffering personal injury or other loss and I acknowledge and accept these risks. 2) To the best of my belief the driver(s) possess(es) the standard of competence necessary for an event of the type to which this entry relates and that the vehicle entered is suitable and roadworthy for the event having regard to the course and the speeds which will be reached. 3) The use of the vehicle hereby entered is covered by insurance as required by the law which is valid for such part of this event as shall take place on roads as defined by the law. Indemnity: In consideration of the acceptance of this entry I agree that neither any one of or any combination of the MSA and its associated clubs, the organisers, the land owners or other occupiers, the promoters and their respective officers, servants, representatives and agents (the “Parties”) shall have any liability for loss or damage which may be sustained or incurred by me as a result of participation in this event. Nothing in this clause is intended to or shall be deemed to exclude or limit liability for death or personal injury. To the fullest extent permitted by law I agree to indemnify and hold harmless each of the Parties in respect of any loss or damage whatsoever and howsoever arising from my participation in this event.

Driver’s Signature

Please see below costs for extra passengers. Tea/coffee at the start, Lunch, and cream teas at the finish, are already included in the entry fee for 2 people.

Refreshment costs for additional Passengers. / £ 17: 50
per person
Tea Coffee at the Start, Pasty Lunch at Pencarrow House and a Cream Tea at Trelissick Gardens.
Vouchers for all persons will be issued at the Start

Entry fee for 2 persons £60: 00, + ( ) Extra persons( @ £ 17:50 = £ ______

Cheques payable to Truro & District Motor Club Ltd. Please sign in the box above and send this page to us with your payment to: Bob Eddy, Classic Tour Event Secretary, 25 Pentewan Road, St. Austell, PL25 5BU

Closing date Saturday 1st June. Entries can only be accepted if received by the closing date with full payment as we have to confirm final numbers for meals and parking. Please do not leave it too late.

Enquiries to or Bob Eddy on 01726.64170

16.05.2017