2020 KawiGirls Kings & Queens

2020 KawiGirls Kings & Queens

Fill out the form below to register. $20 late entry fee applies after 5 December
If you have any issues with online form please contact

Maurice Hayman

aristocrat.services@xtra.co.nz or 027 473 5762

Deposit fees to: Rotorua Motorcycle Club 02-0412-0039198-00 Please use surname, initials & class entering in as the reference.

MNZ Permit No: T19015

Entry fees
Mini $50

Junior $70

Women $70

Double Class Fee $20

Rider 1 Details
Rider 1 *

First Name Last Name
Mobile *
Address *
South Island Rider Incentive

Yes No
E-mail *
Age *
Date of Birth *

Day Month Year
Club Member of: *
eg. Patetonga, Taranaki
Race Number *
MNZ Licence No.
Type "OEL" if you require a $30 One-Event License
Own Transponder Number
If you own one. Deduct $5.50 if own supplied
Motorcycle *
Brand and Model
Mini Classes
Pick One = $50
Ladies Classes
Pick One - $70
Junior Support Classes - Mixed Gender
Pick One - $70
Second Class (if applicable)
Pick One - Add $20
Sponsors

To be printed in programme. Not applicable to late entry 0/120
Do you require free camping? *

Yes No
If yes, 1 or 2 nights?

1 2

Rider 2 Details - if Applicable
Rider 2

First Name Last Name
Age
Date of Birth

Day Month Year
Race Number
MNZ Licence No.
Type "OEL" if you require a $30 One-Event License
Own Transponder Number
If you own one. Deduct $5.50 if own supplied
Motorcycle
Brand and Model
Class
Pick One - $50 Mini or $70 Junior/Senior
Second Class (if applicable)
Pick One - Add $20
Sponsors

To be printed in programme. Not applicable to late entry 0/120

Rider 3 Details - if Applicable
Rider 3

First Name Last Name
Age
Date of Birth

Day Month Year
Race Number
MNZ Licence No.
Type "OEL" if you require a $30 One-Event License
Own Transponder Number
If you own one. Deduct $5.50 if own supplied
Motorcycle
Brand and Model
Class
Pick One - $50 Mini or $70 Junior/Senior
Second Class (if applicable)
Pick One - Add $20
Sponsors

To be printed in programme. Not applicable to late entry 0/120
Transponders are compulsory. Tear offs are allowed.

MNZ licences are compulsory. If you do not have your own you will need to purchase a $30 one-event licence and fill out the appropriate paperwork on the day. Championship classes available to championship licence holders only.

SIGN ON: Saturday 7am – 8am

RIDERS BRIEFING: 8.30am

DISCLAIMER OF LIABILITY
DISCLAIMER OF LIABILITY: Rotorua 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.

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 2020 KawiGirls Kings & Queens Event despite the above risks.

4. Neither I, nor 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 Rotorua 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.

EVENT INFO
LAPSCORING: Electronic lap-scoring will be supplied by Aristocrat Services using transponders.

ACCEPTANCE AND CONFIRMATION: Entries will not be processed unless entry form is filled out correctly and payment has been received. Confirmed entry list will be available on www.patetongamx.co.nz prior to close off date.

FORCE MAJEURE: For reasons of Force Majeure, should a meeting or part of a meeting be cancelled any entry fee refunds will be made at the sole discretion of the Organizers. The Organizers reserve the right to alter the meeting format as deemed necessary.

BACK & BIKE NUMBERS: Racing numbers are to be worn on the back of body armour or jersey and on bikes as per rule 10.2b.

NOISE TESTING: Noise testing may be performed with a maximum limit of 96Dba, as per MNZ Regulations.

TRACK/PIT RULES: PIT BIKES - Under NO circumstance will pit bikes be permitted at this event. This is private farmland NO DOGS – NO EXCEPTIONS!

GATE ENTRY: No entry fee to spectators

NB: The Organizers reserve the right to alter race durations to ensure meeting remains on schedule.

RANDOM TECHNICAL INSPECTIONS:

As per MNZ Rule 10.1

TROPHY SCALE: 1st to 5th Every class

PRIZEGIVING: To be held at the track following racing

CLOSING DATE: 5 December 2020 $20 LATE FEE NOW APPLIES

TIMING AND RESULTS: Aristocrat Services (live timing if cellphone coverage via speedhive app) & Mylaps

SUBMIT
Notes
I have read and accept MNZ rules and regulations *

Yes I agree
I will deposit fees to: 02-0412-0039198-00 *

Yes I agree
Signature *

Clear

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