DECLARATION I accept the conditions of, and acknowledge the risks arising from, attending or participating in the Motor Sport Activities being provided by CAMS and the Entities. I agree to comply with all policies, rules, regulations and directions of CAMS and the Entities in relation to this event. I have read, understood, acknowledge and agree to the above including the exclusion of statutory guarantees, warning, assumption of risk, release and indemnity: Signature Name Date Person Competitor Witness Driver 1 Witness Driver 2 Witness For persons under the age of 18 years the following parent/guardian consent must be completed. PARENT/GUARDIAN CONSENT - PERSONS UNDER 18 YEARS OLD I of [Address] am the parent/guardian* of the above-named ("the minor") who is under 18 years old. I have read this document and understand its contents, including the exclusion of statutory guarantees, warning, assumption of risk, release and indemnity, and have explained the contents to the minor. I consent to the minor attending/participating in* the event at his/her own risk. * Delete whichever does not apply Signed Parent/Guardian* Date Witness Date Name and address of witness FOR RACE MEETINGS - Recent Competition and Scrutiny Audit History MUST BE COMPLETED The Competitor must complete the following table showing the Competition and Scrutiny Audit history of the vehicle described above for the last five Meetings as shown in the vehicle Log Book. If at the time of completion of this declaration the vehicle is entered into another Meeting yet to be held, please indicate in the space provided. Authority to Scrutineer Before participating in this race meeting, including practice therefore, cars are to be – examined by Scrutineers, and the following checked: Yes No Yes No Brakes 1 Safety helmet (AS 1698) 10 Steering 2 Drivers apparel 11 Accelerator linkage 3 Fire extinguisher (900gm min) 12 Seat belts Condition Comply Aust. – 4 13 Fluid leaks oil, water, brake fluid Standards (AS 2596, E35) Suspension 5 Bonnet strap (non extensible) 14 Wheels and tyres 6 Tail shaft strap 15 Fuel lines 7 Blue triangle 16 Battery 8 Brake lights 17 Video camera 9 Clear Headlight Covers 18 Specify any faults or relevant information PASSED NOT PASSED Signature of Scrutineer Date Audit Scrutiny? Yes / No Yes / No Yes / No Yes / No Yes / No Meeting entered but not yet held
DECLARATION I accept the conditions of, and acknowledge the risks arising from, attending or participating in the Motor Sport Activities being provided by CAMS and the Entities. I agree to comply with all policies, rules, regulations and directions of CAMS and the Entities in relation to this event. I have read, understood, acknowledge and agree to the above including the exclusion of statutory guarantees, warning, assumption of risk, release and indemnity: Person Signature Name Date Competitor Witness Driver 1 Witness Driver 2 Witness For persons under the age of 18 years the following parent/guardian consent must be completed. PARENT/GUARDIAN CONSENT - PERSONS UNDER 18 YEARS OLD I of [Address] am the parent/guardian* of the above-named ("the minor") who is under 18 years old. I have read this document and understand its contents, including the exclusion of statutory guarantees, warning, assumption of risk, release and indemnity, and have explained the contents to the minor. I consent to the minor attending/participating in* the event at his/her own risk. * Delete whichever does not apply Signed Parent/Guardian* Date Witness Date Name and address of witness FOR RACE MEETINGS - Recent Competition and Scrutiny Audit History MUST BE COMPLETED The Competitor must complete the following table showing the Competition and Scrutiny Audit history of the vehicle described above for the last five Meetings as shown in the vehicle Log Book. If at the time of completion of this declaration the vehicle is entered into another Meeting yet to be held, please indicate in the space provided. Authority to Scrutineer – Before participating in this race meeting, including practice therefore, cars are to be examined by Scrutineers, and the following checked: Yes No Yes No 1 Safety helmet (AS 1698) 10 Brakes 2 Drivers apparel 11 Steering 3 Fire extinguisher (900gm min) 12 Accelerator linkage 4 Seat belts – Condition Comply Aust. Standards (AS 2596, E35) 13 Fluid leaks oil, water, brake fluid 5 Bonnet strap (non extensible) 14 Suspension 6 Tail shaft strap 15 Wheels and tyres 7 Blue triangle 16 Fuel lines 8 Brake lights 17 Battery 9 Clear Headlight Covers 18 Video camera Specify any faults or relevant information Signature of Scrutineer PASSED NOT PASSED Date Audit Scrutiny? Yes / No Yes / No Yes / No Yes / No Yes / No Meeting entered but not yet held
mg_tss_entry_form_2018.docx