ROYAL MOTOR UNION
                SPA-FRANCORCHAMPS,  BELGIUM.
                3rd 4th 5th   MAY 2003

SPA HISTORIC SPORTS, GT &SALOONS
	Enduro Race... IN TWO PARTS
	For one/two drivers, to include compulsory pit stop.
	
	   ENTRY FORM
	
1st DRIVER:	
ADDRESS:	
	
POST CODE: 	
TEL DAY:                                                  EVENING:                                               FAX:	
LICENCE TYPE:	NUMBER:	CLUB:	
2ND DRIVER:	
ADDRESS:	
	
POST CODE:	
TEL DAY:                                                 EVENING:                                               FAX:	
LICENCE TYPE:	NUMBER:	CLUB:	

CAR MAKE:	MODEL:	CC:	
YEAR:	COLOUR:	FIA PAPERS: YES/NO	
CHAMPIONSHIP:	CLASS:	NUMBER:	
TYRES: MAKE/TYPE:	SIZE:	SLICK:  YES/NO	

RACE IN 2 PARTS, SATURDAY PART 1. @ 600 EURO.    SUNDAY PART 2 @ 300 EURO,
(To qualify for part two you must compete in part one)

PROJECT DE TIMING (Schedule) all timings are approximate

Arrival/Parking in paddock 	  Thursday	08.00 hrs
Scrutineering / signing on              	             15.00 hrs  > 18.30 hrs
Scrutineering / signing on             Friday	09.00 hrs  > 14.30 hrs            					
Enduro Free practice                               	             15.00 hrs  > 15.30 hrs  
Enduro Qualifying 	  	  Saturday         09.00 hrs  > 09.30hrs
Enduro  Race (part 1)		            17.00 hrs > 18.30 hrs (90mins)
Enduro  Race (part 2)  	  Sunday	 09.30 hrs  > 11.00 hrs  (90mins

Please enclose your cheque for £410.00 part one or  £615.00 for both parts, Stirling or 600 / 900 Euros
 
Payable to: Barry Sidery Smith Spa Account.

PLEASE ENCLOSE STAMPED ADDRESS ENVELOPE (SIZE C5... 93/8" x 63/8" OR 229mm x 162mm) for final instructions

TO:    Barry Sidery-Smith  41 Grasmere Way,   Byfleet Village,   West  Byfleet,  SURREY.   KT147BY.

	TEL/FAX: +44 (0)1932-348466 
                         
PERMANENT CHAMPIONSHIP NO.	DATE RECEIVED	ACKNOWLEDGED		FEE PAYED	ALLOCATED RACE No	

				

	

DECLARATION

"I have read the supplementary regulations issued for this event, and agree to be bound by them and by any additional regulations issued by Royal Motor Union  for this event. In consideration of the acceptance of this entry or of my being permitted to take part in this event, I agree to save harmless and to keep indemnified THE RAC MSA Ltd., and Royal Motor Union  any such person, persons, or body as may be authorised by Royal Motor Union  to promote or organise this event and their respective officials, servants, representatives and agents from and against all actions, claims, costs, expenses and demands in respect of death or injury to myself howsoever caused arising out of or in connection with this entry or my taking part in this event, and notwithstanding that the same may have been contributed to or occasioned by the negligence of the said bodies, or their officials, servants, representatives or agents.

Furthermore, in respect of any parts of this event on ground where third party insurance is nor required by law this agreement shall be in addition to the parties named above extended to all and any other competitor/s and their servants or agents and to all actions, claims, costs, m expenses and demands in respect of loss or damage to the person or property of myself my driver/s, passenger/s, mechanic/s or associated personnel.

"I declare that to the best of my belief the driver/s possess/es the standard of competence necessary for an event of this type which this entry relates and that the vehicle entered is suitable and roadworthy for the event having regard to the course and speeds which will be reached. Furthermore that the car detailed overleaf will be the same car as driven in this event"

"I understand that should I at the time of this event be suffering from any disability whether permanent or temporary which is likely to affect prejudicially my normal control of my vehicle, I may not take part"

"I undertake that at the time of the event to which this entry relates I shall be in possession of a current RAC MSA approved medical certificate."

Signature of 1st driver:____________________________________________

Date:___________________Nationality of Driver:_____________________    Date Of Birth:                            

 Please give the name address and telephone number of a relative or friend who may be contacted in the event of an incident. Or who will be in attendance at the circuit.

Name:___________________________________________________________

Address:__________________________________________________________

_______________________________________________________________

_______________________________________________________________

Tel No.:_______________________: Fax No.:____________________________

Signature of 2nd driver:____________________________________________

Date:___________________Nationality of Driver:_____________________  Date Of Birth:                            

Please give the name address and telephone number of a relative or friend who may be contacted in the event of an incident. Or who will be in attendance at the circuit.

Name:___________________________________________________________

Address:__________________________________________________________

_______________________________________________________________

______________________________________________________________

Tel No.:_______________________: Fax No.:____________________________

	PLEASE DON’T FORGET YOUR STAMPED ADDRESSED ENVELOPE