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SCUNTHORPE

AUTOGRASS CLUB (SC)

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         BLYTON RACEWAY, NEAR GAINSBOROUGH, DN21 3PE

SCUNTHORPE

PRE-RACE REGISTRATION

Please follow the process below to complete pre-race registration for Scunthorpe.

If you have any club queries please contact Tracy Patterson at tracypatterson66@outlook.com or call 07761058089

> STEP ONE

First of all please read the covid-19 guidance.

COVID-19 GUIDANCE

This area will be populated with the latest COVID 19 advice

DOWNLOAD AND PRINT: Please keep this sheet for information

Click on the icon to print

> STEP TWO

Please fill in this form carefully and complete all sections. If you are unsure about any section please contact your club secretary for advice. 

NATIONAL AUTOGRASS SPORT ASSOCIATION LTD.

PRE-RACE REGISTRATION

(SCUNTHORPE)

Please fill in this form carefully and complete all sections

PERSONAL DETAILS

Vehicle Registration Number to be used on the day:

Number of vehicle occupants: 2 ( Max 3 Adults )

COVID-19 Guidelines information

I have read, understood and agree to abide by the rules covering Autograss Racing as issued by the National Autograss Sport Association Ltd. (NASA) I further agree to save harmless and keep indemnified the Club, N.A.S.A. and the respective officials, members, landowners, servants, representatives and agents and / or drivers and mechanics from all actions, claims, costs, expenses, and demands in respect of loss, death or injury to myself, howsoever caused, notwithstanding that the same may have contributed to, or occasioned by, the negligence of several persons or bodies otherwise than in connection with the business or activities of the Club or NASA Ltd., and further to keep indemnified the said parties in respect of death, injury, or loss sustained by any third party as a result of the member negligence and / or breach of contract, save in so far as in either event the said liability is covered by a policy of insurance. I further realise that I shall take part in the sport of Autograss Racing entirely at my own risk.

 

Please tick the box if you have any of the conditions described on the General Instruction Sheet for applying for a NASALicence and submit a doctors letter with this application

Please sign to agree to share this information with National Autograss .

Your Signature

Thanks for submitting!

PLEASE NOTE : By submitting this form you are digitally signing that you have read and agree to the above notice. A COPY OF THIS FORM WILL BE EMAILED TO YOU

> STEP THREE

To complete you application you must now make a payment using the secure method below. Ensure you select the correct licence option.