IRONBARK RACWAY -EASTER 2011
23rd & 24 April 2011
Saturday Time : Gates - 12.00midday, Test & Tune: 3.00pm till 7.00pm
Sunday Qualifying: 8.00am (5hr’s min 3 runs)till 1.00pm Racing from 1.30pm
RACE CLASSES
Pre 1980 Bike------PB
JUNIOR DRAGSTER------JD
ALL BIKES ------B
STREET 7.00(1/8TH MILE) OR SLOWER------ST
SUPER SEDAN 6.99 (1/8TH MILE) QUICKER------SS
MODIFIED------M
NAME OF DRIVER/ RIDER
FIRST NAME______SURNAME ______
ADDRESS ______
SUBURB/TOWN______POST CODE______PHONE NO.______
VEHICLE YEAR______MAKE______MODEL______
ENGINE CYLINDERS ______MAKE______CAPACITY______
E-MAIL ADDRESS______Please tick this box if you do not want to receive regular email updates
SPONSORS______
EXCLUSION OF LIABILITY, RELEASE AND ASSUMPTION OF RISK – ENTRANTS/DRIVERS/RIDERS
I/We being the entrant/s and/or driver and/or rider, certify that the particulars on the Entry Form are true and correct in every particular, to the best of my/our knowledge and belief.1/We declare that I/We have read and understood the Supplementary Regulations issued for the event, and agree to be bound by them and theprovisions of the Competition Rules of the Australian National Drag Racing Association Inc. (ANDRA).In Exchange for being able to enter, attend or participate in the event I/WE agree:. to release ANDRA,SWDRA, promoters, sponsors organisations, land owners and lessees, organisers of the event, their respective servants, officials ,representatives and agents (collectively, the “Associated Entities”) from all liability for my death, personal injury (including burns), psychological trauma, loss or damage (including property damage) (“harm”) howsoever arising from my participation in or attendance at the event, except to the extent prohibited by law; that ANDRA and the Associated Entities do not make any warranty, implied and express, that the event services will be provided with due care and skill or that any materials provided in connection with the services will be fit for the purpose for which they are supplied; and to attend or participate in the event at my/our own risk. I/We acknowledge that: the risks associated with attending or participating in the event include the risk that I may suffer harm as a result of motor vehicles (or parts of them) colliding with other motor vehicles, persons or property; acts of violence and other harmful acts (whether intentional or inadvertent) committed by persons attending or participating in the event; and the failure or unsuitability of facilities (including grand-stands, fences and guard rails) to ensure the safety of persons or property at the event. Motor sport is dangerous and that accidents causing harm can and do happen and may happen to me/us. I/We accept the conditions of, and acknowledge the risks arising from, attending or participating in the event and being provided with the eventservices by ANDRA and the Associated Entities.
NAME OF DRIVER/RIDER______SIGNATURE______/___/_____
NAME OF ENTRANT ______SIGNATURE______/___/_____
Where the Driver/Rider is under the age of 18 years the following Parent/Guardian Consent must be completed:
PARENT/GUARDIAN CONSENT – PERSONS UNDER 18 YEARS OLD
I ______(please print) 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 liability and assumption of risk, and have explained the contents to the minor. I consent to the minor attending/participation in the event at his/her own risk.
Parent/Guardian signature ______Date _____/_____/_____ *delete whichever does not apply
ENTRY FEE Saturday & Sunday$80.00: Admits driver only $______
EXTRA PASSES @ $15.00 (CHILDREN 13 & UNDER FREE) $______
ANDRA LICENSE $10.00 ( IF NOT AN ANDRA DRAG LICENSE HOLDER ) $ ______
TOTAL $ ______
PAYMENT OPTIONS PLEASE TICK
CHEQUES MUST BE PAYABLE TO SWDRA, Box 1034, Roma, QLD, 4455
DIRECT DEPOSIT BANK DETAILS
CBA BSB : 064428 A/C NUMBER :10067774
PLEASE FAX COMPLETED FORMS TO (07) 4622 7314 / (07) 4622 1363
Competitor Declaration
NOTE: Qualifying or Racing format may be altered or varied at any time by race organisers.
Electronics permitted
Vehicle and Safety Requirements
Purpose built race vehicles and cars quicker than 10.99(1/4 mile) 6.99 seconds 1/8th mile must comply with the relevant ANDRA Class and Safetyregulations pertaining to the vehicle. All entrants must be fully licenced for the vehicle and vehicles must have a currenttechnical Inspection.
Other entrant requirements:
Licence. Divisional ANDRA Day Licence will be issued to those who do not need to hold a permanent
ANDRA Drag Race Licence. You must have had or hold a current civil drivers licence.
Protective Clothing. Helmets. All vehicles SLOWER than 10.99 seconds (1/4 mile) 7 seconds 1/8th mile helmet to AS/NZS 1698:2006 OR AS/NZS 1698 certified by SAI Global ( ‘5-ticks’ )
Long sleeved upper garment.
Long pants.
Covered shoes.
Bike Riders – leather jacket & gloves
Your Vehicle. Ensure all fluids can be contained within the vehicle.
Tail shaft loops required for cars running QUICKER than 12.99 seconds (1/4 mile) 8.3 seconds 1/8th mile.
Minimum 3 point lap sash for cars SLOWER than 11.99 seconds (1/4 mile) 7.7 seconds 1/8th mile.
Minimum 4 point harness for cars QUICKER than 11.99 (1/4 mile)7.7 seconds 1/8th mile.
Roll bars are required for open cars 11.00-12.99 (1/4 mile)7 seconds 1/8th mile. Open cars quicker than 11.00(1/4 mile)7 seconds 1/8th mile musthave full roll cage relevant to ANDRA specifications.
Competitor Declaration
I ______(please print)
Of ______
______
hereby state that:
I or my agent have inspected the vehicle against all items and confirm that the entered vehicle complies with all relevant minimum Safety and Class Eligibility requirements as detailed in the ANDRA Rulebook. The vehicle will be made available for Compliance Audits as requested by the appointed Officials.