MIGHTY MINI CLUB

Mighty Mini Member’s Day Autocross at Katana

ON SUNDAY 13th August 2017

ENTRY FEE - RS. 2,500/- PER ENTRY

Please make sure all details are filled in the entry Form below:

PART 1: PARTICULARS OF DRIVER:

NAME IN FULL (සම්පූර්ණ නම) :…………………………………………………………….

POSTAL ADDRESS (ලිපිනය) :..…………………………………………………......

………………………………………………………………………………………………….

TELEPHONE (දුරකතන) # LAND LINE ……………..MOBILE ……………. EMAIL………………...

MEMBERSHIP # ……. DRIVING LICENCE #...... BLOOD GROUP (රුධිර කාණ්ඩය) ……..

DATE OF BIRTH (උපන් දිනය) DD/MM/YY

PRIOR PARTICIPATION IN ANY RACING MEET (YES / NO)

PLEASE GIVE DETAILS CURRENT / REGULAR / NON ACTIVE / AMATEUR

PART 2: DETAILS OF MOTOR CAR:

MAKE ……...... MODEL ……….……. CUBIC CAPACITY …..….…………..cc

YEAR OF MANUFACTURE ……………….. REGISTRATION # …………………….

MODIFIED ………OR STANDARD ……….

NOTE:

v  A Competitor may enter a maximum of 2 vehicles for this event.

v  Helmets & Seat Belts are compulsory.

v  MINI MOKES that are entered for this event, will be required to have a 4-point ROLL CAGE made of steel with a minimum outer diameter 1.25 inches,Installed on the Vehicle with the Horizontal bar at least 6 inches above the driver’s head.

v  Lead acid BATTERIES fitted near the Driver’s Seat or inside the driver/passenger compartment is prohibited, unless it is covered with a solid steel casing.

v  Competitors must report to the Paddock Marshal by 7.45a.m.on 13th August 2017

v  This event is being conducted together with the MRA in accordance with the Rules and Regulation of SLAS.

Al events will be individually timed events.

CLASSES:

1.  STANDARD MINI/ MOKE 850 CC

2.  STANDARD MINI/ MOKE 1000 CC

3.  STANDARD MINI/ MOKE 1275 CC

4.  MINI/MOKE – 1000 CC MODIFIED

5.  MINI/MOKE – 1275 CC MODIFIED

6.  SLE MINI 1275

7.  SLA MINI 7

8.  SL – A MINI 1050 CC

9.  AUTOMATIC UPTO 1275 CC

10.  LADIES STANDARD MINI/ MOKE UP TO 1275 CC

11.  BMW Mini Cooper Open Event

The above events will be run depending on the number of entries received and at the discretion of the committee.

INDEMNIFICATION:

It is a condition in entering a vehicle for this meet and of driving in it or attending on any vehicle so entered that the person so entering it and the persons so driving it or attending on it do agree that the Mighty Mini Club, Servant or sponsor thereof shall not be, in any circumstances whatever be liable for any damage done to or done by the said vehicle or for any personal injury or loss of whatever kind sustained by the driver or by the mechanic or other person riding in or attending on the said vehicle whether caused during any race or during any practice run or while the said vehicle is on any road forming part of the race course or any approach thereto or on land adjacent thereto, by whatever means such damage, injury or loss may be caused and even though the same may be caused by the willful act, neglect or default of any official, agent or servant of the said Association/Organizers, persons or concerns.

It is also a further condition that no driver or other person as aforesaid shall participate in the meet without having first satisfied himself as to the safety and suitability in all respects of the course and that the said person or firm so entering a vehicle agrees to indemnify the said Mighty Mini Club association/organizers, persons or concerns and their officials, agents, servants, or sponsors against liability for damage, injury or loss so done or sustained as aforesaid by the driver or other such person or persons as aforesaid.

I undertake to adhere and be bound by all the rules and regulations and instructions governing the meet, which rules regulations and instructions, I have read and understood.

I declare that having agreed to the conditions of the meet and the course to be covered the driver is competent in all respects and the vehicle entered is suitable and safe at the speed of which it is capable on the course.

I also declare that should I at the time of this event be suffering from any disability of any kind whether permanent or temporary which is likely to detrimentally affect the control of my Automobile or my fitness to drive in this event, ,. I will not participate in the event.

I also undertake to adhere to the decision of the General Committee of the Mighty Mini Club which has the right to accept or reject any entry and whose decision is final and binding without any reason whatsoever.

I hereby further affirm and declare that I will not take any legal action against the Mighty Mini Club, its officials (the Committee), the officials of the meet in particular and also the officials of the Sri Lanka Automobile Sports (the Governing Body of Motor Sports in Sri Lanka) for any/all action/s taken by the Club against me and/or the Competitor, who has signed this indemnity.

NAME OF DRIVER ………………………………………………… DATE ……………

SIGNATURE OF DRIVER …………………………….

ENTRIES CLOSE AT 5.00 P.M. ON THE 1st August 2017

AT THE OFFICES OF

·  DAVID TODD. 13 WIJAYAMANGALARAMA ROAD, KOHUWALA 0714302659

·  NIMAL GUNARATNE. 1/B/3 DAHAM MAWATHA, MAHARAGAMA 2843662 or 0777916618

·  COSMIC AUTO SPARES, Panchikawatte

·  Ajith Keerthi, Autobacs Katana, 0777222004

·  TGN Gamini, Negombo 0773839000

·  SAMAN MOTORS. Pamunuwa Rd., Maharagama