Must Be Print on Both Sides of One Piece of Paper

Motorsport Championship Series 9 Entry Form (MX5WOS8) Page 2 of 2

Whole Series Entry Form

Must be print on both sides of one piece of paper.

You are invited to seek legal advice before signing this document.

MX-5 Club of Western Australian Inc. Motorsport Championship Series 8 comprising of:

Event 1. Date of Event: 18.02.2018 Venue: Barbagallo Night Autotest

Event 2. Date of Event: 25.02.2018 Venue: Jack’s Hill Climb

Round 1. Date of Event: 25.03.2018 Venue: Midvale Speed Dome

Round 2. Date of Event: 29.04.2018 Venue: Motorplex Sprint

Round 3. Date of Event: 12.05.2018 Venue: Barbagallo Night Sprint

Round 4. Date of Event: 10.06.2018 Venue: Jack’s Hillclimb

Round 5. Date of Event: 01.07.2018 Venue: Barbagallo Night Autotest

Round 6. Date of Event: 12.08.2018 Venue: Barbagallo Night Sprint

Round 7. Date of Event: 09.09.2018 Venue: Barbagallo Night Autotest

Round 8. Date of Event: 21.10.2018 Venue: Motorplex Sprint

Round 9. Date of Event: 18.11.2018 Venue: Midvale Speed Dome

Round 10. Date of Event: 16.12.2018 Venue: Jack’s Hill Climb

With championship points being awarded to championship competitors driving a licenced roadworthy MX-5 in one of the following classes:

Class A16 --- Naturally Aspirated 1.6 litre MX-5 without ABS, on street tyres(not Achillies 123's)

Class A18 --- Naturally Aspirated 1.8 litre MX-5 without ABS, on street tyres(not Achillies 123's)

Class B --- Naturally Aspirated MX-5 with ABS, on street tyres(not Achillies 123's)

Class C --- MX-5 up to 2.0 litre,Naturally Aspiratedon tyres up to/including Toyo R888 medium,

OR Forced Inductionup to/including Achilles 123

Class D --- Highly modified MX-5 (Non-OEM major drive line components and/or major weight stripping)

Entrant Name: ______

Full address: ______

Mobile: ______E-mail: ______

Car Make: ______Model: ______Year: ______Colour: ______Registered: Yes/No

Licence Plate:______Class: _____ Engine capacity (cc): ______Induction: Natural / Forced

Tyre Brand: ______Model & Type: ______

Driver 1 name: ______

Full address: ______

Mobile: ______E-mail: ______

Competition licence no.: ______Expiry Date: _____ / ______/ ______

Driver 2 name: ______

Full address: ______

Mobile: ______E-mail: ______

Competition licence no.: ______Expiry Date: _____ / ______/ ______

Please Turn Over

Full Series Induction Events

Event 1. Date of Event: 18.02.2018 Time: 16:00-20:00 Venue: Barbagallo Night Autotest

Event 2. Date of Event: 25.02.2018 Time: 09:00-14:00 Venue: Jack’s Hill Climb

Championship event meetings:

Round 1. Date of Event: 25.03.2018 Time: 09:00-13:00 Venue: Midvale Speed Dome

Round 2. Date of Event: 29.04.2018 Time: 09:00-13:00 Venue: Motorplex Sprint

Round 3. Date of Event: 12.05.2018 Time: 18:30-22:30 Venue: Barbagallo Night Sprint

Round 4. Date of Event: 10.06.2018 Time: 09:00-14:00 Venue: Jack’s Hill Climb

Round 5. Date of Event: 01.07.2018 Time: 18:00-22:00 Venue: Barbagallo Night Autotest

Round 6. Date of Event: 12.08.2018 Time: 18:00-22:00 Venue: Barbagallo Night Sprint

Round 7. Date of Event: 09.09.2018 Time: 18:00-22:00 Venue: Barbagallo Night Autotest

Round 8. Date of Event: 21.10.2018 Time: 09:00-13:00 Venue: Motorplex Sprint

Round 9. Date of Event: 18.11.2018 Time: 09:00-13:00 Venue: Midvale Speed Dome

Round 10. Date of Event: 16.12.2018 Time: 09:00-14:00 Venue: Jack’s Hill Climb

ENTRANTS DISCLAIMER AND DECLARATION

I (We) ______of ______, being the entrant(s) of the vehicle described on this entry form wish to enter this vehicle for the above mentioned meetings. I (We) declare that the information filled in this form is true and correct to the best of my (our) knowledge and belief.

ENTRANTS AND DRIVER DISCLAIMER AND DECLARATION

· I (We) have read and understood the Supplementary Regulations issued for this meeting and agree to be bound by them and by the National Competition Rules of the Australian Auto-Sport Alliance Pty. Ltd. (AASA);

· I (We) acknowledge that motor sport is dangerous and that accidents causing death, bodily injury, disability and property damage, can, and do happen;

· I (We) also acknowledge and agree that neither Australian Auto-Sport Alliance Pty. Ltd., nor sponsor organisations, nor land owners or lessees, nor organisers of the event or their respective servants, officials, representatives or agents (all of whom shall be collectively called “the organisers”), shall be under any liability for my death, or any bodily injury, loss or damage which may be sustained or incurred by me, as a result of participation in or being present at the event, except in regard to any rights I may have arising under the Trade Practices Act 1974.

· I/We accept the conditions of, and acknowledge the risks arising from, attending or participating in the event and being provided with the events services by AASA and the Associated Entities.

Entrants signature: ______Date: ______/ ______/ ______

Driver signature: ______Date: ______/ ______/ ______

Driver 2 signature: ______Date: ______/ ______/ ______