I/we hereby apply to enter the race(s) indicated below and declare that the motorcycle I/we enter complies in every detail with the regulations and that the thereof are correct. The appropriate entry fee is enclosed

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I hereby declare that I have had the opportunity to read, and that I understand the National Sporting Code of the ACU, the ACU Standing Regulations, such Supplementary Regulations as have or may be issued for the event, and agree to be bound by them.

I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I confirm that I understand the nature and type of event I am entering and its inherent risks and agree to accept the same notwithstanding that such risks may involve negligence on the part of the Organisers or Officials.

I confirm that I am not currently suspended from ACU permitted competition nor on the ACU Stop List as a result of incurring a Concussion/Suspected Concussion Injury.

I accept that insurance arranged on my behalf by the organisers of events that I may enter specifically excludes liability between the participants. I understand that this form may be used in litigation as evidence that any serious injury will be principally the result of my voluntary decision to engage in a high-risk activity.

I consent to details of any injuries I may suffer at this event being passed between all medical services and the Clerk of the Course.

I consent to the collection and retention of my personal information by the ACU and the Southern 100 Motorcycle Racing Ltd.

I confirm that the machine(s) as described above which I shall participate on shall be suitable and proper for the purpose. I confirm that I am eligible to compete on the machines for which I have entered.

I confirm that if any part of the event takes place on a public highway, the machine(s) described on page 2 shall be insured as required by the Road Traffic Acts, or equivalent legislation, and that they will comply with the regulations in respect thereof.

I accept responsibility for any items borrowed from the Organiser during the event. These items include but are not restricted to (safety clothing, transponders, and accessories). I understand that I am liable for the cost or replacement of any items lost or not returned and non-payment or non-replacement of items borrowed may affect my entry into subsequent events.

I confirm that I have not been refused an ACU Licence, not had an ACU Licence suspended, nor have I been excluded from any ACU Competition.

I have read and understood the Auto Cycle Union Data Protection Policy and consent to the collection and retention of my pers onal information by the ACU

I accept that this entry, if accepted, will form a contract between the Club and myself, which will be governed in all respects in accordance with Isle of Man Law. I/we irrevocably submit to the jurisdiction on the Isle of Man Courts in respect of any legal action or proceedings arising out of the contract or my participation in the meeting.

I understand that by taking part in this event I am exposed to a risk of death, becoming permanently disabled or suffering some other serious injury and I acknowledge that even in the event that negligence on the part of the A CU, any event organiser, any circuit owner, the promoter, the organising Club, the venue owner, or any individual carrying out duties on their behalf were to be a contributory cause of any serious injury I may suffer, the dominant cause of any serious injury will always be my voluntary decision to take part in a high risk activity.