ISLE OF MAN STEAM PACKET COMPANY

Southern 100 Road Races Online Entry

Steam Packet Southern 100 Road Races

Colas Billown Circuit, Castletown, Isle of Man. A National Competition
On Monday 10th to Thursday 13th July 2023

Held under the National Sporting Code (4th Edition) and the 2023 Standing Regulations of the Auto-Cycle Union. Together with the Supplementary Regulations of Southern 100 Motorcycle Racing Ltd. and Final Instructions to be issued.

PCL 028 ACU Permit No ACU 200718

Step 1 of 6 - Rider/Passenger Deatils

Hidden

Date

Southern 100

Are you entering Solo or Sidecar?

Rider

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 Town County Post Code Country

Telephone Number

Mobile Number(Required)

Please state Federation(Required)

Please state License number for the Federation Selected?(Required)

Are you a Newcomer to the Billown Circuit?(Required)

Email(Required)

Nationality(Required)

Date of Birth(Required)

Marital Status(Required)

Gender(Required)

Name of Next of Kin(Required)

First Last

Relation to Next of Kin(Required)

Relation to Next of Kin (Other)(Required)

Is the Next of Kin Home Address the same as yours?(Required)

Is the Next of Kin on Island during racing?(Required)

Next of Kin Home Address(Required)

Street Address Address Line 2 City County Post Code Country

Next of Kin Isle of Man Address

Street Address Address Line 2 City County Post Code Country

Next of Kin Telephone Number (Day)(Required)

Next of Kin Telephone Number (Evening)(Required)

Next of Kin Isle of Man Telephone Number(Required)

Isle of Man contact name in case of emergency if N.O.K not on Island(Required)

First Last

Isle of Man contact number in case of emergency if N.O.K not on Island(Required)

Passenger

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 Town Post Code Country

Telephone Number

Mobile Number(Required)

Please state Federation(Required)

Please state License number for the Federation Selected?(Required)

Are you a Newcomer to the Billown Circuit?(Required)

Email(Required)

Nationality(Required)

Date of Birth(Required)

Marital Status(Required)

Gender(Required)

Name of Next of Kin(Required)

First Last

Relation to Next of Kin(Required)

Is the Next of Kin Home Address the same as yours?(Required)

Is the Next of Kin on Island during racing?(Required)

Next of Kin Home Address(Required)

Street Address Address Line 2 City County Post Code Country

Next of Kin Isle of Man Address

Street Address Address Line 2 City Post Code Country

Next of Kin Telephone Number (Day)(Required)

Next of Kin Telephone Number (Evening)(Required)

Next of Kin Isle of Man Telephone Number(Required)

Isle of Man contact name in case of emergency if N.O.K not on Island(Required)

First Last

Isle of Man contact number in case of emergency if N.O.K not on Island(Required)

Details of Races Entered

How many different classes do you wish to enter?(Required)

Machine Regulations Declaration(Required)

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

I agree

Competitor Personal Protective Equipment

Click here to view document

I have read the Competitor Personal Protective Equipment document

EACH DIFFERENT MACHINE NEEDS A SEPARATE TRANSPONDER
The Club reserves the right to refuse any entry or forbid the use of any particular machine, which it considers inappropriate. All machines must be prepared to a high standard of cosmetic appearance.

Mutual Responsibility of Entrant and Rider :(As per the A.C.U. N.S.C.)
An Entrant shall be responsible for all acts or omissions on the part of their riders, passengers, mechanics or any member of their entourage, but each of these shall be equally responsible for any infringement of the ACU National Sporting Code.

Race Entry Fees
For ACU/SACU Licence holders the entry fee will include Third Party Insurance and Personal Accident Insurance of the Auto Cycle Union.

For 1st Solo Race Entered - £190 (ACU/SACU), £90 (MCUI/FMN)

For each other Solo Race, multiples of - £60 (ACU/SACU), £40 (MCUI/FMN).

For Two Sidecar Races - £330 (ACU/SACU), £150 (MCUI/FMN)

The Entry Fee for the 1st Race for Solos is £190-00 and a further £60 for each additional race entered – e.g. An ACU rider enters Singles, Senior and Junior it would be £190 plus £120 for two additional races making £320 in total – The Sidecars will pay £330 Which covers both races.

Sidecar Races

RACE 5 & 12 – Formula Two Sidecar Races – To comply with F11 ACU Regulations but also Including 900cc parallel twins and 675cc Triumphs n.b. 765 machines will not be permitted

Two Sidecar Races

Price:

Two Sidecar Races

Price:

Sidecar Races - Make & Machine(Required)

Sidecar Races - CC(Required)

Sidecar Races - Year(Required)

Sidecar Races - Transponder ID Number

If hiring a Transponder from the club please leave blank

Sidecar - Engine Number

Sidecar Races - Entrant/Sponsor

Sidecar Races - Entrant License Number

Sidecar Races - Entrant Telephone Number

Race 1 & 10 - Singles Race - 250/700cc Twins Race – A Combined Race for 250cc Two Strokes and Moto 3 machines and 700cc Four Stroke Twins

N.b. These count as two races for the entry fee

Do you wish to enter Race 1 & 10 - Singles Race - 250/700cc Twins Race – A Combined Race for 250cc Two Strokes and Moto 3 machines and 700cc Four Stroke Twins(Required)

Race 1 & 10 - Make & Machine(Required)

Race 1 & 10 - CC(Required)

Race 1 & 10 - Year

Race 1 & 10 - Machine Type(Required)

Race 1 & 10 - Transponder ID Number

If hiring a Transponder from the club please leave blank

Race 1 & 10 - Frame Number

Race 1 & 10 - Engine Number

Race 1 & 10 - Entrant/Sponsor

Race 1 & 10 - Entrant License Number

Race 1 & 10 - Entrant Telephone Number

Race 2, 3 & 8 - Senior Race 700cc to 1100cc

N.b. These count as three races for the entry fee

Do you wish to enter Race 2, 3 & 8 - Senior Race 700cc to 1100cc?(Required)

Race 2, 3 & 8 - Make & Machine(Required)

Race 2, 3 & 8 - CC(Required)

Race 2, 3 & 8 - Year(Required)

Race 2, 3 & 8 - Transponder ID Number

If hiring a Transponder from the club please leave blank

Race 2,3 & 8 - Frame Number

Race 2,3 & 8 - Engine Number

Race 2, 3 & 8 - Entrant/Sponsor

Race 2, 3 & 8 - Entrant License Number

Race 2, 3 & 8 - Entrant Telephone Number

Race 4 & 6 - Supersport Races - for Solo Machines of over 450cc but not exceeding 600cc four-cylinder, four stroke, 675cc three cylinder four stoke and 750cc twin cylinder four stroke machines.

N.b. These count as two races for the entry fee

Do you wish to enter Races 4 & 6 - Supersport Races?(Required)

Race 4 & 6 - Make & Machine(Required)

Race 4 & 6 - CC(Required)

Race 4 & 6 - Year(Required)

Race 4 & 6 - Transponder ID Number

If hiring a Transponder from the club please leave blank

Race 4 & 6 - Frame Number

Race 4 & 6 - Engine Number

Race 4 - Entrant/Sponsor

Race 4 - Entrant License Number

Race 4 - Entrant Telephone Number

Other Details

Transponder Hire(Required)

Do you require Club Membership?(Required)

Do you require a Newcomer Jacket?(Required)

First Race

First race cost deduction

Price:

First Race

First race cost deduction

Price:

First race cost deduction

Price:

First race cost deduction

Price:

Total

Declarations

Entry Declaration(Required)

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 on page 2 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 acknowledge the Organisers are operating this event in accordance with Government guidelines, advice and instruction so as to minimise the risk to Competitors, Marshals and Officials and the public from Covid-19.

By participating in this event, I will take all necessary steps to protect myself and others from the risk of infection. I agree to follow and abide by any instructions set down by the Organiser in an effort to minimise the risk of the Covid-19 virus.

I acknowledge and accept the underlying and unavoidable risk of infection from the Covid-19 virus.

I the undersigned apply to enter the event described above and in consideration thereof:

Acknowledgement of the risks of motorsport(Required)

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.

I have read the below and acknowledge that my participation in motorsport is entirely at my own risk. I agree that I am required to register on arrival by “signing on” at the designated place before taking part in any Practice Session or Race.

Vehicle Details

To allow access to the Paddock. Paddock space is very limited. Each competitor will be allocated a 10m x 10m space for 2 machines, and each additional two machines you will be allocated an extra 10m x 10m space. Should you require further space please get in touch with details via email paddock@southern100.com so we can try to accodomate you

Vehicle Registration Number(Required)

Vehicle/Van Make, Model & Colour(Required)

Size of Vehicle to include Awning in Metres - Length(Required)

Size of Vehicle to include Awning in Metres - Width(Required)

Racing Experience

Previous Meeting Results(Required)

Please submit a comprehensive set of results from your last three previous meetings, showing the full finishing order of the races entered. This will help the Race Sub Committee consider your entry.

Drop files here or

Max. file size: 3 MB, Max. files: 8.

Previous Billown Circuit Experience(Required)

Please provide details of any previous experience of the Billown Circuit, including your Fastest Lap time and Machine it was achieved on

Racing Experience & Recent Successes(Required)

Date

Circuit

Status - Club/Nat/Int.

Position

Bank Details

Due to the significant increase in bank charges, we are no longer paying out cheques to the winners instead your money will be forwarded directly into your bank account. Please ensure the details are correct

Account Number

Sort Code

Account Name

Preferred Racing Number

f you have a preferred racing number below 100 please enter it in the box below. Please note we will endeavour to help; however, we cannot guarantee that you will receive the number requested. Please Note you will be the same number for each machine

First Choice Number(Required)

Second Choice Number(Required)

General Data Protection Regulations (GDPR) Consent Form Rider/Driver

Should you require any further information, queries or complaints please contact our GDPR Data Officer Mrs. Rachel Palmer on email address: secretary@southern100.com

Rider/Driver Full Name(Required)

First Last

How the Southern 100 Motorcycle Racing Limited use your information
The Southern 100 Motorcycle Racing Ltd, will process your confidential information – which includes your Names, Address, all contact details, Date of Birth, relevant medical history, Licence No. Next of Kin details and Media Consent only for the purposes listed below. The data is stored securely, no longer than necessary and solely for the completion of those business activities.
I confirm that I agree to the Southern 100 Motorcycle Racing Ltd using my data in the following way.

For administration including press releases in connection to Southern 100 Motorcycle Racing Ltd(Required)

I agree

Supply personal information to Medical Personnel and clubs Welfare Officer if required(Required)

I agree

To add you to the mailing list for events held on the Billown Circuit(Required)

I agree

Use of photographs of you for our website, social media platforms and publicity for the club(Required)

I agree

To ensure the confidentiality of data and compliance with the General Data Protection Regulation any third parties contracted by the Southern 100 Motorcycle Racing Ltd., are under a strict data protection agreement The Southern 100 Motorcycle Racing Ltd will not publish or share your confidential data with any other third parties than herein mentioned.

General Data Protection Regulations (GDPR) Consent Form Passenger

Passenger Full Name(Required)

First Last

For administration including press releases in connection to Southern 100 Motorcycle Racing Ltd(Required)

I agree

Supply personal information to Medical Personnel and clubs Welfare Officer if required(Required)

I agree

To add you to the mailing list for events held on the Billown Circuit(Required)

I agree

Use of photographs of you for our website, social media platforms and publicity for the club(Required)

I agree

Total

How do you wish to pay?(Required)

Payment Method

Coupon

Total

ISLE OF MAN STEAM PACKET COMPANY

Southern 100 Road Races Online Entry

Steam Packet Southern 100 Road Races

Southern 100

Rider

Passenger

Details of Races Entered

Sidecar Races

Race 1 & 10 - Singles Race - 250/700cc Twins Race – A Combined Race for 250cc Two Strokes and Moto 3 machines and 700cc Four Stroke Twins

Race 2, 3 & 8 - Senior Race 700cc to 1100cc

Race 4 & 6 - Supersport Races - for Solo Machines of over 450cc but not exceeding 600cc four-cylinder, four stroke, 675cc three cylinder four stoke and 750cc twin cylinder four stroke machines.

Other Details

Declarations

Vehicle Details

Racing Experience

Preferred Racing Number

General Data Protection Regulations (GDPR) Consent Form Rider/Driver

General Data Protection Regulations (GDPR) Consent Form Passenger

Total

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