Officials & Marshals Availability

May: 17th & 18th

202491 - Hot Lap Challenge Club
202492 - Hot Lap Challenge Pro
202493 - Circuit Racing
Forename*
Surname*
Motorsport UK ID No*
Email*
Tel*
Preferred duty*
What days will be attending?*

Saturday the 17th May ONLY

Sunday the 18th May ONLY

Both Days
If Other, please tell us your preffered role.*
Guest Ticket
Yes
Do you have any special dietary requirements?
Emergency Contact and Parent/Guardian if offical is under 18
(Required by Emergency Services in case of serious \accident)
Name*
Postcode*
House #:*
Tel*
Declaration
Motorsport UK Officials declaration

1) I agree to act in an official capacity at this Event and in consideration of this the Organising Club(s) have effected for my benefit a Personal Accident Insurance Policy for death or benefits as prescribed more specifically by the ASN.

2) I have been given an opportunity to read the ASN National Competition Rules and if any the Official Documents for this Event and agree to be bound by them.

3) I declare that I am physically fit to carry out my duties and that I do not have any disabilities or mental health conditions including use of any drugs on the WADA Prohibited List or medication that may affect my ability to carry out my duties. I will inform the Organisers immediately should any change in my condition occur which I have reason or ought to have reason to believe would affect my ability to carry out my duties.

4) I acknowledge that I understand the nature and type of Competition and that I may be exposed to the potential risk and dangers inherent in motor sport and I will undertake my duties with their associated risks with due and proper regard for my safety and that of others.

5) Further I understand that all persons having any connection with the promotion and / or organisation and / or conduct of the Event are insured against loss or injury caused through negligence.

6) I hereby agree to abide by all ASN Codes, Guidelines and Policies and where applicable those of FIA

I understand that my personal data is being processed and retained by the Organisers and Motorsport UK solely for the purposes of running this Event and will be handled in accordance with the Motorsport UK Data Protection Policy which can be found at www.motorsportuk.org/data-protection. I understand that I can withdraw consent to process my personal data at any time by contacting the Organisers and/or Motorsport UK but that this may affect my ability to act as an Official.

MEDICAL PRACTITIONERS.

All doctors attending Motorsport UK Events as medical officers must be fully registered with the General Medical Council, must be members of a recognised medical defence organisation and be covered for work outside a hospital. Doctors must be competent in the field in which they are working and must be aware that they are expected to provide themselves with such equipment as they deem necessary for the proper performance of their duties (NCR Chapter 5, Part 1, Appendix 11)
Acceptance*
I confirm I have read the above declartion.

Officials & Marshals Availability

Emergency Contact and Parent/Guardian if offical is under 18

Declaration