Marshals sign on

    2021 - OFFICIALS & ASSISTANTS SIGNING-ON

    ACU House, Wood Street, Rugby, Warwickshire CV21 2YX
    Tel: 01788 566400 Fax: 01788 573585 E-mail: admin@acu.org.uk

    Event: BHR Championship Rounds 1 and 2 Organisers: British Historic Racing
    Venue: Darley Moor Date of event: Sat 15th and Sun 16th May 2021
    Permit No: ACU60471 Course Lic/Cert No. (where applicable): 013
    Declaration
    I declare that: -

    • I agree to act as an official of this meeting in whatever capacity is requested of me by the organisers and I will inform the organisers immediately should I be asked to officiate in a position which I do not feel confident to fulfil for any reason.
    • I will inform the organisers immediately should any change in my condition occur which I have reason to or ought to have reason to believe would affect my ability to carry out my duties.
    • In so far as my duties require it, I have familiarised myself with the course / track / circuit and the facilities thereof and declare my acceptance for the purpose of my duties.
    • I have read and understood The Auto Cycle Union Ltd Data Protection Policy and I consent to the collection and retention of my personal information by the ACU.
    • In so far as my duties require it, I have had the opportunity to read and understand the National Sporting Code of the ACU, the Standing Regulations and such Supplementary Regulations as have or may be issued for the event, and agree to be bound by them.
    • I shall not seek to claim against the ACU (other than covered under the Personal Accident Policy), the organisers nor their officials, the landowners, the promoter or other bodies or individuals connected with the event in respect of any damage to my property howsoever caused, whether by the negligence or breach of statutory duty of the said bodies or persons.
    Covid-19
    • 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.
    * (Required fields)
    Name *
    Address (including post code) *
    Mobile phone number with you on the day *
    Email address *
    Next of kin - Name *
    Next of kin - Phone number *
    Acknowledgement of the risks of motorsport
    I hereby acknowledge that as an official I may be exposed to the risks inherent in motorsport and I will undertake my duties with due and proper regard for my own safety. I have read the above and acknowledge that my participation in motorsport is entirely at my own risk.
    I have read, understood and agree with the ACU Declaration and Acknowledgements as dictated above * : Date acknowledged * :
    Are you signing on for Darley Moor on Saturday 15th May 2021? * :
    Preferred post on circuit? :
    Are you signing on for Darley Moor on Sunday 16th May 2021? * :
    Preferred post on circuit? :