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Belchford Downhill Challenge 2012 www.belchford.org.uk

Entry form

Entry form to copy

 

BELCHFORD DOWNHILL CHALLENGE 2005

ENTRY FORM

The entry fee is 18.00 for each team Please enclose your entry fee with this form, suitably completed. Please make cheques payable to ‘Fulletby and Belchford Initiative’ and forward the completed form and payment to Richard Black.  The Plot, Furlongs Lane, Belchford, Horncastle, LN9 6LD.  The closing date for entries is 20 August 2005


DISCLAIMER

By signing this entry form I/we confirm that I/we have read and will comply with the rules of the competition.  I/we also acknowledge that there is a risk of injury and/or damage involved in the event and in my/our capacity as team captain, driver or parent/guardian of driver I/we confirm that I/we understand that the organisers accept no liability for any injuries and/or damage to property arising during the event and that competitors are solely responsible for ensuring that the vehicle entered is safe.


 


Team Name                                                                  Novelty entry (Please indicate)  Yes/No


Team Captain                                                               Contact Tel.


E-mail


Address


                                                                            Post code

 



1st  Driver


If under 18, Parent or Guardian

 



Signature(s)

 



2nd Driver


If under 18, Parent or Guardian

 



Signature(s)


 



3rd Driver


If under 18, Parent or Guardian


Signature(s)

Home | 2005 Photos 2 | 2005 photos 1 | photos of the 2004 event

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