regional grass track champs

Don't forget you need to pre-enter this event. As far as the kids are concerned, just treat it like a normal meeting and don't worry about the regional title, it will be similar to usual but with a slightly different format as there will be three events to count towards the champs.

The event is pre-entry only and the closing date is the 28th June 2010

ENTRY FORM FOR TRACK EVENTS & ROLLER MEETINGS
UNDER BC TECHNICAL REGULATIONS
 
 
To the Organiser: (PLEASE USE BLOCK CAPITALS)
 

Please enter me for:
West Riding Track League
incorporating BC Regional Grass Track Champs
Date of meeting:
12th July 2010
Closing Date 28th June 2010
 
The Cricket Oval, Roundhay Park, Off Mansion Lane, Leeds LS8 2HH
 
U16’s : £3, Juniors :  £5 , EL/1/2/3/4 : £7

 

First Name:
     
Title:
     
I enclose entry fee of:
£
     
Surname:
     
DECLARATION-
I declare that I am eligible under British Cycling Technical Regulations to enter this track/roller meeting and that the information on this form is complete and correct.
 
I understand and agree that I participate in this meeting entirely at my own risk, that I must rely on my own ability in dealing with all hazards and that I must ride in a manner which is safe for myself and all others. I agree that no liability whatsoever shall be attached to the promoter, promoting club, meeting sponsor(s), the British Cycling, or any official or member of the British Cycling or member of the promoting club in respect of any injury, loss or damage suffered by me in or by reason of the race, however caused.
Address:
     
Town:
     
County:
     
Postcode:
     
Telephone:
     
Handicapper to complete
No
Mark
Signed:
 
 
 

 

Date of birth:
     
E.Mail Address:
     
Club/Team:
     
Category:
     
BC Licence Number
     
Key Sponsor(s):
                       
Age Category:
     
Listed below are my particular track performances of note in British Cycling / UCI sanctioned events:
 
 
Name of Event:
Date:
Placing:
Distance:
1
     
     
     
     
2
     
     
     
     
3
     
     
     
     
4
     
     
     
     
Last three performances in a track handicap race under British Cycling rules:
Date of Event:
Handicap mark:
Placing in heat:
Placing in final:
Distance:
Winner:
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Below are listed the events I prefer to ride:
 
1
     
3
     
2
     
4
     
Below are listed the events I prefer NOT to ride:
 
1
     
2
     
Notes- The selection of riders for any particular event remains the prerogative of the meeting organiser. The above will be used by him/her for information purposes only and is no guarantee that a rider will gain entry or otherwise to any particular event. Handicaps will be set by referring to the National Handicapper.

 
 
Entry forms are available from BCHQ National Cycling Centre, Stuart Street, Manchester M11 4DQ Tel: 0870 871 2000. Please check price before ordering ã Copyright BCF 2003