1. health and fitness
2. disease

TELFORD CLASSIC ENDURO 3rd May 2015
JURISDICTION:
An off-road competition for solo motorcycles being held under the National Sporting Code and the safety of ORPA.
ELIGIBILITY: All riders must be aged 16 years or over & hold a valid ORPA license
VENUE:
Day licence available
(under 18 require parental consent)
Buildwas, near Telford TF8 7BU
COURSE: Acres of varied terrain, from woodland and undulating moonscape type surface to fast open tracks and hill climbs.
A hard standing paddock area, with very easy (tarmac) access to the main road.
CLASSES:
RIDER ABILITY:
EVO 1986-1990
EXPERT
A
1981-1985
CLUBMAN
B
1975-1980
SPORTSMAN
C
Pre 1975
NOVICE/BEGINNER
RULES:
(This class is for the rider with very little or no off-road experience at all )
This event will be held under the Off Road Promoters Association (ORPA) Competition code for Hare and Hound events.
SCRUTINEERING: On Sunday between 8am and 10am. All machines must be fitted with a suitable silencer, Any machines deemed to be in
an unfit state of repair will not be allowed to start.
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TYRES:
Motocross or Enduro tyres are recommended but you can use Trials tyres if you wish.
FORMAT: The race is a 2 hour Hare & Hounds type event starting at 11am with a one hour break in between.
START: Riders will set off in 2 or 3 groups, depending on entries, at one minute intervals. You will ride for one hour then come in for a rest.
Approximately one hour later you will go out for the second half and ride for another hour.
LITTER: Please use bags and bins provided or better still, take it home. This is our first event at this location and we need to keep the
landowner happy so we can come back again .
ACCOMMODATION: FREE Camping is available at the start (bring your own water etc.) Clean Flushing toilets are fixed on site
There are any number of good B&Bʼs, Hotels, proper camp sites, within a sensible radius, please look up via the local Tourist Board.
Entry Fees: Entry form and Day License form to be filled in and retuned to the address on the form together with the correct fee and an SAE.
An ORPA license is needed to take part in the event, if you hold an ORPA licence please fill in the details on the entry form
YOU MUST BRING ORPA LICENCE TO THE EVENT TO SHOW AT SIGNING ON..IF YOU FORGET YOU WILL NEED TO BUY A DAY LICENCE
The number of riders that we can accommodate on the course at any one time is limited,
so please get your entry in early to avoid disappointment.
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Rider’s Name: _________________________________________________________Date of birth____/____/____
Address: _____________________________________________________________ Post Code: ___________
Email_________________________________________________________________( please print neatly and legible)
Telephone No:___________________________________
Mobile No:________________________
Machine: __________________
Year: _______________
CC:_________
please circle class & ability
CLASS:
EVO 1986-1990
A 1981-1985
B 1975-1980
ABILITY:
EXPERT
CLUBMAN
SPORTSMAN
ORPA Licence No:___________________________________
OR
C Pre 1975
NOVICE/BEGINNER
Day Licence Required ______________
Entry Fee
£ 39.00
Day licence (if reqd)
£ 3.00
Total Enclosed
£
.
All cheques made payable to Graham Waywell and send with SAE to:-
Mr G Waywell (CEE) , 14 Causeway, Gt Harwood,
Lancs. BB6 7HU
APPLICATION FOR ONE DAY ADULT COMPETITION LICENCE
FULL NAME: …………………………………………......................................................
ADDRESS……………………………………………………………………………………………………
DATE OF BIRTH: …………/………………/…………….
MALE
/
POST CODE ……………………
FEMALE* delete as appropriate
I wish to purchase a one event adult competition license for the following event:
Telford Classic Enduro, 3rd May 2015 Organising Club: Classic Enduro Events
Venue: Buildwas, Telford TF8 7BU
Medical Declaration
1. Have you been rejected, or accepted at increased premiums for life insurance on medical grounds?
YES/NO*
2. Have you been treated for, do you now have, or have you ever had any of the following:
(a) Head injury?
(b) Unconsciousness or concussion (within the last 28 days)?
(c) High blood pressure/heart disease or disorder?
(d) Dizziness, fainting spells, epilepsy, fits or blackouts?
(e) Disease, injury or operation to either eye?
(f) Do you have any vision defect or loss of sight in either eye?
(g) Do you have any condition which affects movement of arms or legs?
(h) Do you have any false or missing limbs?
YES/NO*
YES/NO*
YES/NO*
YES/NO*
YES/NO*
YES/NO*
YES/NO*
YES/NO*
3. * If you have answered YES to any of the above, please give further details:
…………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………
I certify that the above statements are true and accurate and I understand my license may be invalid/withdrawn should any prove to be so. I also
authorise any hospital or medical practitioner to furnish information relative to my medical condition to ORPA.
Signature: ……………………………………………. Date: ……………………………………..
Signature of Parent/Guardian: …………………………..…………(if under 18 years of age)
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INDEMNIFICATIONS
In consideration for being permitted to participate in this event I declare:
1.
That I have read the rules and regulations for the Off Road Promoters Association, the rules and regulations for the club/promoter of this event, the
supplementary regulations and entry form (when applicable) and I agree to be bound by them in every respect.
2.
That I am fit and not suffering from any physical or mental disability which would impair my safe participation in the meeting and I undertake to 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 continue to participate
in this competition, and have completed a licence medical questionnaire to that effect.
3.
That as a participant I may be exposed to the risk inherent in motor sport and that I am prepared to take such risks.
4.
I further agree that I shall not seek to claim against ORPA, the organisers nor their officials, the land owners, the promoter or other bodies or individuals
connected with the event in respect of any damage to my property howsoever caused, and whether by the negligence or breach of statutory duty of the said bodies or
persons.
Please enter me for the following event:
Rider’s Signature: ………………………………
Telford Classic Enduro 3rd May 2015
Date: ………………………….…….
Parent/Guardian’s Signature (if under 18): …………………………………..………
CHECKLIST before posting..........
Day License form completed
Medical Questionnaire completed
Entry form completed
Cheque and SAE included