Untitled Document

Riders Registration Application

Personal Details

Forename:

Surname:

D.O.B:

Nationality:

Blood Type:

Contact Details:

Address No.

Street:

Town:

County:

Postcode:

Country:

Telephone:

Mobile:

Email:

Licence Details

FMN:

Licence No.:

Fee's / Level

Fee:

A SRA (Speedway Riders Association) fee is also included in the price above. Please select if you require this membership?
If the membership is not required, then £5 will be deducted.

Yes No

Do you need a work permit to work in the United Kingdom?

Yes No

ACU Licence Holders Only

I agree, if nominated, to compete in the British Championship rounds

Yes No

and any subsequent FIM rounds

Yes No

I agree that the granting of this Registration is on the basis that I agree to fulfil all British Speedway commitments, selection for a Test Match or any other BSPA Official Fixture.

Signature:

Date: 22 February 2012

(By entering your name in the signature box above is a legally binding electronic signature.)

Professional Registration Applicants Only

I agree that the granting of this Registration together with the signing of a BSPA contract is on the basis that I agree to fulfil all British Speedway commitments (including re-arranged fixtures on which reasonable notice is given).

The only exceptions are:

FIM Championship Events
Those as per my FMN/BSPA Agreement
When recalled by my Federation (with prior notification) for compulsory International or National Championship duty.

Signature:

Date: 22 February 2012

(By entering your name in the signature box above is a legally binding electronic signature.)

All Applicants

I understand that should I refuse to assist in an SRBF collection when requested to do so may result in my name being removed from the list of benefactors.
I undertake to read and abide by the SCB Speedway Regulations (and any subsequent amendments) and that I am only permitted to ride at SCB Licenced Tracks.

Signature:

Date: 22 February 2012

Parents Signature if applicant is under 18 years of age:

Signature:

Date: 22 February 2012

(By entering your name in the signature box above is a legally binding electronic signature.)

Registration Help

D.O.B

Please enter your Date of Birth

Nationality

Please enter your nationality.
( e.g. British )

Blood Type

Please enter your blood Type.
( e.g. AB- )

Licence Number

Please enter your federation licence number.

FMN

Please enter your federation Type.

(e.g. ACU, DMU)

Fee Information Help

The fee for ALL applicants includes a fee for insurance, but Professional Registered Riders declared in an Elite or Premier League Team will get a £25 discount.

Professional Rider

Valid for any Meeting at any track.

Development

Valid for National League, Amateur events, Training sessions & 2nd Halves.

Amateur

Valid for Amateur events, Training sessions & 2nd Halves

Youth

For young riders until they reach their 15th birthday.

Special — for a 15 year old riding a 500cc motorcycle
All new applications must be supported by an endorsement from an SCB nominated Training Instructor.
A Youth Registration will include a sub-category of either a Special or a cc rating - 500cc, 250cc, 125cc or 80cc.
A Standard Youth Registration is valid for an age-restricted meeting, a Second Half or Training Session.

*Insurance Cover is purchased by the SCB from Doodson Broking Group and will be valid for the duration of the Registration and provides the following cover for competitors during unlimited practice:
Death, total loss by severance of any limb, total and irrecoverable loss of sight in both eyes or permanent total disablement - £25,000 (£5,000 if under 16).
Medical expenses necessarily incurred - up to £500, (£50 if under 16).
Exclusions that apply are: War, Terrorism, Suicide, Intentional self injury and is not available to persons over 75 years of age.

Already Registered?

	Event Dates
	British Under 21 Final Friday, 24 April, 2009 @ 8.00pm Arena-Essex Raceway, Lakeside British Final Wednesday, 20 May, 2009 @ 7.30pm Wimborne Road, Poole Premier League Pairs Friday, 26 June, 2009 @ 7.30pm Oak Tree Arena, Somerset Premier League Fours Saturday, 25 July, 2009 @ 7.00pm Derwent Park, Workington