Self Scrutineering Form

ROUND & RIDER INFO

Date Completed *

Select Round *

Rider Name *

First

Last

Class *

Rider Number *

MOTORCYCLE INFO

Motorcyle Make *

Other Brand *

Motorcycle Model *

VIN # *

Must be minimum of 17 digits

Transponder #

Leave blank if hiring at round

ALL ITEMS MUST BE CHECKED

Motorcycle has been checked, and complies with the General Competition Rules (GCRs) *

Protective Equipment has been checked, and complies with the General Competition Rules (GCRs) *

Helmet
Boots
Gloves & Goggles

DECLARATION

I acknowledge that it is my responsibility to present at and throughout the Event with a Motorcycle and protective clothing & equipment that is fit for purpose and; *

I agree

I submit this form confirming that all information provided is true and correct. I understand that my motorcycle may be scrutineered at any time during the round and that having a non-compliant bike may result in penalties or my exclusion from the race and/or round. *

I agree

I/Rider’s parent/guardian confirm that I have read and understood/ the Rider Briefing Notes for this Round *

I agree

SELF SCRUTINEERING FORM

ROUND & RIDER INFO

MOTORCYCLE INFO

ALL ITEMS MUST BE CHECKED

DECLARATION

GET SOCIAL