Junior Roof 2010 SCRUTINEERING FORM
RIDER NAME
COMPETITION NUMBER
ENGINE NUMBER
FRAME NUMBER
NUMBERS
CORRECT COLOUR NUMBER BACKING
SPONSORS DECALS
HELMET STICKER ON LEFT SIDE HELMET
BALL ENDED CLUTCH & BRAKE LEVERS
KILL SWITCH
SPOKES
WHEEL BEARINGS
TYRES & RIMS
EXHAUST / SILENCER SECURE
KICK START
OPERATING BRAKES
SELF CLOSING THROTTLE
MUDGUARDS
NO FUEL LEAKS
FOLDING FOOTPEGS (not for quads)
QUADS AS ABOVE BUT ALSO
NERF BARS
YELLOW LIGHT
DEAD MAN KILL SWITCH
SAFETY
ONE LITRE DRINKING FLUID
SPACE BLANKET
MEDICAL BOARD
PENCIL & PAPER
RIDING KIT
HELMET
GLOVES
LONG SLEEVED JERSEY
UPPER BODY ARMOUR
MOTOCROSS TYPE PANTS
MOTOCROSS TYPE BOOTS
ENVIRONMENTAL & SAFETY
FIRE EXTINGUISHER
ENVIRONMENTAL MAT
EXHAUST NOISE within permissible limits
I AGREE WITH DECLARATION BELOW
MUST SELECT
I AGREE
DECLARATION / UNDERTAKING OF COMPLIANCE IN ACCORDANCE WITH GCR 93 (iii)
I (Rider / Entrant) hereby
give the above detailed undertaking of compliance of my motorcycle/quad with all the
technical specifications for Off Road Motorcycles & Quads, current at the time of entry,
and in addition the safety & environmental requirements, including those that refer to
protective and safety apparell for the riider
DECLARATION / UNDERTAKING OF COMPLIANCE IN ACCORDANCE WITH GCR 93 (iii) I _______________________________________ (Rider / Entrant) hereby give the above detailed undertaking of compliance of my motorcycle/quad with all the technical specifications for Off Road Motorcycles & Quads, current at the time of entry, and in addition the safety & environmental requirements, including those that refer to protective and safety apparell for the rider DATE.......................................... SIGNATURE...................................