Registration Bockholtz | MotorUnionLuxembourg

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Registration for guest starters

Please complete the form if you wish to register for the race on 4 October in Bockholtz and do not hold a MUL racing licence.

Registration guest driver MUL race

Please fill out the form if you want to register for the race on October 4th and do not have a MUL racing license.

Cost:

Children's classes (50cc, 65cc, 85cc): 35€
Adult classes: 45€
Transponder rental: 15€
Day license: €15 (this is mandatory if you do not have a MUL racing license)

Payment details:

Motorsport Club Ermsdorf ASBL

LU21 1111 7041 0175 0000

BIC: CCPLLULLXXX

Name*

Surname*

Gender*

Male

Female

E-mail address*

Phone number*

Category(ies): (2 categories only possible in combination with Youngtimer/Vintage)*

50ccm (from 6 years on)

65ccm

85ccm

Ladies

Vintage (drum brakes front and rear, rear suspension with 2 shock absorbers, air-cooled engine)

Youngtimer 89 (1989 or older with at least 1 disc brake, rear suspension with mono-shock absorber or liquid cooling)

Youngtimer 99 (Year of manufacture 1990-1999)

Novice (no race experience)

Elite MX1

Elite MX2

Trophy (Beginners)

Seniors (from 40 years on)

Date of birth*

Day

Month

Year

Adress (nr, street, postal code, town)*

Nationality*

Do you own your own transponder (Mylaps)?*

Yes

No, I would like to rent one.

Transponder number (if you answered YES above)

Do you regularly participate in races? If so, in which category/at which level?*

Motorcycle (make, model, cylinders, 2/4t, year of manufacture)*

Preferred starting number*

Emergency contact (name & phone number)*

Since you do not possess a MUL racing license, we will obtain a day racing license for you; for this, we require the following information.

Social security number*

Health insurance*

By signing this, I, or my legal guardian, confirm that I am covered by social security. I declare that I am riding at my own risk and release the organising club and all persons acting on its behalf from any liability for accidents of any kind or damage, without exception or reservation. It is my responsibility to ensure my own safety by taking the necessary precautions during my rides and sporting activities. I, or my guardian, confirm the accuracy of the information provided in this registration form and declare that I am familiar with the contents of the MUL Sports Regulations, the specific rules of this event and the conditions set out in this registration form, and undertake to accept these and to comply with the guidelines and instructions of the MUL, the organisers and the officials. Furthermore, I undertake to notify the MUL, the organiser or the officials of any changes to this information.

Signature*

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I have read and understood the privacy policy.

Depending on your requirements, please transfer the appropriate total amount after submitting this form.

This consists of:

Registration (€35 for children’s classes, €45 for adult classes)
Day licence: €15 (compulsory for anyone who does not hold a MUL racing licence. If you do hold one, this is not the correct form for you)
Transponder hire: €15 (compulsory if you do not own a MyLaps transponder; please remember to bring a form of ID as a deposit)

Motor-Union Luxembourg

info@mul.lu