Entry Form for Events held under AUDAX UK Regulations
To : this form has been downloaded from Audax UK's official website,
and is textually identical to the one published in the hardcopy AUK Handbook
Name of Event:
From:
Dist:
km Date:
Fee £
(
plus £2.00 if required - see TEMPORARY MEMBERSHIP below)
AUK Membership No: (letter & number, or see TEMPORARY MEMBERSHIP below)
Date of birth if under 18 years: (see PARENTAL CONSENT below)
Forename:
Surname:
Address:
Tel:
email:
CTC group/Club::
Mobile:
This event is run under Audax UK regulations. It is not a race or trial of speed. You are expected to
follow the rules of the road and show consideration to other road users. It is your responsibility to
familiarise yourself with Audax UK regulations, guidance, and advice. (Members receive these via
AUK publications. Others may find them on the AUK website at
www.audax.uk.net, or may request
printed copies from the organiser of the event.)
Note:-
» The route is on open public roads. » Some routes may be arduous.
» The route is not waymarked or marshalled. » You should prepare by studying the route.
» The organiser provides no rescue service. » You are responsible for your safety/conduct.
TEMPORARY MEMBERSHIP If you are not a member of AUK, we need to know that you
are insured. Some CTC or BC memberships include the requisite cover, so if this applies:
Give your CTC or BC membership no:
Or you must pay the temporary AUK membership fee, which provides 3rd party cover
during the event.
(AUK's 3rd party insurance is subject to an excess of £500.)
PARENTAL CONSENT (required for entrants under 18 years of age) Parents should note
the information on this form and be aware that this is an individual ride without leaders.
I am the Parent/Guardian of the Entrant and give my consent to this Entry:
Signed (Parent/Guardian): Date:
Name (Parent/Guardian, please print):
I acknowledge that during the event I am on a private excursion on the public highway and
that I am responsible for my own conduct. I agree to abide by Audax UK Regulations for
this ride. I have relevant insurance cover as above or I enclose the £2.00 temporary
membership fee.
Signed (Entrant): Date:
In Case of Emergency contact (Name & Tel.):
Check that you have signed wherever required.
Please let the organiser know if you cannot start.
The organiser may refuse, or charge more for, late entries on the day. Entry fees are not refundable.
Send to the organiser of the event:
1. completed form 2. cheque payable to organiser (not AUK)
3. two C5 stamped addressed envelopesRevised December 2009