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ACU BALLBREAKER EXTREME R1
12/01/2025 9:30 am
Event Regulations
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BallBreaker Extreme Registration
BallBreaker Extreme Registration
Name
(Required)
First
Last
Email
(Required)
Race Number/Number On Bike
Race Class
(Required)
Sportsman AM
Vets 40 AM
Vets 50 AM
Youth AM
Championship PM
Expert PM
Clubman PM
Vets 40 Elite PM
Emergency Contact
(Required)
First Name
Last Name
Emergency Contact Phone Number
(Required)
ACU PARTICIPANTS LICENCE
Please enter your licence number. Unless you should require a day licence on the day. This incurs an extra cost of £20 on the day.
Billing Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Credit Card
(Required)
Card Details
Cardholder Name
Consent
(Required)
Conditions of Entry:
1. It is accepted by the Signee below that they knowingly intend to participate in a challenging and risky activity using mechanically propelled vehicles, (referred to as the vehicle) recognised as such under the Road Traffic Act (Off Road) Regulations 1991. The Signee accepts that dangerous conditions plus dangerous, careless and inconsiderate driving plus high speeds plus the use of amateur constructed or modified vehicles may significantly increase the risk of being killed, permanently disabled or seriously injured.
2. The Signee acknowledges that participation in an event of this type entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death or damage to themselves, to property or to third parties. It is understood that such risks simply cannot be eliminated without jeopardizing the essential qualities of this event.
3. The Signee confirms that they possess the standard of competence necessary for the type of event they are entering.
4. The Signee will before participating satisfy themselves of the preparation and condition of their vehicle. That it is suitable, safe and complies with the Regulations. Correct PPE must be worn and used in the correct manor.
5. The Signee confirms that their vehicle has no known faults which may lead to a mechanical failure which could cause Third Party damage, injury or death and will use all appropriate Safety Equipment. They accept that a ’head cam’ attachment could compromise their safety in a collision.
6. The Signee will before participating satisfy themselves of the preparation and condition of the course and its facilities and do self-certify that the margins of safety, barriers and braking areas are adequate and suitable for their degree of competence and type of vehicle for the event they have entered.
7. The Signee accepts the responsibility of monitoring all conditions that may materially change the aforementioned and they participate voluntarily and of their own free will in spite of the risks. They know they are free to withdraw at any time without penalty.
8. The Signee certifies that they have adequate insurance to cover damage caused or suffered whilst participating, or agrees to bear the costs of such damage to their vehicle.
9. The Signee accepts that none of the involved parties shall have any liability for loss or damage which may be sustained or incurred by the Signee as a result of participation in the Event. They understand that they forgo all rights to compensation from driver/rider to driver/rider liability and Insurance. Nothing in this clause is intended to or shall be deemed to exclude or limit liability permitted by law.
10. The Signee agrees to indemnify and hold harmless each of the Parties in respect of any loss or damage.
11. The Signee states that they are not taking or have not taken or drunk any substance / medication (prescribed or otherwise) which may affect their ability or judgement in the control of the vehicle.
12. The Signee states that they have no known medical condition or physical disability that would make it unsafe for them to participate or which may be adversely affected by participating.
13. The Signee confirms that should they be aware of any medical condition or injury be it age related or otherwise, prescribed medication or disability which may affect their ability to control or direct the vehicle, they will present themselves to the Chief Medical Officer or Clerk of the Course, prior to signing on for a final appraisal.
14. The Signee accepts that the Organisers may use volunteer marshals in order to keep the costs of participating in this event affordable.
15. The Signee authorises and permits the Organiser (and third parties connected with the event) to administer first aid and to authorise such other medical treatment and transportation as may be recommended by physicians, paramedics and other medical personnel, in the event of illness, accident or injury.
16. The Signee understands that their personal data is being retained solely for the purposes of staging and insuring the event and will be handled by the organisers in accordance with the IOPD data protection policy.
17. The Signee confirms that any information given is correct to the best of their knowledge and any changes will be notified to the organisers.
18. The Signee has read the rules and regulations governing the event along with any briefings or notices on the day.
I agree to the following terms and conditions.
BallBreaker Extreme Deposit
£35 Booking Deposit To Guarantee Entry - Entry Fee Total £85 (£50 payable on the day)
Price:
rawenduro@gmail.com
07970 228 613