ENTRY FORM FOR PARTICIPATION AS GUEST DRIVER

(Entry form for single competition of the DMSB Karting Championship 2018 in class/category mentioned below)


CHOOSE THE COMPETITION: (round of series)*  
 
 
 

CHOOSE YOUR CATEGORY:*  
 
 
 

With this entry form Entrant and Driver entrust and authorize the DMSB or DMSW GmbH to submit on their behalf entries to organizer regarding of the above selected competition in the chosen category .
Following of receiving of this online entry in DKM administration office the relevant entrant will receive within 48 hours the complete entry form.
This form must be printed and personally signed and then sent to the organizer of the selected competition. At the same time the entry fee must be paid according to the instructions at the end of this form.

PLEASE COMPLETE ALL THE FIELDS BELOW

( * = for this marked field the completion is obligatory)


ENTRANT

Filling out the Entrant’s details is obligatory. The Entrant must be of legal age and holder of a valid international Entrant’s/Competitor’s licence.

ENTRANT’S NAME (consistent with licence):*
ENTRANT’S LICENCE NUMBER:*

ENTRANT’S ADDRESS

ZIP (Postal Code):*
City:*
Address (street+no.):*
Country:*
Name of team representative / team chief:*
Mobile phone number:*
Email‐address:*

DRIVER

LAST NAME:*
GIVEN NAME:*
DATE OF BIRTH: Kalender  Format: (tt.mm.jjjj)
LICENCE‐No.:
GRADE OF YOUR INT. KART LICENCE:               

DRIVER’S ADDRESS

ZIP (Postal Code):
City:
Address (street+no.):
Country:
Mobile phone number:
Email‐address:*

DMSB SPONSOR CARD

SPONSOR’S NAME (consistent with licence):
DMSB SPONSOR CARD NUMBER:

KART

CHASSIS MAKE:
ENGINE MAKE:
TYRES   OK:Slick tyres:  VEGA XP Prime Wet weather tyres:  VEGA W5 Rain
 KZ2:Slick tyres:  VEGA XM Prime Wet weather tyres:  VEGA W5 Rain
 OK‐Junior:Slick tyres:  VEGA XH2 OptionWet weather tyres:  VEGA W5 Rain

OWNER OF THE COMPETITON EQUIPMENT:

Please choose the valid situation:

The owner is:*  
 
 
Owner’s name or company: 
Owner’s address (ZIP Code / City):
Owner’s address (street):

In the case of false statements, Entrant and Driver release the group of persons specified in the disclaimer of the kart owner from all claims of the kart owner with regard
to damages in connection with the event (= untimed and timed practice, qualifying practice, warm‐up, tests, races, heats). This applies also for costs of the kart owner
incurred in reasonably asserting his legal rights.


PLEASE NOTE:
This entry form must arrive at the DMSB administration office before the entry closing date (general the last Sunday before the relevant competition).

ENTRY FEES:

 

The entry fee must be paid immediately after receiving the completed entry form by email.
The entry fee for participation with guest status includes the environmental and service charge for is  450,- Euro per competition (incl. 19% German VAT).

By receiving the entry form as a PDF, sent from DKM administration office to Entrant concerned, the Entrant also receives the information for the bank transfer of entry fee.

The invoice should be issued at the following address :
(if necessary VAT-ID-No for invoices without German VAT)

Name or company:
ZIP Code / City:
Street:
Country:
VAT-ID-No:

(Please use "Print" before "Submit" if you want to print the form, because "Submit" will also reset the form)