Strumpshaw Steam Rally

STRUMPSHAW STEAM RALLY Saturday 26th, Sunday 27th & Monday 28th may 2018 STEAM ENTRY

Please enclose a photocopy of your insurance/disc and an S.A.E with this form and return to:

Michael Curtis, The Barn, Littlebeck Lane, Brooke, Norwich, NR15 1ET Phone (01508) 550293 Mobile 07753 182065 PLEASE PRINT CLEARLY IN CAPITAL LETTERS

Make …………………………………………..……………….. Works No …………………………..……

Registration No ……………………..…………..……….. Year Built ……………………………….…….. Name of Exhibit …………………………………………..………… Weight / NHP ………………….….. Type …………………………………………………………………………………………………………..… Name of Driver …………………………………..…. Name of Mate ………………………………….…… Brief details for Programme ……………………………………………………………………..……..…..… ………………………………………………………………………………………………….……………...... …………………………………………………………………………………………………..…………..…… …………………………………………………………………………………………………..…………..……

Name of Owner ………………………………………………………………………………………..……….

I declare that during the Event my self propelled exhibit will be covered by the minimum insurance requirements of the Road Traffic Act irrespective of whether my exhibit is licensed for use on the public highway or not. If my exhibit is not self propelled it will be covered by a Public Liability Policy and by a Boiler Explosion Policy. Both Policies have a limit of indemnity of not less than £2,000,000 any one accident, and Sparks and Ashes cover for not less than £100,000. I further declare that the boiler of any steam plant entered carries a current Boiler Inspection Certificate and that I will produce documentary evidence of such Insurance and Inspection to you before participating in the event. I further declare that the driver(s) hold a driving license of the appropriate class and will produce, if required, such a license and that the driver(s) have read the NTET Traction Engine Code of Practice. I agree to produce, on request, an Inspection certificate in accordance with the IEE Regulations for any electrical equipment (ie generators, wiring, appliances). I agree to abide by the Code of Practice of the National Traction Engine Trust and the Organiser’s written Statement of Safety Policy. I agree to operate my exhibit during the Event and comply with the instructions of stewards. I also agree to take part in arena events if requested. In the event of a dispute the Event Organisers decision is final.

Signed …………………………………. Date ……….……… My age is ….…………….. (IF APPLICABLE STATE “OVER 21 YEARS”)

Do you need caravan/tent space? YES □ NO □ (Limit of one per exhibit unless otherwise agreed)

PLEASE COMPLETE:

Name …………….………………………..………………… Address ……………………………………………………………………………………..… ………………………………………………………………………………..……… Post Code …………………….………… Phone No.……………..…………………….

ALL FORMS MUST BE RETURNED BY 23 rd APRIL 2018 TO BE ACCEPTED