Application Form

In the form below, fields marked * are mandatory.
Issued on behalf of the Local Centre by ACU Head Office Including application for Grant of Authorisation to organise an event under section 13A of the Road traffic Act 1988 and the Motor Vehicles (Off-Road Events) Regulations 1995. Event status: For: Organising club: Approx. No. of Competitors: Venue: Date(s) (must include any official practice days): Commencing at (time): Please check this box if the event will obtain revenue from the public Please check this box if the event will not obtain revenue from the public Third Party Road Traffic Act insurance is automatically included with the entry fee for all road events. Landowner’s indemnity (please email any additional ones to: permit.secretary@midlandcentreacu.org.uk) Landowner’s name: Landowner’s address: Postcode: Name of Applicant: Address for all correspondence: Email address: Postcode: Daytime tel. No: Evening tel. No: Please check to equate to a signature * * * * * * * * * * * * * * Discipline: * Event Title: Event Secretary Name: Event Secretary Email: Event Secretary Telephone: Event Details (for ACU Website). * * * * to:

I hereby apply to the Auto-Cycle Union for a Permit to hold the following event under the National Sporting Code of the ACU, the Standing Regulations, Supplementary Regulations and any Final Instructions issued.