r 0505

Mazda Sportscar Club of Washington, Inc.
www.mscw.com

Autocross Technical Inspection Form

Vehicles must be inspected by a competent mechanic (may be yourself), technician or service facility prior to the event. You must bring this completed form to the morning on-site grid tech. When your vehicle is empty, raise your hood, make sure all drivers sign the form and slip it under your windshield wiper. You will be performing the tech inspection and certifying your vehicle is in proper working condition for this event. We cannot perform a full tech inspection at the event. You are fully responsible for the mechanical condition of your vehicle and completing the checklist prior to the event.

Driver #1 ______________________________ Driver #2 _________________________________               

Model _________________ Color __________________ License Plate # ___________________            

The following items may be more easily checked while the vehicle is raised:

Inspected by:___________________________________________                

Title/Organization/Self:____________________________________ Date:_________________

Important: Please have your car fully unloaded and ready for the event, (empty glovebox, floor mats removed) as soon you have completed emptying your vehicle raise your hood, make sure all Drivers sign the form and slip it under your windshield wiper. If your car's lug nuts are other than 19mm or 21mm, please have the appropriate ½" drive socket with you.

To be signed on-site at Grid Tech:  Participant: ________________________________  On-site Witness: __________________________

I certify that the above inspections have been conducted according to the guidelines set forth and that all deficiencies marked have been corrected. I understand that I and I alone am liable for the condition and suitability of the vehicle listed for participation in this event. I release all parties involved with organizing this event and the Mazda Sportscar Club of Washington, Inc., from any liability arising from failure of this vehicle for any reason, including failure of the items listed on this inspection form.

Driver #1 ________________________________ (Date) ____________

Driver #2 ________________________________ (Date) ____________

After completion of your on-site tech inspection lower your hood, make sure your participant number is on your windshield, report to registration (MSCW Blue Awning) for check-in with this signed form and arrive at the drivers meeting on-time.
Note: On the day of the autocross, we recommend you have your tires properly inflated beforehand, at least a 3/4 tank of gas and your oil level full.