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INDEMNIFICATION In
consideration for being permitted to participate in this event organised by 90
Racing MXC I state: 1.
That I/my child have read the rules and regulations for the club/promoter of
this event, the supplementary regulations and entry form (when applicable) and
I/my child agree to be bound by them in every respect. 2.
That I/my child am fit and not suffering from any physical or mental disability
which would impair my safe participation in the meeting and I undertake to
inform the organisers immediately should any change in my/their condition occur
which I have reason to or ought to have reason to believe would affect my/their
ability to continue to participate in this competition. 3.
That I/my child have completed a medical questionnaire form and that I will
inform the promoter/organisers of this event, should my/their medical status
have changed. 4.
That as a participant I/my child may be exposed to the risk inherent in motor
sport and that I/they am prepared to take such risks. 5.
I further agree that I/my child shall not seek to claim against the organisers
nor their officials, the land owners, the promoter or other bodies or
individuals connected with the event in respect of any damage to my/their
property howsoever caused, and whether by the negligence or breach of statutory
duty of the said bodies or persons. 6.
I have walked the track and am satisfied with its safety. 7.
(IF APPLICABLE) My child is over 14 and sufficiently competent to race a 250
4stroke machine. I therefore absolve
the below club from any responsibility for any injury to my child arising from
my child racing this machine. Rider’s Name: ___________________________
D.O.B _____________________ Address
___________________________________________________________ ___________________________________________________________________ Post Code:
______________________ Telephone No:
______________________ Machine: ______________________
Class: ____________________________ Club:
90 Racing MXC
90 Racing Preferred Racing No _______________ Please enter me for the following event
(date):_________________________ Rider’s Signature: _______________________
Date: _____________________ Parent/Guardian’s Signature (if under 18)
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