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.

Riders Name: Date of Birth:

Address:  

Contact Number: Club: 90 Racing MXC

Class: Machine:  

Race No.: Event Date:

Signature: