By submitting this document, I am stating that the information given is correct and I have read and agree to the declaration as written.
MOTOR SPORTS CAN BE DANGEROUS AND MAY INVOLVE INJURY OR DEATH
I, the undersigned, apply to enter the event described in this entry form. In consideration of being permitted to participate in this event I declare as follows: That I have read the Codes of Practice and Regulations for NORA 92 Ltd, the Event Regulations and entry form (when applicable) and I agree to be bound by them in every respect. That I am fit and not suffering from any physical or mental disability which would impair my safe participation in the event. I undertake to inform NORA 92 Ltd immediately should any change in my condition occur which I have reason to or ought to have reason to believe would affect my ability to participate in this competition. That I have completed a medical questionnaire form (as requested during your licence application) and that I will inform NORA 92 Ltd should my medical status have changed. As a participant I may be exposed to the risk inherent in motor sport and that I am prepared to take such risks. I further agree that I shall not seek to claim against NORA 92 Ltd, the organisers, their officials, the land owners, the promoter or other bodies or individuals connected with the event(s) in respect of any damage to my property howsoever caused, and whether by negligence or breach of statutory duty of the said bodies or persons. NORA 92 does not provide personal accident insurance other than through annual licences.
By entering this event you are agreeing to pay your entry fee even if you do not turn up. The only exception is where you cancel your entry by EMAIL ONLY to jamiehmx@gmail.com BEFORE 6PM on the Friday prior to the event. If you fail to cancel and don't show up the club will expect payment within 7 days or we will take measures to recover the cost, In addition to this no further entries will be taken until this has been settled.
I confirm I am over 18 years of age or the parent / guardian of the youth rider and give my consent for them to participate in this event. |