Neither I, nor anyone associated or connected with me, will make any claim against you or your officers, employees, agents, or landowners in respect of:
Any injury suffered by me, and
Any damage to any property, regardless of how the injury or damage occurred, and
I/We will indemnify you against all claims, damages or losses (including costs) which I/We incur as th direct or indirect result of any injury to me or damage to my property.
I am aware that this disclaimer will not affect any legal obligations you have to me which you cannot contract out of under New Zealand law.
I complete the event I must return the transponder to the organisers. If I do not, I will be liable for the replacement cost of the transponder approx. $NZ700 (including GST).
DISCLAIMER OF LIABILITY AND MACHINE EXAMINATION EXCLUDES:
I/We declare that the motorcycle/s I have entered for this competition are in good condition and comply with all the rules as set down by the BOPMCC
I take full responsibility in respect of the conditions as set down and also understand a spot check may take place on any motorcycle before, during or after the event for safety and other reasons. I shall abide by any decision directed at me by the Race Director of the meeting. I understand that the Race Directors’ decision is final. I understand that any competitor making a false declaration may be disqualified from the event. I have read the supplementary regulations and BOPMCC Rules & Regulations for this competition and agree to be bound by them.
I agree that in this disclaimer my 'property' includes any property owned by me or in my possession or under my control. I agree that this disclaimer will be binding on my family, my heirs, my legal assigns and my administrators and executors.
I accept that stripping and reassembly for technical checks are at my cost.
I consent to the details contained in the form being held by the above Motorcycle club for the purpose of the promotion and benefit of the race meeting concerned, and Motorcycling in general. I acknowledge my right to access and correction of this information. This consent is given in accordance with the privacy act 1993.
I/We confirm we have read & understood the above conditions.
I/We understand that motorcycling is dangerous and can cause injury or worse and that I/We have signed our disclaimer entering ourselves at our own risk – I/We do not have to go to the startline.
I/we confirm that I/we are physically and mentally fit to ride.
I/We confirm that there is no reason that I/We are aware of that is likely to affect me being in control of my motorcycle.
HAVE YOU BEEN TREATED FOR ANY OF THE FOLLOWING;
- Nervous breakdown, mental disorder
- Head injury with unconsciousness or concussion in the last 6 months
- Heart disease or disorder
- High blood pressure, anaemia or blood disease
- Dizziness, fainting spells, fits or blackouts
- Any other physical abnormalities we should be aware of
- Any injury or medical illness that would restrict your ability to ride & control your motorcycle
IF YOU HAVE ANSWERED YES TO ANY OF THE ABOVE OR HAVE ANY OTHER SERIOUS MEDICAL CONDITIONS PLEASE SUPPLY A MEDICAL CLEARANCE WHICH STATES YOU ARE MEDICALLY FIT TO COMPETE IN MOTORCYCLE RACING