Indemnity Form
 
1. I am aware that the sport of motorcycle competition might cause me injury, serious or otherwise, or damage my property

2. Neither I nor anyone associated with me will make any claim against you or your officers, employers or agents in respect of any injury to me or damage to my property.

3. I will indemnify you against all claims, damages or losses(including costs) which you incur as the direct or indirect result of injury to me or damage to my property

4.I am physically fit and there is no health or other reason why I should not participate in the sport of motorcycle competition

5. I am aware that this disclaimer will not affect any legal obligations you have to me which you cannot contract out under New Zealand law

6. I agree that in this disclaimer "my property" includes any property owned by me or in my possession or under my control

7. I agree that this disclaimer will be binding on my family, my heirs, my legal assigns and my administrators and executors

8. I consent to the details contained in this form being held by Ken Fell for the purpose of the promotions and the benefit of the race meeting concerned, and motorcycling in general. I acknowledge my right to access and correction of this information. The consent is given in accordance with the Privacy Act 1993.
 
 
Name: ...............................................................................................................
 
Address: ............................................................................................................
 
Phone:...............................................................................................................
 
Suburb: .............................................................................................................
 
City: .................................................................................................................
 

I have read the above indemnity & I agree. SIGNATURE >>.........................................................