Asset 23

20 - 21 March

Retro Roof 2020 - Entry Form

Race Information

Medical Information

Indemnity

I have read and agree to be bound by the general competition rules (GCR’s) of Motorsport South Africa (MSA), and I agree to be bound by the standing supplementary regulations (SSR’s) issued for any competition in which I take part. I agree that neither MSA, nor the promoter, organiser, any vehicle owners or possessors, guarantor and/or sponsor of any competition or the owner/s of the property on which a competition is held, nor any government, provincial or municipal body, and their respective officials, agents, servants or representatives shall be liable under any circumstances for any damage done by or to any vehicle entered by or ridden in or attended upon by me, or for any personal injury - fatal or otherwise - or loss of whatever kind sustained by myself or any person whatsoever, while riding in or attending upon such vehicle, or while being present at any competition, whether caused during any competition or any practice or while the said vehicle is on any road or area forming part of the track or route or any deviation there from or any approach thereto (the event venue), by whatever means such damage, injury or loss may be caused, and even though the same may have been contributed to or caused by the wilful act, neglect or default of any official, agent, servant or representative of MSA, or any promoter, organiser, guarantor or sponsor of the competition, or the owner/s of the property on which the competition is held or any government, provincial or municipal body. Insofar as I, at any time, make use of or drive any vehicle, motorcycle, kart or quad of which I am not the owner, I hereby represent to MSA and warrant that I have the owner’s permission to drive such vehicle, motorcycle, kart or quad, and that I am duly authorised on behalf of the owner to furnish the indemnities given above on behalf of the owner of such vehicle, motorcycle, kart or quad as well. I hereby indemnity MSA, the promoter, organiser, guarantor and sponsor of the competition and the owner/s of any property on which the competition is held and any government, provincial or municipal body and their respective officials, agents, servants and representatives against any legal liability for any damage or injury so done or sustained as aforesaid by myself or any other such persons as aforesaid. I further admit and declare that I am fully aware of and appreciate the ambit and extent of the risks, dangers and perils attendant upon being present at or participating in motor vehicle / motorcycle / quad racing/ karting, rallying or any other form or motorsport competition or activity described herein. I hereby voluntarily assume and consent to such risk and the risk of damages arising there from or injury or loss being sustained by myself or any other person as a result thereof. I further agree that this assumption of and consent to risk shall operate against my dependants and/or heirs, executors and administrators. I furthermore acknowledge and accept that I, as a competitor as defined in GCR 19, am personally bound by MSA’s GCR’s and SSR’s This indemnity shall apply to all competitions held under the authority of a permit issued by MSA or for which a waiver from the need of holding such a permit has been granted by MSA, in which I take part in any capacity. I hereby represent to MSA and warrant that I am 18 years of age or older, alternatively, if the applicant is under 18 years of age, then the section under Parent/Guardian/Curator must be completed and signed as indicated.

The_Retro_Roof_Of_Africa_Avani Maseru Rates
powered
mgcl-
Avanil-
Motul-l
Live Lesothom-
KTMm-
xcom-
Michelinm-
MSAs-
Asset 11s-
Thaba Bosius-
ECONETs-
loras-