Thundercatracing Association NZ (Inc)

2006-2007 ANNUAL RACE LICENSE

APPLICATION / RENEWAL FORM

 (Note:  All Racing License applicants must be 15 years or older and undergo a medical)

 

 ANNUAL RACE LICENSE                                               $ 170.00      

Racing License Application Indemnity

 

In consideration of the acceptance of my license application I DECLARE that to the best of my knowledge I have no medical condition or disability (including sight & hearing), have not suffered any fainting attacks, blackouts or seizures that may impair my ability to participate at the levels required for motor sport. 

I AGREE for myself, my executors and assigns not to make any claim against the organisers / Thundercat Racing Association of NZ Inc and/or organisations affiliated thereto and/or all members of the said organisations, in respect of any accident or damage incurred at any time when a meeting or competition is under the control of the Thundercat Racing Association of NZ Inc and/or organisations affiliated thereto whether caused by other competitors, their representatives, their boats or otherwise.

APPLICANTS SIGNATURE:  …………………………………………….

 

NAME:   .……………………………………………………………

 

 

 

Indemnity by Parent / Guardian where applicant is under 20 years of age

 

I   ……………………………………………………………………. being the parent / guardian

 

of  ……………………………………………………………………  hereby consent to him/her being  permitted to take part in power boat racing and in consideration of such permission I waive all rights of action against the organisers / Thundercat Racing Association of NZ Inc and/or organisations affiliated thereto, and/or all members of the said organisations, in respect of any accident or damage caused by competitors, their representatives, their boats or any other cause whatsoever.   I acknowledge and accept all clauses contained in the Indemnity signed by my charge above.

PARENT / GUARDIAN  SIGNATURE:  …………………………………………….

 

In the presence of  (name & address of adult who knows the applicant but is not related to either signatories above)

…………….………………………………………………………………………

…….………………………………………………………………………………

 WITNESS  SIGNATURE:  …………………………………   Date : ………………………….

 

 

  

This application must be SIGNED, and accompanied with Membership, Boat registration, and License fees applicable (cheque payable to TRA-NZ).  You must also supply a completed Medical Form if applying for a Race License.

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TRA-NZ c/o S Davis, 664 East Coast Rd, Browns Bay Auckland 0630

Copyright © 2002 TRA-NZ
all rights reserved
Revised: August 2006