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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.
Return
to -
TRA-NZ c/o S Davis, 664 East Coast Rd, Browns Bay Auckland
0630
Copyright
© 2002 TRA-NZ
all rights reserved
Revised: August 2006
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