(It should be filled in after arriving at the base, before the race)
I...........................
(Full name)
............. (your pass number)
I declare, that I know and agree with the terms and the rules for participating at the mountain bike race (Bike rally "Parallel Universe "which will be held on 07, 08, 09. 07. 2006 and is organized by Parallel Universe.
I am instructed for the route dangers and I pledge not to expose to danger me or any of the other racers. I bear responsibility for each kind of accidents during the race.
If it becomes impossible for me to continue racing or in case I don't get opportunely certifications from the referees, it is obligatory that I go back to the base and I inform the referee committee or the organizer for my dropping out from the race. In case of non - observance of the rules and terms for participation and the recommendations, given by the organizer and the referee committee, I bear alone the responsibility for any consequences.
I have been made a mountain insurance by the organizer, I've shown the health certificate for good state of health (which is necessary for this period), issued by the competent authority and a declaration for my parents' agreement for my participation at the race (only for racers under the age of 18)
I have produced all the documents, required by the organizer and I bear alone the responsibility in case of a break down of my bike and the proceeded of that break-down damages, as well as accidents because of not using personal protective equipment during the race.
Date:
...................................................
(a signature of the declarer) |