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    SOUTH ISLAND & SOUTHLAND SCHOOLS MOTOCROSS  2019
    incorporating Aoraki Secondary Schools MX
     Friday 29th March 2019 - Permit #18725
      Hosted by the South Canterbury Motorcycle Club 
    ​ Cole's Property, Springbank Road, Otaio, Timaru

    ​Refer Supplementary Regulations for available classes & full event information . 
    A seperate entry must be submittted for each competitor.
    ​Once all compulsory fields are completed please select 'SUMBIT' at bottom of form to lodge your entry.
    MNZ Licenced riders to enter competitive classes only 
    ONLY OPEN TO SECONDARY SCHOOL YEAR 9 & ABOVE STUDENTS AS PART OF SPORTS WEEK
    CLASSES
    Note:  To be eligible for Year Awards or Team Points you must be entered in a Competitive class & be year 9 or above (attend Secondary School).
                Support/Novice Classes only recognised 1st-3rd in each class as individuals
                Team points awarded to the top 3 scoring riders from same Secondary School entered in a Competitive class. 
                No team entries required.  Team trophy for South Island Secondary School with highest combined 3 scores.
                Team points are not eligible for classes that have less than 8 entries
                Please refer to Supplementary Regulations for full event information

    COMPETITOR DETAILS

    Date of birth

    FEES 
    Note: One event licences provided free of Charge by MNZ
    If you don't hold an MNZ competition licence then you must order a One Event Licence.

    If rider is under 16 years of age on race day
    ​or under 18 years & requires a One Event Licence
    Click HERE to Read the terms and conditions (Supplementary Regulations and general information for the event)
    Click here to Download School Registration Form
    Remember to email completed form to noel.adele@xtra.co.nz
    CLICK HERE to Download the Bike & Safety Gear Checklist

    PAYMENT DETAILS

    Cheques payable to – South Canterbury Motorcycle Club, and post to

    SI & Southland Secondary Schools MX
    SCMCC
    PO Box 451
    TIMARU
    Direct Credit – SCMCC 03-0887-0240725-00 
    (Please include class & name & 'SISS' as ref with payment)    
    ​DISCLAIMER OF LIABILITY: To  South Canterbury Motorcycle Club, and Motorcycling New Zealand Inc.   
    1. I have read the Supplementary Regulations* for this Competition and agree to be bound by them and the Manual of Motorcycle Sport, the MNZ Constitution, and the MNZ Code of Conduct.   * Supplementary Regulations also available at www.timingtech.co.nz
        2.   I am aware that the sport of Motorcycle Competition might a) cause me injury; serious or otherwise b) damage my property.
        3.   I wish to take part in the South Island & Aoraki Secondary & Schools Motocross  despite the above risks.
        4.   Neither I, or anyone associated or connected with me will make any claim against you or your officers, employees or agents in respect of: a)any injury suffered by me; or b) any damage to any of my property regardless of how the injury or damage occurs.
        5.   I will indemnify you against all claims, damages or losses (including costs) which you incur as the direct or indirect result of any injury to me or damage to    my property.
        6.   I am physically fit and there is no health or other reason why I should not participate in the sport of Motorcycle Competition. 
        7.   I am aware that this disclaimer will not affect any legal obligations you have to me which you cannot contract out of under NZ Law. 
        8.   I agree that in this disclaimer “my property” includes any property owned by me or in my possession or under my control.
        9.   I agree that this disclaimer will be binding on my family, my heirs, my legal assigns and my administrators and executors.
      10.  I accept that stripping and re-assembly for Technical Checks are at my cost.
      11.  I consent to the details contained in this form being held by the South Canterbury Motorcycle Club for the purpose of the promotion 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.
      12.  MNZ supports the FIM/IOC Charter on drugs in Sport. MNZ uses the services of Drug Free Sport NZ and other agencies to professionally carry out the testing. I acknowledge by signing this form I maybe subjected to a drug/alcohol test at any time. I agree to such testing. I further agree that my name can be published by MNZ as having taken part in a drug/alcohol test together with the results of that testing.
      13.  I confirm that my machine complies with any technical rule(s) set out in the Manual of Motorcycle Sport and/or the Supplementary Regulations and that, to  the best of my knowledge and belief, it is in safe working order and fit for competition.
     
    ONE EVENT LICENCE – I do not have a MNZ Competition Licence therefore require a One Event Licence for this event:
    In the absence of holding a MNZ Competition Licence, I acknowledge that I am able to compete by partaking on a One Event Licence.  By reading and acknowledging this disclaimer, the Supplementary Regulations and the following rules I acknowledge that I adhere to all conditions to compete at this event using the One Event Licence.
    The ability to compete whilst using a one event licence may be withdrawn at any time by Motorcycling New Zealand.
    I acknowledge that I will wear an approve helmet, along with approved boots, gloves, and motocross clothing as per the MNZ Manual of Motorcycle Sport – see www.mnz.co.nz
    I acknowledge that no drugs or alcohol are permitted at this event, and I am not under the influence of either. 
    I acknowledge that I may be subject to random drug & alcohol testing as per the MNZ Manual of Motorcycle Sport.
    I acknowledge that I have no medical condition that prevents me from safely participating in this event.  I have not suffered concussion, or a head injury in the last three weeks.
    My motorcycle is in a safe operating condition and type suited to the events that I am partaking in.
    I acknowledge that attending riders briefing is compulsory
    It is a condition of entry that all person having any connection with promotion, organisation, and conduct of the event including land owners, will be absolved from any liability out of any accident however caused and resulting in damage to property and or in respect of death or personal injury.
    I fully indemnify Motorcycling New Zealand Inc., its agents representatives, employees, contractors, other competitors and promoters from and against any liability, whether or not due to any act or omission of these parties which arises from my participation in the event including by way of example any accident, damage or injury.
    I agree that I have no medical condition that prevents me from safely participating in this event.  I have not suffered concussion or had a head injury in the last three weeks.  I acknowledge that should I suffer a head injury or concussion three weeks prior to this event that I will not partake due the MNZ stand down period.
    Please make sure that you have filled out all * required fields.  Your entry has been sucessfully submitted if this page converts to one thanking you for your entry (Allow approx 20 seconds to submit).
    If you have missed a field "Please correct the highlighted fields" will appear below the Submit Entry, and the applic field will be outlined in Red.