30th ANNUAL GREYMOUTH MOTORCYCLE STREET RACE
                                       2019 ONLINE ENTRY FORM 
                         Sunday 27th October 2019 - Permit #18374 
    ​                               Entries close 12 noon 5th October

    INSTRUCTIONS
    Refer Supplementary Regulations for full event information. 
    Please submit a seperate entry for each competitor.
    Please complete all fields and click on 'Submit' at the bottom of page to lodge your entry
    No confirmation email will be sent - if submitted correctly this page will change to one thanking you for your entry.
    ​
    Competitor lists will be available on www.timingtech.co.nz approx 7-10 days prior entries closing
    Pre event information will be emailed out closer to the event.  Ensure you put a valid email address.

    CLASSES
    Please read the Supplementary Regulations to ensure you are entering the correct class.
    If you are unsure or need assistance please email greymouthstreetrace@gmail.com and someone will get back to you.
    Maximum 35 entries per class, if you enter a class already fully subscribed you will be contacted by the organisers

                                      COMPETITOR DETAILS

    FIRST CLASS DETAILS - ALL SECTIONS COMPULSORY
    Date of birth
    ADDITIONAL CLASSES - COMPLETE SECTIONS BELOW IF APPLICABLE
    MEAL TICKETS (for Catering purposes)

    FEES PAYABLE TO CLUB

    PAYMENT DETAILS

    Direct Credit – Greymouth Motorcycle Street Race
    Bank Account for Internet Banking
    NZ 01-0843-0009919-00
    Ensure you put your name as the reference with your payment. 
    DISCLAIMER OF LIABILITY: To Greymouth Street Race Committee Inc, and Motorcycling New Zealand Inc.
    I have read and understood the Supplementary Regulations for this competition and agree to be bound by them and the Manual of Motorcycle Sport of Motorcycling New Zealand Inc. Together with the terms of the indemnification hereunder, and the requirements of the Noise Restrictions as listed.  I indemnify Greymouth Street Race Committee Inc,  Motorcycling New Zealand Inc., Local Bodies, Landowners, their agents and all Officials against any claims arising from my attendance at this meeting.

    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 http:
    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 Greymouth Motorcycle Street Race 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  Greymouth Street Race Inc. 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 at the time of inspection.
    CLICK HERE to see the terms and conditions (Supplementary Regulations)  Any questions regarding this event, please refer to supplementary regs for
    contact details of club officials.
    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 Submit Entry and the applic field will be outlined in Red