2017 Twin Rivers - Long Race Entry Form

ENTRY FORM 2017 Twin Rivers Ski Race
NZWSRA INC SANCTIONED EVENT
Entry costs - $150 (+$50 Cross entry)
PLEASE ENSURE ALL DETAILS ARE COMPLETE AND LIABILITY WAIVER FORM SIGNED

Team Contact Name

Contact Email Address

Boat Name

NZWSRA Boat #

Driver - Full Name

Observer - Full Name

Skier 1 - Full Name

Skier 2 - Full Name

Driver - Licence

Observer - Licence

Skier 1 - Licence

Skier 2 - Licence

CONDITIONS ACKNOWLEDGEMENT AND LIABILITY WAIVER FORM
· WARNING - Water Skiing and in particular Water Ski Racing, trials, boat trials, and competitions are inherently dangerous and
accidents can occur which may result in my being injured. I declare that I have voluntarily read and understood this warning and accept
and assume the inherent danger and risks involved. I declare that I will abide by the rules of NZWSRA Inc.
· RELEASE AND INDEMNITY - In consideration the NZWSRA Inc, allowing my/our entry into and participation in the event, I hereby
discharge the NZWSRA Inc Organisers, from all actions, suits, proceedings, costs and expenses however arising, that I may have or may
have had but for the release arising from or in connection with my/our participation/entry in the event.
· EXCLUSION OF LIABILITY - We the undersigned absolve the organisers, any sponsors and volunteers, and the New Zealand Water Ski
Racing Association Inc, its officers servants or agents,( collectively the Association ) of any liability arising out of my participation in this
event or in any way due to any negligent act, breach of duty, default and/or omission on the part of the above mentioned.
· INSURANCE - I/we have been advised to take steps to insure myself against loss, damage or injury to myself or my property or
equipment.
· I/we have read, understand, acknowledge, and agree to the above warning, Exclusion of Liability, Release and Indemnity, Insurance
acknowledgements and assume with full knowledge the danger inherent in the event.
TEAM MEMBERS ACKNOWLEDGEMENT

ALL TEAM MEMBERS MUST SIGN LIABILITY WAIVER FORM TO VALIDATE ENTRY. Click Button below to pay on line.

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