Essex Cup - Pohangina

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Team name   First name   Last name   Email address   Date of birth DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    MM 01 02 03 04 05 06 07 08 09 10 11 12       YYYY 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922    Gender -- Male Female   Phone #   Address   Emergency contact name   Emergency phone #   Grade Choose one A Grade B Grade C Grade D Grade E Grade

Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver Traffic management for this event is carried out on the basis that the event will not impede or vary normal road use conditions. All road rules will be obeyed and all road signs and regulations will be adhered to, marshals will stop cyclists where required. Riders must keep left at all times and obey without question the instructions of marshals. Riders enter the event at their own risk. Any entrant involved in an accident will not seek to blame or make a claim against the organisers or assist anyone else in making a claim. Each entrant will release the organisers, their officers, volunteers, employees, sponsors or any party associated with the event of any liability, financial or otherwise, for any direct or indirect loss, injury or death which might be sustained from any intended or actual participation in this event or its related activities. Notwithstanding the above, if any legal action does arise related to the event, jurisdiction is in New Zealand courts under New Zealand law. DECLARATION. I agree to abide by the above event terms and conditions. I agree to follow all road rules and marshal's directions and in particular keep left of the centre line at all times. I accept that racing will occur on roads that are not closed to the public and non-race traffic. I undertake not interfere with or in any way influence the outcome of any race other than my own grade and not take advantage of other road traffic or obstacles in an attempt to gain unfair advantage. I accept that all handicaps, rider grading and event setup will be solely at the discretion of the event director. I acknowledge that the event director or club officials have at their discretion the right to disqualify or remove points from any rider deemed to have infringed any Terms, Conditions, or Rules as specified. In addition I accept that any rider who behaves in a reckless, abusive, dangerous or socially inappropriate way, may also be sanctioned. I agree that the Bike Manawatu can retain my name and contact details and that they can be supplied to the Ministry of Health should they need to contact trace to support the governments national health response to Covid-19. I accept the terms of the waiver Name of parent or guardian who approves this activity