2021 Fight for Yellow - Stage 5

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Team name   First name   Last name   Email address   Year of birth 01    01       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 #   Grade Choose one A B C D Grade (6+ riders to make this grade)   Event entry fee 0.00 NZD

Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver I do hereby agree to the exclusion of liability to organisers of the Vital Signs Fight for Yellow cycling series, Event Directors, officers, sponsors, volunteer groups, or individuals from all claims for injuries and or damage however caused (whether fatal or otherwise) I may suffer out of the participation in this event. I also release and forever discharge the above groups from all actions, suits, proceedings, claims, demands, losses, damages, penalties and fines however arising (including negligence). I agree to comply with the rules of this event. I state that I intend competing entirely at my own risk. By entering this event, I agree not to do anything that will bring the Vital Signs Fight for Yellow Series name into disrepute, make any comments via social media or other that may damage or diminish the goodwill or reputation of the event, other participants or organisers. I accept the terms of the waiver Name of parent or guardian who approves this activity