2024 Winter Series Registration Form – Jet Ski Racing New Zealand

All riders must complete Race Entry before any race event. Please complete this online, if possible, and make payment by direct debit before race day.

Indemnity

Each of the official statements on the form must be confirmed by the rider, as a requirement of race entry.

Note: IF YOU ARE UNABLE TO HONESTLY CONFIRM EVERY STATEMENT PLEASE DO NOT PROCEED WITH YOUR ENTRY.

Riders may be required to submit to a drug or alcohol test at any event

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

For the club to contact you with any changes to events or registrations

Contact Phone Number *

For the club to contact you with any changes to events or registrations.

D.O.B

To be completed if 18 years or under. Riders must be over 15 years of age in order to compete.

Emergency Contact Name *

In case of emergency, this person will be the primary point of contact

Emergency Contact Phone Number *

Race Number *

Additional Race Number (if any)

Membership Status: *

Fully Paid Member - $0.00
Individual Membership - $20.00
Family Membership - $30.00

Riders are entitled to race at just one event prior to becoming a member. All riders will need a current membership to rider more than one event

Licence Status: *

Full License - $0.00
Temp Licence (New Riders Only) - $50.00
Annual Licence - $150.00

All riders must purchase the relevant licence in addition to the entry fee. Licence applications can be found on the main menu

Early Bird Registration Fees (Before 2nd October):

Entry Fee - $120.00
Additional Class Round 2 - $50.00

To qualify for the Early Bird discount the Entry Fee and Day licence must be paid by the Wednesday evening prior to the event. All riders must purchase the relevant licence in addition to the entry fee.

Registration Fees (After 2nd October):

Entry Fee - $150.00
Additional Class Round 2 - $70.00

I declare the following: *

I understand that motorsport is hazardous and that by participating in the event stated below I am voluntarily exposing myself to the risk of personal injury or death. I hereby indemnify Jet Ski Racing New Zealand (the Association), each and every member of the Executive, fellow competitors, staff employed by, volunteering or working under the authority of the association and promoters or partnering sport codes against any claims or demands whatsoever which may arise from or in respect of my participating in the event, including but without limitation, any claims in respect of personal injury (whether wholly or partially covered by the provisions of the Accident Compensation Act or otherwise) any claims in respect of property, whether owned by me or any other person and whether relating to boats and their equipment or any property owned by authority and I AGREE and CONFIRM that the associations or their subsidiaries shall not be in any way liable for any such claims whether made by me or any persons under my name or my authority, or by any action of mine. I agree to adhere to the rules of the Association and will follow safety instructions issued by the officials.
I am of sound mind and do not suffer from any medical condition or disability that may make it unsafe for me to participate in jet ski events.
I am not under the influence of drugs of alcohol at the time of participating in this event.
I have read this form and understand its contents.

Jetski Declaration *

I confirm that my jetski meets all the requirements of the classes entered. If found to not be the case, any prizes and points awarded to me will be returned and I will be disqualified.
I am over 18 years (Minimum racing age is 15. If under 18, a parent or guardian must complete the section below and be present at the event.)

Parent or Guardian Agreement if under 18

In submitting this form, I as the parent or guardian of the rider hereby declare, in the absence of my signature, that the rider has permission to race and the information above is true and correct. l abide by all the rules, regulations and laws laid down by Jet Ski Racing New Zealand, relevant local bodies and New Zealand statute.

Parent/Guardian Name

First

Last

Parent/Guardian Phone

Rider Agreement *

In submitting this form, I as the rider hereby declare, in the absence of my signature, that the information above is true and correct. I agree that by applying to race, I will abide by all the rules, regulations and laws laid down by Jet Ski Racing New Zealand, relevant local bodies and New Zealand statute.

TOTAL TO PAY

$0.00

Payment via online banking: Jet Ski Racing New Zealand - Account number: 02-0112-0141545-25. Please note that EFTPOS IS NOT AVAILABLE on the day. Use your name as reference and let us know once payment has been made.

Phone