Winter Enduro 2023 – Entry Form – Jet Ski Racing New Zealand

Name *

First

Last

Address *

Email *

D.O.B

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

Phone

Class entering *

If you're in doubt about what class you can race in feel free to contact us.

Race Number *

All skis require an official race number. Please contact the club secretary at info@jetskiracingnz.com to apply.

Membership Status *

Fully Paid Member
Paid in addition to race entry

My Registration includes the following: *

Early Bird Entry Fee - Runabout- $120.00 (By 11 October)
Early Bird Entry Fee - Pole Ski - $75.00 (By 11 October)
Late Entry Fee, Runabout - $150.00 (After 11 October)
Late Entry Fee, Pole Ski - $100.00 (After 11 October)
Single Club Membership - $20.00
Family Club Membership - $30.00
Day Licence - $40.00

Non-member Day Licences are available on the day. Riders are entitled to race at just one event prior to becoming a member. To qualify for the Early Bird discount the Entry Fee and Day licence must be paid by the Thursday evening prior to the event.

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

I further declare

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.)

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.

Rider Agreement *

In submitting this form, I as 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.

Parent or Guardian Agreement

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

PAYMENT DETAILS

Bank Details: Jet Ski Racing New Zealand, Account No. 02-0112-0141545-25.

NOTE: EFTPOS and is not available on race day. Please pay by bank transfer or direct deposit. Use your name as reference and let us know once payment has been made.

Winter Enduro 2023 – Entry Form

Round 3 – Saturday 14 September – Stump Bay, Taupo

Race Entry

Indemnity