Name: Round 3, Summer Series 19/20, Lake Rotoma
Start: 2020-03-08T09:00:00+13:00
End: 2020-03-08T17:00:00+13:00
Location: Matahi Road, Lake Rotoma

Name *

First

Last

Address *

Email *

Please enter your email, so we can follow up with you.

I am entering *

Aqua-X Grand Prix
Summer Rounds 5 & 6 *
Both

Entry into Summer Rounds 5 & 6 is conditional on having raced a minimum of 50% of available Summer rounds.

Aqua-X Grand Prix Class/es Entered *

Summer Series Class/es Entered

Membership Status *

Fully Paid Member
Paid in addition to this race entry

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 am over 18 years (if not a parent of guardian must fill out this form and be present).

My Early Bird Registration includes the following: *

Single Club Membership - $20.00
Family Club Membership - $30.00
Aqua-X Grand Prix - $125.00
Aqua-X Grand Prix - second class - $100.00
Round 5 Summer Series - $25.00
Round 6 Summer Series - $25.00
Novice - One Round - $20.00
Novice - Two Rounds - $40.00
I'll wait and pay on the day

Day licence is included in the entry fee. Pay online by Wednesday 21 April and save $25.00 on the Aqua-X Grand Prix entry. Early Bird entry closes Wednesday evening before the event

Agreement *

In submitting this form I 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.

Other

The fields on this entry form marked with an asterix * must be completed in order for the form to be submitted.

PAYMENT DETAILS

EFTPOS IS NOT AVAILABLE. Bank Details: Jet Ski Racing New Zealand, Account No. 02-0112-0141545-25.

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.

Round 3, Summer Series 19/20, Lake Rotoma

08/03/2020 @ 9:00 am - 5:00 pm

MEMBERSHIP

RACE LICENSE

FIRST TIME RIDERS

Details

Organizer

Venue

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