Temporary Licence – Jet Ski Racing New Zealand

Round Number and Location *

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Personal Contact Number *

For contact upon event changes and registrations

Email *

Date of Birth

Required for all riders aged under 18 years.

Ski Number *

New riders must compete in GP2. Race numbers must be confirmed by the Executive before the race event. Legibility criteria is specified in our Rulebook.

Council Registration Number/s *

Jet Ski Council Registration Number/s must be registered with Local Harbour Master. Proof may be required.

Medical Declaration *

I declare that I am not aware of any medical conditions that may affect my ability to safely participate in race events
I declare that I suffer from the following medical conditions:

Known Medical Condition/s and controls/medications

Emergency Contact Name: *

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

Emergency Contact Number: *

Indemnity Clause *

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.

Parental Permission

If I am aged over 15 years and under 18 years of age, my parent has applied on my behalf. (Please scan photo ID of parent.)

If photo ID is required, please attach below.

Click or drag a file to this area to upload.

I declare the following: *

That I am of sound mind and have declared any medical condition or disability that may make it unsafe for me to compete in jet ski events
That I will never be under the influence of drugs or alcohol at the time of participating in events
That I have read this form and understand its contents
That I am over 18 year (if not, a parent or guardian has been present and supplied their ID)

Applying For: *

Temporary Licence - $50.00

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

Agreement *

In submitting this form I hereby declare, in the absence of my signature, that the information above is true and correct. I am aware that this licence is valid for racing within New Zealand only. I agree that by applying for a Race Licence 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.