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Organising Club: Mondello Park Sports Club

 Permit No: 

Date: 18/19 May 2024

MOTORSPORTS CAN BE DANGEROUS AND MAY INVOLVE INJURY OF DEATH

You must read and agree to the following in order to act as an official or assistant at this event.

Sign below if you agree to the following.

1. I agree that I will act as an official at this event in whatever capacity is requested of me by the organisers and I confirm I am competent to do so.

2. I confirm that I will inform the organisers immediately should any change in my condition occur which I have reason to or ought to have reason to believe would affect my ability to carry out my duties.

3. I will inform the organisers immediately should I be asked to officiate in a position or capacity which I do not feel confident or qualified to fulfil for any reason.

4. I further confirm that I have familiarised myself with the course/circuit/track and the facilities thereof and declare my acceptance for the purpose of my duties.

5. I acknowledge that as an official I may be exposed to the risk of injury or death and accept such risk and I will undertake my duties with their associated risks with due and proper regard for my own safety.

6. I will observe and obey all instructions given to me by the event organiser or organising venue owners.

You acknowledge you have read and understand the above terms, and are consenting to the use of your electronic signature in lieu of an original signature on paper