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Registration Form 2021
Register teams for the 2021 Hawkes Bay Hundy.
Team Managers Name
Team Managers Email
Team Managers Contact Number
Is the Team Manager also running as part of the team?
If yes, Name of second emergency contact
Cellphone number of second emergency contact
Please state which Emergency Service your team is from (if applicable)
Fire and Emergency New Zealand
St Johns Ambulance
Team Manager to sign on behalf of the team:
I agree to the waiver conditions and all team members will read the waiver, race rules and information before competing.
By entering this event you agree to the terms and conditions below:
If you make changes to your team manager, you must inform the event team at registration or by email prior to the event start.
If you withdraw before 1 September Refunds will be 50% of fee paid, withdraw on or after 1 September - No refund will be given.
I acknowledge that a running relay involves the real risk of serious injury or even death from various causes including overexertion, equipment failure, dehydration, accidents with other competitors, spectators or road users, course or weather conditions and other causes.
I understand that I should not compete in this event unless I have trained appropriately and if I had any concerns I have seen a medical practitioner.
By competing, I accept all risks necessarily following from my participation, which could result in loss of life or permanent injury.
Accordingly, I release all person/s or corporations associated directly or indirectly with the conduct of the event from all claims demands and proceedings arising out of my participation and I hereby indemnify them against all liability (including liability for their negligence and the negligence of their respective directors, partners, managers, officers, agents, contractors, employees and volunteers including medical and paramedical personnel appointed for the event, the owners, licensees and occupiers of land upon which the event or any part of it is conducted, any statutory
body or local authority having control over any land upon which the event or any part of it is conducted or which is involved directly or indirectly with the event in any manner whatsoever and promoters, sponsors and event organisers. This release and indemnity continues forever and binds my heirs, executors, personal representative and assigns. Upon request, I allow any of the above mentioned entities details held/known about any
incident or accident which involves me directly or indirectly from my participation in this event.
I consent to receiving any medical treatment that the event organisers think desirable during or after the event.
I consent to event organisers using my name, image and likeness before during or after the event for event promotional broadcasting or reporting purposes in any media.
Safety precautions undertaken by organisers (such as course supervision, race safety briefings, and managed road crossings) are a service to me and other competitors but are not a guarantee of safety.
I am fully responsible for the security of my personal possessions at the event.
I will contact the Race Director of my medical or physical conditions from which I suffer that might affect my performance or be relevant if medical treatment is needed.
I agree to abide by all race rules and directions issued by the Event organizer/Race Director.
I acknowledge that by reason of circumstances beyond the control of the event directors, it may become necessary or desirable to change the format of the event, and if that occurs, I consent to the changes and I agree that each and every of the conditions herein set out shall apply to that changed event.
If the event is cancelled due to flood, cyclone, torrential rains or other 'acts of God' conditions, I understand that entry fee will NOT be refunded.
I hereby certify that I am eighteen (18) years of age or older
The Team Manager will travel with their team and be available for communication with the Race Director. If the team manager is partaking in the relay, a secondary contact will be avaliable for communication.
Confirm Team Manager's Email
Price for Team entry
Early Bird Rate $350 (For the month of June)
Normal Rate $400 (1st July - 31st August)
Late Entry $420 (1st - 19th September)
This field is for validation purposes and should be left unchanged.
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