Loading...

NZ Drift Matsuri online MEDIA waiver and check in.

Event: Summer NZ Drift Matsuri 2021

This waiver is to cover the New Zealand Drift Matsuri event "Summer Drift Matsuri 2021" at Hampton Downs Motorsport Park on March 26-27th 2021 and will only apply for the duration for the event.

Please read and approve the official event waiver and liability, upon finishing this form.

Process:

1) You will be required to show staff upon arrival your completed form which will be emailed to you.

2) Once this is completed you will be handed your associated wrist band (where applicable) allowing you to access particular areas of the event.

"Venue" is Hampton Downs Motorsport Park

I understand that Motorsport is and can be dangerous, and the participant (you) acknowledge that in consideration of being granted access to the event, tracks and operational areas of the motorsport park for driving and/or for any other reasons:


1. I irrevocably waive all and any rights I may have against ZEROCLASS LIMITED and Hampton Downs Motorsport Park, along with any of its officers, employees, agents, contractors, subsidiaries or suppliers and others having access to the event, howsoever arising, in respect of any cost, claim, loss, liability, damages, illness (including COVID-19) or injury suffered or incurred by me while I am on any motorsport park and/or any associated venue/s; and


2. I agree to irrevocably indemnify and save harmless ZEROCLASS LIMITED and Hampton Downs Motorsport Park, and its officers, employees, agents, contractors, subsidiaries, suppliers or others having access to any associated motorsport park and/or any associated venue/s, from and against all and any cost, claims, loss, liability, illness including COVID-19 or damages suffered or incurred by ZEROCLASS LIMITED, or any of them directly or indirectly or as a result or consequence of any claim made, proceedings threatened or commenced by any person, firm, or other entity whomsoever arising out of my access to the event and from any act or omission on the part of ZEROCLASS LIMITED, and associated venue partners or not; and


3. I agree that this waiver and indemnity shall bind my personal representatives and assignees, and my trustees, executors or administrators; and


4. I agree to promptly comply with all rules, regulations, directions and instructions given to me by any officer or official having or appearing to have authority to act in respect of ZEROCLASS LIMITED and Hampton Downs Motorsport Park.

 

I Agree

March 6, 2021

First MEDIA Name

First Name*

Last Name*

Phone*
First MEDIA Date of Birth*
First MEDIA Signature*
Second MEDIA Name

First Name*

Last Name*
Second MEDIA Date of Birth*
Third MEDIA Name

First Name*

Last Name*
Third MEDIA Date of Birth*
Fourth MEDIA Name

First Name*

Last Name*
Fourth MEDIA Date of Birth*
Fifth MEDIA Name

First Name*

Last Name*
Fifth MEDIA Date of Birth*
Sixth MEDIA Name

First Name*

Last Name*
Sixth MEDIA Date of Birth*
Seventh MEDIA Name

First Name*

Last Name*
Seventh MEDIA Date of Birth*
Eighth MEDIA Name

First Name*

Last Name*
Eighth MEDIA Date of Birth*
Ninth MEDIA Name

First Name*

Last Name*
Ninth MEDIA Date of Birth*
Tenth MEDIA Name

First Name*

Last Name*
Tenth MEDIA Date of Birth*
MEDIA Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
By selecting this box you understand you will automatically be added into our event database and mailing list. You can unsubscribe at any time
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!