AASA PASSENGER INDEMNITY FORM (New South Wales) Please enable JavaScript in your browser to complete this form. WARNING! Motor Racing is Dangerous, and accidents can and do happen. All care is taken to protect you, but you are warned that there is a possibility of an accident-causing personal injury or death. Spectators, participants or guests are warned that Motor Racing is dangerous and accidents can happen. All care is taken to protect the public but spectators, participants and guests entering the Pit or Track Area are warned that there is a possibility of an accident causing personal injury or death. By purchasing and/or using a ticket, Official Pass or stamped symbol that permits entry to the Event and/or the Pit or Track Area, the spectator, participant or guest acknowledges that entry to the venue at which the Event or activity is held and/or the Pit or Track Area, has a degree of danger and the owners, Promoters, clubs, corporations, organisations, participants or other person’s having any connection with the promoting, organising or conduct of the Event or activity shall have no liability, either in tort or contract, for any personal injury or death, whether caused by negligence or otherwise, to the spectator, participant or guest, except in regard to any rights those persons may have under the Civil Liability Act 2002 (NSW) and the Australian Consumer Law and at law. The Event or activity will be conducted under the rules of the Australian Auto Sport Alliance Pty. Ltd. The Organisers by accepting the entry of any car, or other vehicle or by allowing any vehicle to participate in the Event shall not be deemed to warrant or guarantee the competency of any drivers, riders nor mechanics participating in the Event nor any Officials appointed for the supervision of the Event or activity pursuant to these rules, nor the efficiency or mechanical soundness of any car, motorcycle or other vehicle entered for and taking part in the Event or activity, nor that the track for the Event is in a safe condition for racing or driving, nor that such track nor any part thereof shall be free from spectators or any obstacles nor that the rules governing said Event or activity shall be observed by any other entrant, driver, rider, mechanic nor Official therein. An authorised “AASA” representative has explained this form, and the activities in which I will participate to me in detail and I/we the undersigned have read the Supplementary Regulations issued for this Event and this activity and agree to be bound by them and by the rules of the Australian Auto Sport Alliance Pty. Ltd. I/we also acknowledge and agree as a condition of participation that neither the Australian Auto Sport Alliance Inc, nor the Promoters or Organisers of the race meeting/Event or their respective servants, Officials, representatives or agents, the Organisers, nor the Driver / Owner / Entrant shall be under any liability whatsoever for my death or personal injury which may be sustained by me as a result of my participation in the Event or activity howsoever such death or personal injury is caused whether by negligence or otherwise. By signing this form, the person named below (Passenger) verifies that they have read the above. have had an authorised AASA representative explain this form and the activities in which they will participate in detail and are in good health and know of no reason not to undertake the activity and understand the written and verbal advice pertaining to the Event or activity. The person named below (Passenger) will not hold “AASA”, nor any of its Officials, nor any of its representatives, nor the venue or staff, nor the Driver / Owner / Entrant named below responsible for any injury nor any health problem that might occur as a result of this activity. Name *FirstLastAddress *Email *Phone *I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. Passenger Print Name ( We will have you sign on the day) *Date *Emergency Contact Name *Emergency Contact Number *DISCLAIMER AND CONSENT STATEMENT FOR ENTRANTS AND COMPETITORS UNDER 18 YEARSNAME OF PARENT / GUARDIAN CONSENT & ACKNOWLEDGMENT OF RISK TO PERSONS UNDER 18 YEARS OF AGEPRINT NAME ADDRESSI, BEINHG THE PARENT/GUARDIAN, HAVE READ THE WHOLE OF THIS DOCUMENT AND CONSENT TO HIM / HER PARTICIPATING. IN DOING SO, I ACKNOWLEDGE THAT MOTOR SPORT IS DANGEROUS, AND AGREE THAT NEITHER AUSTRALIAN AUTO-SPORT ALLIANCE PTY. LTD. NOR “THE ORGANISERS” SHALL BE UNDER ANY LIABILITY WHATSOEVER FOR ANY DEATH OR PERSONAL INJURY WHICH MAY BE SUSTAINED BY THE ABOVE-NAMED MINOR, OR BY ME, HOWSOEVER SUCH DEATH OR PERSONAL INJURY IS CAUSED BY NEGLIGENCE OR OTHERWISE. Parent / Guardian Print Name ( We will have you sign on the day) Date Submit