PARENTAL AGREEMENT FORM

Name of Event_________________________ Date of Event______________________

I_______________________________________ the parent and/or guardian of the child listed here understand that my

child____________________________________(child’s name) )hereinafter referred to as ‘my child’) wishes to participate in this

event as per date above.

I declare as follows:

1. That I am familiar with the nature of the competition and the risk inherent therein and that I have had the opportunity to inspect

the course/track/circuit and its facilities before allowing my child to sign on.

2. I am satisfied and content that my child be allowed to participate as a competitor and that he/she is competent to do so.

3. In consideration of the organisers allowing my child to compete I hereby agree and undertake to indemnify the IOPD, its

organisers, their servants or agents, officials, the promoter or other bodies or individuals connected with the event in respect of any

claim by my child in respect of injury or any damage to my property howsoever caused, and including with the limitation their

negligence and/or breach of statutory duty arising from my child’s participation in the competition.

4. My child does not suffer from any physical or mental disability that would make it unsafe for him/her to participate as a

competitor.

5. It is my responsibility to ensure that my child and I have read and understand the general regulations of the event and any

applicable supplementary regulations and entry form and that he/she will comply with them.

6. To the best of my belief my child possesses the standard of competence necessary for an event of the type to which his/her entry

relates and that the machine entered is suitable, safe and complies with the regulations.

Signature of Parent or Guardian_______________________________Winessed by___________________________________