Organising Club: Blackpalfrey Motor Club of Kent       Permit No(s): 134209/133982
Event Name: Hughes Rally       Event Date: 13th April 2024


I declare that I am over 18 years of age and agree to act, at all times, in accordance with the instructions of Officials of the event.

I further declare that I am physically and mentally fit to carry out my function and that I will inform the Organisers immediately should any change in my condition occur which I have reason or ought to have reason to believe would affect my ability to carry out my function.

I acknowledge the nature and type of the competition and that while undertaking my duties I may be exposed to the potential risk inherent in motor sport and that I will undertake my function with its associated risks with due and proper regard for my safety and that of others. I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury through their negligence.

I understand and agree that my personal data is being processed solely for the purposes of running this Event and will be handled by the organisers in accordance with Motorsport UK data protection policy:

I hereby agree to abide by all applicable Motorsport UK Policies and Guidelines including but not exclusively Safeguarding and Anti Alcohol and Drugs policies and the National Sporting Code of Conduct.

Last Updated: 01 March 2022

Typed signature is acceptable and is legally binding

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