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MMS RACING ACADEMY REGSITRATION FORM FORM FULL NAME IN BLOCK LETTER FATHER S/MOTHERS NAME RESIDENCE ADDRESS AGE DOB BLOOD GROUP CONTACT NO EMAIL ID DRIVER S DECLARATION I have read the Regulations issued for the above meeting and agree to be bound by them and the National Competition Rules of the FMSCI and all regulations relevant to this event. In consideration of the acceptance of the entry or of my being permitted to take part in this event I agree to save harmless and keep indemnified MECO Motorsports Pvt Ltd the FMSCI the property owners the meet sponsors and their respective officials servants representatives agents and promoters from and against all action claims costs expenses and demand in respect of death injury loss of or damage to the person or property of myself or my crew as the case may be howsoever caused arising out of or in connection with this entry or my taking part in this meeting and notwithstanding that the same may have been contributed to or occasioned by the negligence of the said bodies their officials servants representatives or agents. I understand that should I at the time of this event be suffering from any disability whether permanent temporary or otherwise which is likely to affect prejudicially my normal control of my vehicle I may not take part unless I have declared such disability to the FMSCI or my National Sporting Association ASN who have following such declarations issued a license which permits me to do so. NAME OF DRIVER SIGNATURE DATE INDEMNITY BY PARENT/GUARDIAN To be signed if the Driver is below 18 years of age. Please show proof of age In consideration of the above named driver being permitted to compete in this event I being the parent/ legal guardian agree to save harmless and keep indemnified MECO Motorsports Pvt Ltd the FMSCI the property owners the meet sponsors and their respective officials servants representatives agents and promoters from and against all action claims costs expenses and demand in respect of death injury loss of or damage to the person or property of the driver myself or my crew as the case may be howsoever caused arising out of or in connection with this entry or my taking part in this meeting and notwithstanding that the same may have been contributed to or occasioned by the negligence of the said bodies their officials servants representatives or agents. In consideration of the acceptance of the entry or of my being permitted to take part in this event I agree to save harmless and keep indemnified MECO Motorsports Pvt Ltd the FMSCI the property owners the meet sponsors and their respective officials servants representatives agents and promoters from and against all action claims costs expenses and demand in respect of death injury loss of or damage to the person or property of myself or my crew as the case may be howsoever caused arising out of or in connection with this entry or my taking part in this meeting and notwithstanding that the same may have been contributed to or occasioned by the negligence of the said bodies their officials servants representatives or agents. I understand that should I at the time of this event be suffering from any disability whether permanent temporary or otherwise which is likely to affect prejudicially my normal control of my vehicle I may not take part unless I have declared such disability to the FMSCI or my National Sporting Association ASN who have following such declarations issued a license which permits me to do so.

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