One Day tour

Online Entry

Name:*
E-mail:*
Phone:*
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Emergency Contact Name:*
Emergency Contact Phone:*
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Race Number:
Select Gender:*
Select Grade:*
Age:*

As at 31st December 2017

Cycling Otago Member:*
Licence Number:*
Accept Waiver Conditions:*

Waiver

• I will not hold Cycling Otago, its contractors or volunteers liable for any harm that occurs to me or my equipment during the course of this race, or for any harm to other persons or property that is caused by me in the course of this event.
• I accept full legal responsibility for any harm to persons or property caused by me in this event.
• I am aware and accept that the roads are open, may not be marshalled and that I race at my own risk.