EVENT INDEMNITY FORM

I,_______________________________________________________________________

______________________________________________________________ (Full Name)

● I request permission to enter the BMW Cyclothon, on Sunday - 27th March 2022,
and to participate in the activities organized for the Event.

● I understand the nature of this event. I agree that I am entering the event at my
own risk and take full responsibility for my safety and actions during the event.
By attending or joining this event, if any harm, injury, loss, liability or damage is
caused to me or my property, I and/or any of my legal heirs and/or
representatives shall not hold its administrators and organizers of the event or its
partners liable or responsible for the same.

● I will not hold the organizers responsible for any accident, injury, misfortune,
untoward incidents related to the event in which I am participating.

● I completely understand that the cycling challenge can be dangerous and that I
compete in this event and associated activities at my own risk.

● I hereby consent that I can receive any medical treatment, which may be deemed
advisable in the circumstances of the injury, accident or illness during the event. I
agree to pay all resulting doctor, and or hospital fees and expenses incurred.

● I acknowledge that it is my sole responsibility for my cycles, equipment and

personal possessions at all times, before, during and after the event and its
related activities.

● I give permission for myself / my child / child in my care to have photographs

taken during the event that may be used for promotional material or
publications.

● I agree that the Race Director’s decision is final. 


I have read, understood and will adhere to this Indemnity Form:

Name: ___________________________________________________________


Signature: ________________________________________________________

Date: ________________
IF COMPETITOR IS UNDER 18 YEARS OF AGE - PARENT / GUARDIAN’S SIGNATURE
REQUIRED

Name of Parent / Guardian: ________________________________________________

Signature: ______________________________________________________________

Date: __________________

Relationship to Participant: _________________________________________________

Telephone: (Res) __________________________ (Mob) _________________________