SELF DECLARATION SIGN IN FORM

    Date of birth

    Date Attending?

    Have you been to RSI before?
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    Are you happy to receive updates from Rally School Ireland in the Future?
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    In consideration of the confirmation of my booking and the provision of facilities and services by Rally School Ireland (hereinafter called ‘the School’) I hereby agree and declare as follows:

    A. The risks involved in the motor rallying and the related activities at the school have been fully explained to me by a representative of the school and I clearly understand and appreciate the exposure of others and myself to risks in taking parting these activities.

    B. I am in good health, my eyesight is of driving test standard, and I am not suffering from any ailment, disability or complaint as would make it unsafe for me to take in driving or in any of the schools activities.

    C. I accept that I am solely responsible for any decision as to my fitness to take part in any driving or any other activity of the school.

    D. I accept that I shall be solely responsible for any decision to drive any motor vehicle or use any equipment whilst it is under my control and if I am dissatisfied prior to driving any vehicle or using any equipment I am to discontinue driving the vehicle or using the equipment forthwith.

    E. I will save harmless and keep indemnified the school and all of its staff, officers, agents, and any person acting on its behalf, the drivers of the vehicles and any other person or organisation using the facilities in respect of loss of life, injury, harm, loss or damage to me or to my property in the course or as a result of these activities howsoever caused even if the same is caused or contributed to by reason of the negligence or breach of duty on any part of the school, its staff, officers, agents or representatives or such other person or organisation.

    F. This wavier has been drawn to my attention by a representative of the school and I understand its terms as a waiver of legal rights and I have given my consent to this waiver freely and willingly in consideration of my being permitted to avail of the facilities of the school.

    I hereby declare that the information provided is true and correct to the best of my knowledge.

    I agree

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