BONAIRE XTREME DUO MTB 2016
Race starts at 6:30am @ Divi Flamingo Resort (Seaside entrance)
Please have your I.D. card handy. You may be asked for it.
Team Name:______Country: ______
Route: ?PRO 51km?XTREME74km RACE NUMBER
Rider 1:______Date of birth:______
Rider 2:______Date of birth:______
Official use
Mark Category with an X: ?WOMEN ?MEN ?MIX ?JUNIOR ?SENIOR
WOMEN Combined age between 50 and 100 years
MEN Combined age between 50 and 100 years
MIX (M/F) Combined age between 50 and 100 years
JUNIOR Combined age ≤ 50 years
SENIOR Combined age ≥ 100 years
E-Mail Address Rider 1: ______
E-Mail Address Rider 2: ______
Emergency Contact: ______Phone: ______
PLEASE READ CAREFULLY BEFORE SIGNING!
I, the undersigned, in consideration of participating in the Bonaire Duo Xtreme mountain bike race, state that I have read and understand and hereby expressly accept and agree to the following:
Release of all Liability (including negligence); I HEREBY AGREE TO RELEASE AND DISCHARGE Bonaire Xtreme Sports Foundation and any of its volunteers FROM ANY LIABILITY AND/OR RESPONSABILITY for any damages, injuries, or claims, including any injuries or damages incurred to myself or from and to any other person or the bikes and equipment. I fully understand and agree to release Bonaire Xtreme Sports Foundation for any negligence in causing in whole or in part any injury incurred to me.
I also hereby certify that I am participating in this race under my own voluntary decision,responsibility and risk.
Bonaire Xtreme Sports Foundation recommends all participants to issue an insurance against any damages regarding this race for their own personal protection.
Bonaire Xtreme Sports Foundation (BXSF)PRIVACY POLICY
Bonaire Xtreme Sports Foundation recognizes that privacy is important. This privacy policy tells you about our sport events collection and use of data. By participating in our sport events, you understand and agree to the terms of this policy. This sport event is owned by BXSF. For data protection purposes, BXSF is the controller and, unless otherwise noted, also the processor of data. Information collected may be retained, and may be stored, processed, accessed, and used in jurisdictions whose privacy laws may be different and less protective than those of your home jurisdiction. By participating in this event, you agree that the organizers of this event may use your name, image and likeness for publicity purposes without compensation.
Signature of Rider 1:______
Signature of Rider 2:______
If under 17, Signature of Parent of Guardian:______