APPENDIX 1
(DOWNLOAD FORM IN WORD FORMAT)
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Plate Number: |
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Bicycle Type: |
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Level: |
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Gender: |
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Age: |
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Name: |
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Address: |
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Home Phone: |
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Cell Phone: |
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Team: |
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Team Manager: |
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Address: |
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Office Phone: |
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Cell Phone: |
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BMX RACE BICYCLE TYPES & CLASSES |
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Standard (20” diameter) |
Cruiser (22½” (57 cm.) diameter) |
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Championship Level
Elite Men - 19 & over; (4 classes) Challenge Level Boys - 5 & 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16
(11 classes).
(10 classes). (1 class).
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Championship Level (2 classes)
Elite Cruiser - 19 &
over; Challenge Level 12
& under, 13 & 14, 15 & 16, 17-29;
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FOUR CROSS (4X) EVENT
CLASSES |
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OPEN / NOVICE / LADIES |
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Liability Waiver
I agree to indemnify, defend, and hold the Philippine National Bicycle League and its management & staff, the Event Host and its management & crew harmless of any liability of any nature whatsoever for accident or injury to myself, my crew, my guests, and/or my bicycle, while racing or engaging in activities related to or connected therewith. I acknowledge that any decision to start or continue racing shall be solely my own. I further agree not to race in hazardous conflict with other bikers.
I am aware that bicycle racing is a hazardous activity, and I am voluntarily participating in this activity with the knowledge of the danger involved and hereby agree to accept any and all risks of injury or death.
I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and the Philippine National Bicycle League and/or the Event Host and/or their affiliated organizations, and sign this release of my own free will.
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Signature of Rider: ______________________________________ Parent/Guardian’s Name: _________________________________ Signature of Parent/Guardian: ______________________________ Date: ___________ Administration Commissaire: ______________ Reviewed & Entered by: __________________________________ |