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Excursion/Meeting disclaimer The following disclaimer must be read by each participant, as well as the relatives

Excursion/Meeting disclaimer

The following disclaimer must be read by each participant, as well as the relatives or the legal tutors of participants

younger than 18 years old. The signatures applied on this form complies full reading, understanding and acceptance of

the contents here below and the confirmation of the willing to adhere

I, the subscriber

______________________________

born in ______________________

on

/

/ ___

Resident on (City)

State

Address ____________________________

Legal Tutor for the minor _____________________________________________________________________

With the following subscription I declare not to hold responsible the Seram Club, organizer and patron of the XI°

Alaskan Malamute Sleddog Day 23 25 January 2015 for:

Responsibility for risks of injuries, loss of personal effects due to thieving or any other reason, as well as civil

responsibility towards third party for death, personal injuries, damage of equipment of third party during the days of

the meeting. I declare that I will follow the instructions briefed by the organizer committee as far as safety measures

and will wear the protections required. I declare that I am a subscriber of a general liability insurance that covers for

damages towards third party or property damage caused by me.

I

also, with the below subscription, authorize the organizer committee to use at no charge the pictures, videos, tapes,

etc. taken during the meeting. I agree to the use of my personal data limited to the SERAM/CIRM Club association

 

purposes.

I

accept and recognize in full the rules applied during the meeting

Date _______________________

Signature ___________________________

 
I also, with the below subscription, authorize the organizer committee to use at no charge the
I also, with the below subscription, authorize the organizer committee to use at no charge the

Excursion/Meeting disclaimer

The following disclaimer must be read by each participant, as well as the relatives or the legal tutors of participants

younger than 18 years old. The signatures applied on this form complies full reading, understanding and acceptance of

the contents here below and the confirmation of the willing to adhere

 
 

I, the subscriber

______________________________

born in ______________________

on

/

/ ___

Resident on (City)

State

Address ____________________________

Legal Tutor for the minor _____________________________________________________________________

With the following subscription I declare not to hold responsible the Seram Club, organizer and patron of the XI°

Alaskan Malamute Sleddog Day 23 - 25 January 2014 for:

 

Responsibility for risks of injuries, loss of personal effects due to thieving or any other reason, as well as civil

responsibility towards third party for death, personal injuries, damage of equipment of third party during the days of

the meeting. I declare that I will follow the instructions briefed by the organizer committee as far as safety measures

and will wear the protections required. I declare that I am a subscriber of a general liability insurance that covers for

damages towards third party or property damage caused by me.

 

I

also, with the below subscription, authorize the organizer committee to use at no charge the pictures, videos, tapes,

etc. taken during the meeting. I agree to the use of my personal data limited to the SERAM/CIRM Club association

 

purposes.

I

accept and recognize in full the rules applied during the meeting

Date _______________________

Signature ___________________________