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2018 – 2019 Associate (Bucket Bike) Membership Application
Indemnification and Declaration
I hereby apply for membership/renewal to KARTSPORT WELLINGTON INC. I undertake to abide by the rules of the Club and to pay subscriptions and dues levied by it. I acknowledge the Club’s right to refuse my membership on any grounds and that membership can only be terminated by formal advice in writing. The Club’s financial year ends 31st March.
I/We consent to the collection of the above details by KartSport Wellington Inc. for the purpose of membership record and for KartSport Wellington to retain and disclose these to SPARC, funding agencies and sponsors.
I/We acknowledge my/our rights to access and correction of this information. This consent is given in accordance with the Privacy Act 1993.
The following is applicable only to racing members.
I HEREBY AGREE to fully indemnify the associations known as the FIA, the CIK, the KNZ, the WPKA, KartSport Wellington Inc., the Upper Hutt City Council, the Greater Wellington (Regional) Council, all sponsors and all or any members, officials, assistants or employees or the above named or known organisations against any injury or accident to myself or damage to my kart or equipment whether in practice or competition. Minors (under 18) must have parental or guardian’s signature approving conditions of entry and present during racing or practice and to represent a minor at a judicial hearing.
As an Associate Bucket Bike member of KartSport Wellington, I acknowledge that I have no voting rights.