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Thursday, 14 June 2012

 

INDEMNITY STATEMENT

 

I, the undersigned

.....................................................................................................................................................................................

 

Date of Birth: ............................................................................................................................................................

 

1.      I understand the Rules promulgated in terms of the Constitution of the Global Powerlifting Committee and other internal GPC documents (the rules of powerlifting, etc.).

 

2.      There are inherent risks associated with participation in the 2011 GPC World Championships which may result in personal injury (even of a serious nature) to me. I am aware of the risks and accept these risks.

 

3.      To the full extent permitted by law, I absolve, release, discharge and indemnify the GPC, its officers, employees, organisers, representatives, helpers/spotters/loaders and/or agents (“the Indemnities”) from any and all liability from any and all claims, demands, rights or action or causes of action, present or future, resulting from or arising out of my participation in the Championships, for any personal injury, mental anguish, loss or damage of any kind suffered by me.

 

4.      In the event of such injury, first aid may attend to me while injured. Should I have to receive treatment at a hospital or any medical institution due to any injury I will be responsible to pay my own expenses.

 

5.      I declare that I have read and understood the above and accept full responsibility for my safety during my participation in these Championships, and I waiver any claim I might have against the GPC and/or the Indemnities. I was not unduly influenced and sign this form freely and voluntarily.

 

 

 

Signature...................................................                       Date: ..............................................

 

 

NOTE: In the case of a minor (any person under the age of 21 years of age) I confirm that my parent(s) and/or legal guardian who has been notified of my intended participation in the Championships and has given his / her / their permission to do so.

 

·        Each participant must confirm this document with his signature on the registration as a sign of his consent.

 

IDEMNITY STATEMENT>>>

 

 

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