免责声明本声明将适于 2024 年 9 月 12-14 日于上海国际赛车场举办的上海秋季赛车节及其所包含赛事、活动、试车等项目。
我已详细阅读过本活动/赛事的全部及相关规则，并完全同意接受此规则的约束。
鉴于此报名已被组织者接受并获准参加活动，我同意在活动过程中，如发生我本人死亡、受伤或财产损失情况，将不向活动组织者、赞助商、场地方、工作人员、服务人员、代表、代理机构，以及参与组织、赞助活动的有关军
队、地方机构、全体工作人员、个人提出追究、索赔的要求。同时，在活动中，上述保证将扩展到任何其他参与者、服务人员及代理机构。
我声明：我具备活动要求的能力，车辆性能也符合活动要求，报名表中所有填写的各项内容属实。同时，我已经办理了本人的人身意外伤害保险。
我同意：如果我患有慢性、急性或其它影响正常控制活动的疾病或伤残，并没有得到活动组织者批准参加的情况下，不报名参加活动。如果我服用任何含有兴奋剂药品或酒精将不参与赛道活动。
我接受：若活动中因个人驾驶疏失造成任何设备损坏，将按实际发生金额负起全额赔偿责任。
我声明：报名表所填内容都经我核实，情况属实。
Declaration of Indemnity
This Declaration of Indemnity is for Shanghai Autumn Speed Festival and the races, events, test under it, which isheld on September 12-14, 2024, at Shanghai International Circuit.
I have read the regulations and related rules issued for this Event/Race and agree to be bound by them.
In consideration of the acceptance of this entry or of my being permitted to take part in this event, I agree to saveharmless and keep indemnified the Organizing Committee, Circuit, sponsor(s) and any other Committee,Commission, staff, servant, representative and agent appointed by the Organizing Committee, including any
military or civil authority or personnel or any firm or individual connected with the organization or sponsorship ofthe event, form and against all actions, claims, costs, expenses and demands in respect of death or injury to me,
the loss or damage to property of the aforesaid, howsoever caused, arising out of or in connection with this entry
or my taking part in this event, and notwithstanding that same may have been contributed to or occasioned by thenegligence of the said bodies, their officials, servants, representatives or agents. Furthermore, in respect of any
parts of this event where special stages take place, this agreement shall in addition to the parties name above
extend to all and any other participant(s) and their servants and agents.
I declare that I possess the standard of competence necessary for an event of the type to which this entry
relates, also that the car entered is suitable for the above event, and that the particulars given on the Entry Formare a true record.
I declare that I have already been covered by the insurance as required by the law, which is valid for suchpart of the event that shall take place on the track by the law.
I understand that should I at the time of this event be suffering form any disability whether permanent,
temporary or otherwise which is likely to affect prejudicially my normal control of the car, I may not take part
unless I have declared such disability to organizer who have, following such declaration, issued a license, whichpermits me to do so. And I will not participate in a track event whilst under the influence of alcohol or intoxicatingdrugs.
I accept that I will compensate for any loss or damage to equipment related to event caused by mynegligence or driving problem.
I declare that the information given on this entry form is a correct statement of facts as verified by me.
ACKNOWLEDGEMENT AND AGREEMENT
By my signature I declare that all the information in entry form is correct and that I acknowledge relating to myparticipation in this event.
姓名 Name:证件号码 ID/Passport Number:签名 Signature:电话 Tel:赛照号码:
日期 Date: