2024 Fanatec GT World Challenge Asia Powered by AWS & Japan Cup
SRO GT POWER TOUR OKAYAMA 22-25 August 2024
INDEMNITY FORM
IN CONSIDERATION OF Okayama Kokusai Circuit Co. Ltd (hereinafter called OIC which expression shall include its servants,employee, agents licensees, subcontractors, subsidiaries, associates, assignees or any other entity controlled by OIC)
consenting to the hire and the use of its track, services and facilities, I the person whose name, particulars and signature appears
in this form (hereinafter called “The Participant”) which expression shall include my heirs, assigns and legal representative(s)agree to accept such hiring and use of OIC’s track, services and facilities upon the terms and conditions set herein and anyother terms and conditions that OIC may from time to time impose. I hereby agree, acknowledge and confirm as follows:
1.

ACKNOWLEDGE that OIC reserves the right to refuse entry at any time and the event that I am required to do so, I will doit promptly.

2.

UNDERTAKE to indemnify and keep safe OIC against any and all claims, writs, summons, proceedings, judgment, orders,decrees, damages, costs, losses and expenses of any nature whatsoever which may result as a consequence of anyacts/omissions by The Participant from the usage of the track, facilities and services.

3.

AGREE to be solely responsible for all belongings, including any parts attached to my Car/Bike and also for those brought
in by my group, members and friends. I shall not hold OIC responsible for any losses.

4.

AGREE that the Participant shall be solely responsible for any damages arising from bodily injury, death and/or claims forproperty damages or losses, which may arise directly or indirectly out of the usage of the track, facilities or services by The
Participant. The Participant shall defend and hold OIC harmless for any said damages.

5.

AGREE to be liable and indemnify OIC for any injury, loss or any damage to any property, servants, employee, agents
licensees, subcontractors, subsidiaries, associates, assignees or any other entity controlled by OIC DIRECTLY orINDIRECTLY caused by or resulting from any use, intended use or attempted use of the track, the facilities and services ofOIC at any time or DIRECTLY or INDIRECTLY caused or resulting from my act whether negligent, reckless or otherwise
whilst on the property of OIC.
(Ex. of cost: urethane barrier=86400yen per 1 piece, tire barrier=9720yen per 1 pile, fire extinguisher=8640yen per 1 bottle)

6.

AGREE to abide by all rules and regulations established by OIC on the usage of track, facilities, services and all otheramendments or alterations thereto including all signs, posters, billboards and all written and verbal instructions notified fromtime to time.

7.

AUTHORISE OIC and any other advertising or marketing agency on behalf of OIC to take, use or reproduce photographs
and films of The Participant during the usage of the track, facilities or services for any purpose deemed suitable by OIC.

8.

ACKNOWLEDGE that OIC shall only be responsible for the acts of its servants, employees, agents, licensees,subcontractors, associates, assignees or any other entity controlled by OIC on the management, control, supervision,directions and/or operations of the track, facilities and services and shall not be liable for any acts done without
instructions/authorization from OIC.

9.

REPRESENT and WARRANT to OIC that all details and particulars herein and/or given at any time to OIC are True andCorrect.

10. ACKNOWLEDGE that I have read and understood each terms and conditions herein contained.
Name : ………………………………………………………………………………………………………………………………………….
NRIC No / Passport No : ………………………………………………… Tel No: ………………………………………………………..
Address : ………………………………………………………………………………………………………………………………………
Vehicle No / Model : . .…………………………………………………Driving License No: ……………………………………………..
Signature : ……………………………………………………… Date : …………......................................................
Next of Kin: ………………………………………………………………………………………………………………………..
Relation to you: …………………………………………………….. Contact no: …………………………………………….