KSSA Team Race Pre Entry

HELM 1

 
HELM 2  
HELM 3       
HELM 4  
CLUB
SCHOOL
TEAM NAME  
Contact Email:  
Contact Phone No.  
 

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Details of any medical conditions you feel the organisers should be aware of  
Name of parent or responsible adult who will be staying on site.   

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Rights to use Names and Likenesses

Competitors automatically grant the Organising Authority/KSSA without payment the right in perpetuity to make, use and show any motion pictures, still pictures, unless otherwise advised in writing prior to the event.