Moto World Presents Race Wars

Personal Information

Full Name (Required)

Date of Birth (Required)

Gender (Required)
MaleFemaleOthers/Prefer not to say

Contact Number (Required)

Email Address (Required)

Address (Required)

Emergency Contact Details

Emergency Contact Name (Required)

Relationship (Required)

Contact Number (Required)

Rider Details

Previous Racing Experience
YesNo

If Yes, Mention Participated Event Name, Date & Result details

Vehicle Information

Scooter Make (Required)
HondaApriliaVespaYamahaTVSSuzukiHeroOthers

Scooter Model (Required)

Event Participation

Preferred Race Number (Optional)

Consent and Waivers

As a participants in this race, I am aware of the danger associated with riding a scooter/motorcycle including serious injury or death. I, the undersigned, herby waive, release and forever discharge Moto World Nepal Pvt. Ltd., Advanced Riding Academy, The Garage Nepal Team, directors, management, staffs and volunteers as well as all corporate sponsor associated with this ride. I assume full responsibility for any injury or damage arising from participation in this Race. I declare that I have a valid motorcycle driver's license and insurance, which are required to participate as motorcycle operator. I also agree to permit photograph and video to be taken of me and publish during and after my participation in the Race / Event.

I agree to the terms and conditions: 1) All riders are required to wear safety riding gears (i.e. riding jackets with armor, gloves, knee guards and ankle length shoes) and Full Face Helmet (with functioning visor & chin strap) is mandatory. 2) All riders are strictly prohibited from Alcohol and any kinds of drugs. 3) All riders below 21 years old have to get the written approval from the parents (should be blood related) for the race, otherwise s/he will not be allowed.

Declaration

Signature (Required)
I confirm the above information is correct. My name and submission date will act as a digital signature.

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