Black Star Rally -
Attendee Information

Each person attending will need to complete this form. 

A non-refundable deposit of £1250 is required to confirm each vehicle containing two people. 

Please transfer the deposit to the following: 
Acct Name: EDP (Educational Development Projects) Trust     
Account No: 42182815
Sort Code: 40-47-08
Bank: HSBC
Branch: Woking
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First Name (As shown on passport) *
Surname (As shown on passport) *
Email Address *
Date of Birth *
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Passport Number *
Passport Expiry Date *
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Phone Number *
Car Make & Model *
Car Registration Number *
Any medical issues? *
Dietary Requirements *
Are you a current EDP Child Sponsor  *
Next of Kin *
Next of Kin Phone Number *
Please confirm you have the relevant holiday and motor vehicle insurance for the trip.  *
Required
Disclaimer

I am voluntarily attending and participating in the Black Star Rally (“Event”) as a driver, passenger, spectator or worker for fun and recreation. I agree to follow the directions of the Rally officials.

I understand that there are hazards and risks associated with the Event that may result in physical injuries or death, including operating a motor vehicle upon public roads. I understand that I am responsible and accept the liability for my health and safety and the health and safety of any passengers in any motor vehicle owned or operated by me (“Vehicle”) that is participating or associated with the Event. I understand there is a possibility that I and/or my passengers may be injured or killed at the Event. I knowingly and willingly accept those hazards, risks, responsibilities and liabilities.

I understand that I am the only person responsible for the safety of the Vehicle. I recognise and assume all risk of damage, injury and death that may be caused by a failure of any component of the Vehicle. I represent and warrant that the Vehicle is in safe operating condition at the time of the Event.

I hereby release and forever discharge and hold harmless the Rally event organisers, its appointed officials, officers, employees, agents, representatives, insurers, volunteers, program participants, sponsors, and spokespersons from and against all allegations, proceedings, suits, claims, damages, accidents, traffic violations, demands, losses, and expenses, related to, arising from or out of, or resulting from any actions, acts, errors, mistakes or omissions, neglect or misconduct related to my participation in the Event, including personal injuries, illnesses, death or damage to or loss of use of property.

I understand that EDP does not assume any responsibility for the actions of, nor provides any insurance for, participants in the Event, including but not limited to, medical, health, liability or disability insurance in the event of injury, illness, death or damage.

I understand that my participation in the Event is subject to any and all rules, procedures, and regulations for the Event and any instructions that I may receive from any official for the Event I acknowledge that permission granted to me to participate in the Event shall be revocable at any time and for any reason, either before or during the Event. I understand that I am responsible for following all applicable rules of the road and country through which we travel. EDP does not condone reckless driving or speeding and will not take any responsibility for my actions.

I understand that intoxication or impairment and the use of alcohol or illegal drugs by me or my guest(s) during the Event is strictly prohibited and will subject me and my guest(s) to immediate dismissal from the event.

I represent and warrant that I am physically fit to participate in this driving event. I am not suffering from any conditions, diseases or disorders or under the influence of any drugs, legal or illegal, that would affect my ability to participate in the Event in a safe and lawful manner. 

I authorise medical personnel to take such action as is deemed necessary or desirable for my welfare if I am sick or disabled, including, without limitation, medical treatment and/or surgery, and I will pay for any and all costs and expenses so incurred in such treatment.

I grant full permission to EDP to use and publish in print or electronically photographs, film or videotape of me or my likeness, with or without my name for any lawful purposes at their discretion.

I acknowledge that I have read and understand the above statements and that I am of legal age to bind myself to this release and waiver. This release and waiver has been executed on behalf of me, my heirs, and assigns, and has been made with full knowledge of possible risks involved. 

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