CERTIFICATE OF UNDERSTANDING AND EXPRESS ASSUMPTION OF RISK
PLEASE READ CAREFULLY
I hereby confirm that I must not and will not participate in any activity unless I have first attended the briefing where I will be advised and thoroughly informed of the inherent risk in taking part in this activity. Karting can cause injuries to myself, collisions, overturning, unpredictable acts and omissions by others. I further state that following the briefing, I will abstain from participating should I not agree to accept the inherent risks involved. I further state that I am in good physical and mental health, my eyesight (as corrected as appropriate) is up to the standard required and I am not suffering from any other medical condition or disability which might make it unsafe for me and others and/or I am not aware of any impairment of my child or charge’s condition.
I further state that I do not suffer from Epilepsy, Fits, Recurrent blackouts, fainting spells or giddiness, any form of psychiatric or mental illness, and/or I am not aware of any such impairment of my child or charge’s condition.
I further state that I do not suffer from any pre-existing condition, such as but not limited to: back, neck or spinal complaint, dislocation, weakness or injury involving breaking of any limb, diabetes, lung or heart disease or severe head injury which may lead to concussion or unconsciousness, which might make it unsafe for me to drive and/or I am aware of any such impairment of my child or charge’s condition. I further state that I am not participating against medical advice and that I have not been diagnosed as having a terminal illness. I further declare that in the event of feeling physically or mentally unwell or suffering an injury of any description during the course of karting activities, I will notify the proprietor of the premises where the activity is taking place or his authorised representative immediately, and will thereafter immediately discontinue any karting activity.
I confirm that I have not consumed any alcohol/drugs 12 hours prior to the commencement of today’s activity. I further confirm that I am not in possession of any alcohol/drugs nor have I brought any onto the premises.
I understand that the terms of this document and the reasons why I have been asked to sign it and hereby confirm that I am signing it of my own free will.
I FURTHER EXPRESSLY CONFIRM THAT I UNDERSTAND THAT KARTING AND ITS RELATED ACTIVITIES ARE NOT WITHOUT RISK AND THAT ACCORDINGLY I UNDERTAKE TO ACCEPT RESPONSIBILITY TO LOOK AFTER MYSELF AND THOSE AROUND ME IN A CAREFUL AND THOUGHTFUL MANNER AT ALL TIMES WHILST ON THE PREMISES.
PLEASE HELP US TO HELP YOU HAVE AN ENJOYABLE KARTING EXPERIENCE BY;-
1. Obeying all the instructions that you receive immediately;
2. Looking after yourself at all times; and
3. Acting in a careful and considerate way towards everyone else on the premises.
A FAILURE TO COMPLY WITH THESE BASIC REQUIREMENTS WILL RESULT IN AN IMMEDIATE CESSATION OF KARTING AND WILL BE ASKED TO LEAVE THE PREMISES.
I confirm that I am 16 years of age or over.
I confirm by purchasing this activity / gift online and ticking the TERMS AND CONDITIONS at checkout that I agree to the CERTIFICATE OF UNDERSTANDING AND EXPRESS ASSUMPITION OF RISK and GYG KARTING LTD TERMS AND CONDITIONS.