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Minors release form

DATI ANAGRAFICI MADRE

DATI ANAGRAFICI PADRE

ESERCENTE LA PATRIA POTESTA' SUL MINORE

Executing the parental authority over the child stated above, declares, also in the name and on behalf of the other spouse exercising the same right, to authorize the minor to perform the test and to make all the declarations his ownthat precede, exempting KARTODROMO srl from any and all responsibility. Having seen the kart track in all its areas open to the public and the regulations in force below, also declares in the name and on behalf of the other parent exercising the same right, to authorize the minor to use the go kart / motorcycle on the track , to make all the declarations that follow, exempting KARTODROMO Srl from any liability, that the child: 1. is in good physical shape, is not under the influence of alcoholic beverages, drugs or medicines; has no physical impediments or illnesses that could influence one's driving ability; 3. will undertake to comply with the Karting Rules of the guide, attached to this declaration, of which the undersigned has read and to follow the instructions given by the kart track personnel.REGULATION: He asks to be able to access the circuit Friuli Venezia Giulia International Circuit located in Precenicco, Via Valle Hierschel 2, to carry out a non-competitive free trial and to this end declares: A) To be perfectly aware that the authorization request for access only concerns the right to use, not exclusively and simultaneously with other users and categories the track for the entire free trial period, without any obligation on the part of KARTODROMO srl based in Precenicco in Via Valle Hierschel 2, to provide light signaling service or with flags, the medical service and the fire service. personally ascertained in an accurate way the current state of the track.) To be perfect aware of the regulations in force on the track and in the kart track during free practice and to comply with the aforementioned regulations as well as any further provisions that may be issued during the tests by KARTODROMO srl or by the employees and / or collaborators.D. liability for damage, physical and / or property, derivatives to KARTODROMO srl or to any third party due to failure to comply with the regulation and / or provisions in point CE) To be perfectly aware of carrying out a dangerous activity and accepting all the risks, declaring yourself in perfect state of health and possessing the authorization of the law, enabling the guide, valid and effective. F) To exempt KARTODROMO srl from any responsibility for all physical and / or property damage that may result to the undersigned from the means I have conducted (even if owned by third parties and for this case raising and guaranteeing KARTODROMO srl from any claim made to any title by the third owner), from the performance of the aforementioned activity and which are not fraudulent or gross negligence of KARTODROMO srl.G) To also exempt KARTODROMO srl for all physical and / or patrimonial damages, which may derive to the undersigned from the unlawful act of third parties.H) To be aware that KARTODROMO srl will provide as soon as possible, but without any commitment or responsibility regarding the timeliness of the intervention, a suspend the circulation to reactivate the roadway, eliminating any obstacle that could prevent the normal carrying out of the tests, without ensuring the continuation of the tests themselves. I) To commit to pay the utmost attention to what happens on the track also in order to detect the presence of possible obstacles, in order to signal them to the other pilots and to the Direction of the Kartodromo.L) That the vehicle led by the undersigned is perfectly suitable to the test that you intend to carry out and that the undersigned has the psycho-physical abilities to take the lead same and to face and support a safe conduct of the test.M) This declaration is valid for all uses of the track, in the case of issuing the card to the registrant for more revenue.N) The registrant recognizes as a means of proof against him the use of any images taken from video footage with the existing instruments on the system. O) La Management can decide if the declarant is suitable for the management of the vehicle at any time. The registrant expressly approves in accordance with art. 1341 and 1342 of the C.C. the clauses above letter A-B-C-D-E-F-G-L. I agree to the processing of my personal data pursuant to Legislative Decree no. 196/2003

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