1. With this Indemnity Form, I exempt Ulysses SA, or any represented member, any member employed and also the owner of the property or any other responsible person involved with the above mentioned activity as offered by Ulysses SA, with regards to any claims, actions, or costs claimed from them in the case of any death, injuries, loss, damage, expenses or medical costs incurred by me, as a result of this Rally.

2. I declare that I am medically fit to attend the above-mentioned Rally, and that I do not pose any threat or risk to either myself or the other rally participants. Should any medical condition exist, if appropriate, I undertake to declare it to the organizers and to administer all necessary medication and/or treatments as per prescription.

3. I am aware that the Rally is at my own risk, and I undertake to inform the organizers should any circumstances/conditions during the course of the Rally change in such a way that it poses a danger to my health and/or safety.

4. I furthermore exempt the parties as mentioned in paragraph 1, should any claim/action or exhortation be instituted against any such party because of action or neglect on my part, if such action caused damage to a third party or persons.

5. Should I make use of any transport other than my own, either to or from the Rally premises, or during the Rally, I exempt any parties as described in paragraph 1, as well as the owner and/or driver of the mentioned involved vehicle.

6. Should I participate in any activity or ride arranged by the Rally organizers during the Rally, I exempt any parties as described in paragraph 1, as well as the owners and/or care-takers and/or employees at any of the venues forming part of such activity or ride.

7. I undertake to abide by the rules of the road and the traffic laws of the country and I exempt any parties as described in paragraph 1 from any liability arising from my contravention of these rules and laws.

8. I authorize the organizers or any other first-aid qualified members of staff, to perform first aid medical treatment at the Rally should it become necessary. I furthermore authorize the organizers to give permission to a hospital or medical doctor to perform any necessary treatment in the case of an emergency. Should any medical cost be incurred, it is and will be my own responsibility.

20th Ulysses SA National Rally 2018 Indemnity Form