SUGLASNOST O SUDJELOVANJU NA UTRCI MALOLJETNE OSOBE
Ime i prezime maloljetne osobe: ________________________________________________________________
Datum rođenja: _____________________________________________________________________________
OIB: _______________________________________________________________________________________
Adresa: ____________________________________________________________________________________
Br. licence i UCI Code (ako je izdana): ____________________________________________________________
Ime kluba: __________________________________________________________________________________
Ime i prezime roditelja / staratelja: ______________________________________________________________
Adresa roditelja / staratelja: ___________________________________________________________________
Kontakt telefon / broj mobilnog uređaja staratelja: _________________________________________________
Svi učesnici utrke voze na svoju odgovornost i organizatori ne snose nikakve pravne posljedice u slučaju
nezgode ili štete nastale na opremi. Isto tako za djela učesnika prema trećim osobama ili međusobno,
organizator ne odgovara.
Natjecatelj odnosno roditelj ili druga odgovorna osoba potvrđuje da je upoznat sa propozicijama natjecanja, te
prihvaća vožnju na vlastitu odgovornost. Natjecatelj dolazi u pratnji roditelja / staratelja ili druge punoljetne
odgovorne osobe.
Potpis maloljetne osobe: ______________________________________________________________________
Potpis roditelj / staratelja: ____________________________________________________________________
Potpis predsjednika kluba: _____________________________________________________________________
M.P.
Datum:____________________
SUGLASNOST O SUDJELOVANJU NA UTRCI MALOLJETNE OSOBE
Name and surname of minor: __________________________________________________________________
Date of birth: _______________________________________________________________________________
Social security number: _______________________________________________________________________
Address: ___________________________________________________________________________________
No. Licence and UCI Code (if issued): ____________________________________________________________
Club name: _________________________________________________________________________________
Name and surname of parents / guardians ________________________________________________________
Parents / Guardians address ___________________________________________________________________
Contact telephone / Cellular phone number: ______________________________________________________
All racers are riding at your own risk and the organizers do not bear any legal consequences in case of accident
or damage to equipment. Also for the damage that the participants do to third parties or mutually, the
organizer is not responsible.
Competitor or a parent or other responsible person confirms that he is familiar with the competition rules, and
accepts a ride at your own risk. A competitor comes accompanied by a parent / guardian or other adult person
responsible.
Minor signature: ____________________________________________________________________________
Parents / Guardians signature: _________________________________________________________________
Club president's signature: ____________________________________________________________________
S.P.
Date:____________________