Anglesey Car Club

                                                         Application for Membership 

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I have read, understand and agree to abide to the rules covering autograss and circuit racing as issued by the Anglesey Car Club. I further agree to save harmless and keep indemnified the club and the respective officials, members, landowners, servants, representatives and agents and / or drives and mechanics from all actions, claims, costs, expenses, and demands in respect of loss, death or injury to myself, however occasioned by the negligence of the same bodies, their persons, servants or agents other than in connection with the business / or parties un respect to death, injury or loss, sustained by any third party as the result of the members negligence and or breach of contract, save in so far as in either event the said liability is covered by a policy of insurance.
I further realise that I shall take part in the automobile sport entirely at my own risk. 
If in doubt ask, if its not safe don’t do it!
 
 
 
Applicants Signature …………………………………………… Date …../…./…..
 
Sign only if you have read and agree to abide by the above.