EVenture indemnity and liability form

AUSTRALIAN ELECTRIC VEHICLE ASSOCIATION, ACT BRANCH

ZERO EMISSIONS EVENTURE: INDEMNITY AND LIABILITY FORM

DATE OF EVENT:  18 SEPTEMBER 2021

For All Participants:

  1. I agree to follow the directions of the event organisers, marshals and vehicle owners at all times.
  2. I acknowledge that there are risks involved in participating in this event, and I release and hold harmless the Australian Electric Vehicle Association, its employees and agents from any and all liability for any loss, damage, injury, or expense incurred against me.

 For Passengers:

  1. I acknowledge that I am not guaranteed entry to a vehicle: I may be refused entry at the discretion of the vehicle owner.
  2. I agree to exit the vehicle in an orderly manner, when and where requested by the vehicle driver, providing it is safe to do so.

 For Drivers only:

  1. I will drive in a safe and responsible manner, and will abide by all applicable road rules.
  2. I acknowledge that I am responsible for the safety of all passengers, and for the safety of the vehicle I will drive.
  3. I have a valid vehicle license, appropriate for the vehicle that I will drive.
  4. I will not participate in the event if I have a medical condition that may affect my ability to drive a vehicle.
  5. I will not participate in the event if I am under the influence of alcohol, or any other drugs that may impair my ability to drive a vehicle.
  6. (If not the vehicle owner). I agree to compensate the vehicle owner for any damage to the vehicle or to third party property which is caused or contributed to by me and is not covered by the owner’s insurance up to an amount of $4,000.

 

Name: ……………………………………………………………….

 

Signature: …………………………………………………………..

 

Date: ………………………………………………………………..

 

Driver’s licence (Drivers only):

 

State:  …………         Licence number:  …………………………