ADAC Qualifikationsrennen 24h-Rennen

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Details of the car Class St.-No. The entry form will be sent back if it`s not completely filled! Make Type Chassis-No. FIA/DMSB Identity Form no. **Please attach a copy Year of manufacture weight Cubic Capacity fuel amount Turbo Yes ! No ! Compressor Yes ! No ! Class in accordance with Suppl. Regulation Restrictor Ø mm Class AT: upon individual application, tick accordingly CNG ! LPG ! alternative Diesel ! GPS-Auge Ident-number Only for class SP9 last Generation (FIA-GT3) FIA-Homologation No.: Declaration of the owner of the race car I hereby agree to my car __________________________________________________________________________ make, model, chassis-no. to participate at the ADAC Qualification Race 24h-Race Nürburgring between 22 and 23 April 2017. I am aware of the composition of drivers entered for our car and confirm my agreement. ___________________________________________________________________________ owner of the race car If the car owner is legal entity, the exact specification of the legal entity and the signature of an organ with proxy of the company are compulsory. In the case of wrong indications, competitors and drivers (including several drivers entered for one car) waive any claims or rights of the car owner to pursue action for damages in connection with the event (= untimed and timed practice, qualifying, warm-up, test and reconnaissance/inspection laps, races, heats, special stages to achieve maximum speeds or shortest driving times) against the group of persons specified in the release from claims of the vehicle owner. This includes the costs of the vehicle owner for an appropriate prosecution. 3 ADAC Qualification Race 24h Race/Individual Entry Form 2017 3
Liability Renunciation Declaration Responsibility and liability renunciation of all parties involved Participants take part in the event at their own risk (= untimed and timed practice, qualifying, warm-up, test and reconnaissance/inspection laps, races, heats, special stages to achieve maximum speeds or shortest driving times). They bear the sole responsibility under civil and criminal law for any damage caused by them. By submitting their entries, they waive any claims or rights to pursue action for damages in connection with the event against: - the own participants (barring any other special agreements between the participants), - the other participants respectively, the owners and proprietors of all the cars participating in the event (as far as the event takes place on a permanent or temporary closed track) and their assistants, - the FIA, the CIK, the DMSB, the DMSB affiliated and member organisations, the Deutsche Motor Sport Wirtschaftsdienst GmbH, their presidents, executive bodies, managing directors, secretaries general, - the ADAC e.V., the ADAC district/regional clubs, the ADAC local clubs and the corporations associated with the ADAC, their presidents, executive bodies, managing directors, secretaries general, staff and members, - the promoter/series organiser, - the Organiser, the officials and marshals, the circuit owners, the authorities’ entities, racing services and all other persons involved with the organisation of the event, - the organisation responsible for the construction and maintenance of roads, and - the agents and other persons employed to perform an obligation, the legal representatives, the full-time employees and volunteers of all the above persons and entities as well as their members. The disclaimer does not apply for damages or harm to life, body or health or any other damage resulting from the deliberate or negligent breach of duty, and not for any other damage resulting from the breach of a material contractual obligation committed by the group of persons released from liability. In the case of damages resulting from a slightly negligent breach of duty of a material contractual obligation, the liability for financial loss and for damage to property is limited to the typical foreseeable damage. The disclaimer applies to claims for any legal reason whatsoever, so in particular to claims for damages based on contractual and non-contractual liability and to claims from tortuous acts. Implied exclusions from liability shall remain unaffected by the above non-liability clause. With the submission of the entry form, the participants understand that there is no insurance coverage within the framework of the motor traffic insurance (automobile liability, physical damage insurance, car occupant accident insurance) for any damages sustained during an event that is based on the achievement of maximum speeds. They undertake to inform the owner and registered keeper of the race vehicle hereof. If an injury occurs or is detected during an event or in the case of health detriment which could temporarily or permanently call into question the fitness to participate in motor sport events, the undersigned – under consideration of the possible safety risk which might result not only for him/her but also for third parties – releases all treating doctors from their duty to treat medical record confidentially amongst each other and with regard to the clerk of the course, the chief rally doctor, the stewards, the chief medical officer, the DMSB doctors, co-ordination automobile sport (DMSB) and the insurance claims administration. I agree to the storage, transmission and administration of my personal data in accordance with the DMSB Data Protection Provisions, under consideration of the German Data Protection Act. I have at all times the possibility to request information from the DMSB Data Protection Officer on these data and/or to make use of my right of objection. The data protection provisions are available under www.dmsb.de and/or from the organiser on-site. Release from Claims of the Vehicle’s Owner I agree with the participation of the vehicle specified on the entry form in the event (= untimed and timed practice, qualifying, warm-up, test and reconnaissance/inspection laps, races, heats, special stages to achieve maximum speeds or shortest driving times) and confirm to waive any claims or rights to pursue action for damages in connection with the event against - the own participants and assistants, - the other participants respectively, the owners and proprietors of all the cars participating in the event (as far as the event takes place on a permanent or temporary closed track) and their assistants, - the FIA, the CIK, the DMSB, the DMSB affiliated and member organisations, the Deutsche Motor Sport Wirtschaftsdienst GmbH, their presidents, executive bodies, managing directors, secretaries general, - the ADAC e.V., the ADAC district/regional clubs, the ADAC local clubs and the corporations associated with the ADAC, their presidents, executive bodies, managing directors, secretaries general, staff and members, - the promoter/series organiser, - the Organiser, the officials and marshals, the circuit owners, the authorities’ entities, racing services and all other persons involved with the organisation of the event, - the organisation responsible for the construction and maintenance of roads, and - the agents and other persons employed to perform an obligation, the legal representatives, the full-time employees and volunteers of all the above persons and entities as well as their members. 4 ADAC Qualification 4 Race 24h Race/Individual Entry Form 2017
Page 1 and 2:
Ausschreibung Supplementary Regulat
Page 3 and 4:
37. Parc Ferme und Schlussabnahme 4
Page 5 and 6:
Daniel Schönenberg - Finanzen Tele
Page 7 and 8:
7.3 Dokumenten- und technische Abna
Page 9 and 10:
Uhr. Maßgebend ist hierbei das Vor
Page 11 and 12:
als die zum Training zugelassene An
Page 13 and 14:
10.4.4 Für jeden Wohnwagen / jedes
Page 15 and 16:
den Veranstalter ist für den Bewer
Page 17 and 18:
12.16 Im Fahrerlager werden keine W
Page 19 and 20: *Fahrzeuge über 1.350 bis 1.500 cc
Page 21 and 22: 15. Technische Abnahme / Kontrollen
Page 23 and 24: 15.11 Der Veranstalter behält sich
Page 25 and 26: Bitte beachten! Alle Aufbauten für
Page 27 and 28: darf maximal 63 Sek. 000 dauern und
Page 29 and 30: Teammitglieder feuerhemmende Overal
Page 31 and 32: Hahnenstrasse 57, 50667 Köln SWIFT
Page 33 and 34: 21.3 Sämtliche Drehvorhaben im Rah
Page 35 and 36: 24. Haftungsausschluss der Teilnehm
Page 37 and 38: alleine der Rennleiter oder bei Abw
Page 39 and 40: 28. Flaggenzeichen / Flag Masters /
Page 41 and 42: Zuwiderhandlungen werden mit einer
Page 43 and 44: Qualifizierung für das Top 30 Qual
Page 45 and 46: geschleppt werden. Ein Anspruch auf
Page 47 and 48: gefahrenen Runden. Diejenigen, die
Page 49 and 50: 41.4 Protest- und Berufungskaution
Page 51 and 52: Anhang 2 / Annex 2 zu / to Art. 18.
Page 53 and 54: ADAC Qualifikationsrennen 24h-Renne
Page 55 and 56: Zeichnungen / Drawings Nr. 9 . Nr.
Page 57 and 58: Fahrerangaben (es müssen mindesten
Page 59 and 60: Haftungsverzichtserklärung Verantw
Page 61 and 62: Die nachfolgenden Anlagen: Anlage 1
Page 63 and 64: Anlage Nr. 1.1 SERVICE VEHICLES ZUS
Page 65 and 66: Anlage Nr. 3 BOXEN Bewerber: Teamle
Page 67 and 68: Notizen 12 ADAC Qualifikationsrenn
Page 69: Details of the Drivers (minimum 2 d
Page 73 and 74: Start-No. Pursuant to Art. 21.1 of
Page 75 and 76: Attachment 1.1 SERVICE VEHICLES / T
Page 77 and 78: Attachment 3 PIT-ALLOCATION Entrant
Page 79: Notes 12 ADAC Qualification Race 2
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ADAC Qualifikationsrennen 24h-Rennen

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