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I, the person who has applied (or, if under 18, the parent/guardian/caregiver of said person) to Cycling New Zealand and either CNZRT, MTBNZ or BMXNZ (my Member Organisation) for a Membership and to become a member of my Member Organisation:
  1. Declare that:
(a) I am not aware of any reason why I should not be issued with the membership requested;
(b) I have not applied for a licence for the same year to the UCI or to any other national cycling federation;
(c) I assume exclusive liability for this application and for the use I will make of the membership.
  1. Undertake to:
(a) return my membership card immediately in the event of any substantial change to the circumstances existing at the time of this application;
(b) comply with the constitutions, regulations, policies, manuals, guidelines and reasonable directions of Cycling New Zealand, my Member Organisation and the UCI ;
(c) participate in cycling competitions and events in a fair and sporting manner;
(d) comply with all disciplinary measures taken against me by Cycling New Zealand, my Member Organisation or the UCI and take any appeals and litigation before the authorities provided for in the Constitution or Regulations of Cycling New Zealand, my Member Organisation or the UCI;
(e) accept the Judicial Panels established by Cycling New Zealand and my Member Organisation, the New Zealand Sports Disputes Tribunal and the Court of Arbitration for Sport (CAS) as the only competent jurisdictions in cases provided for by the Regulations of Cycling New Zealand and UCI and that, in the case of CAS, its decisions will be final and binding and not subject to further appeal;
(f) subject to paragraph (e), any litigation with the UCI  shall solely be submitted to the Court of Arbitration for Sport (CAS).
  1. I agree to abide and be bound by Cycling New Zealand, my Member Organisation and the UCI Anti-Doping Rules, as well as all documents adopted by Cycling New Zealand, my Member Organisation and the UCI in connection with its Anti-Doping Rules and in connection with the World Anti-Doping Code.
I agree to submit to in-competition and out-of-competition testing at any time as provided in the UCI Anti-Doping Rules and related documents. I agree that all samples collected from me under the UCI Anti-Doping Rules are owned by the UCI and that such ownership may be transferred by the UCI to another Anti-Doping Organisation, or ownership transferred from another Anti-Doping Organisation to the UCI
  1. Warrant that the details set out in the Application for a Membership are true and correct. If they change I acknowledge that I am required to notify Cycling New Zealand of the changes, in writing, as soon as possible after they occur.
  1. Understand and agree that:
(a) Cycling New Zealand and my Member Organisation may use the information collected in this form for purposes relating to my membership of Cycling New Zealand and my Member Organisation and for communicating with me about my membership and matters affecting my Member Organisation and Cycling New Zealand;
(b) The information will also be recorded on Cycling New Zealand databases;
(c) Cycling New Zealand and my Member Organisation may disclose the information to third parties, including sponsors, stakeholders, the UCI and other organisations referred to in this form;
(d) I will have access to my personal information; and my personal information will be corrected on request.
(e) Once payment has been made for my licence and/or club and centre fees, refunds & cancellations will be issued in the event of a technical error, or if a club does not approve my application for membership.
  1. Acknowledge and agree that, where I participate in an event organised by Cycling New Zealand, a Member Organisation or a club affiliated to a Member Organisation:
(a) I am aware of the dangers of competitive racing and the real risk of injury and accept all risks flowing from my participation in every event;
(b) I am responsible for reading and understanding any written race instructions;
(c) I will abide by all race rules and directions issued by the event organisers and will obey all relevant road rules;
(d) Briefings, signage, and course marshals, are a service to me and other competitors but are not a guarantee of safety;
(e) Should circumstances require a change of format or categories within an event, I consent to those changes being made by the organisers;
(f) As the organisers cannot control every eventuality, I release all persons associated with every event from any claims arising out of my participation;
(g) If I am involved in an accident, I will not seek to blame or make a claim against the organisers; nor will I assist anyone else in making such a claim;
(h) In the event of an accident I consent to receiving any medical treatment the event organiser or medical or paramedical personnel think necessary;
(i) I am responsible for the maintenance and safety of my bicycle and the security of all other equipment and personal possessions used in connection with every event;
(j) If I have any concerns with the race organisation, I will raise them with the organisers first.