LABUAN CROSS CHANNEL SWIMMING CHALLENGE 2005
LABUAN INTERNATIONAL SEA CHALLENGE 2005
15th & 16th 2005

IDEMNITY FORM

I, the undersigned hereby certify and declare  that I am medically and physically fit to take part in the Labuan Cross Channel Swimming Challenge 2005 and would also state that I am participating on my own free will.

I hereby discharge the organisers and any other individual or organisations directly or indirectly involve in the organising of the Labuan Cross Channel Swimming Challenge 2005 from any responsibility in the event of injury, death or loss of property incurred during, as a consequence of, whilst traveling to or from the event.

I hereby agree and accept:

1. The mandatory character of the Rules and Regulations of the organiser in their current
     version and as amended from time to time, and I agree to uphold and abide by them
     without reservation.
2. The obligation to respect fundamental ethical principles and to act within the implicit
    nature and intent of the organizer that is, to always compete/participate honorably and
    uphold the principles of good sportmanship, fair play and
    non-discrimination and to behave, in all circumstances, in an appropriate manner.
3. To grant the rights to the organizer and its affiliates to use our names and pictures to
    advance the interest of the sport of Swimming in Labuan.
4. That any personal behavior that could result in action being taken under the Organiser
    Disciplinary Committee is deemed to be not appropriate.

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Name of Participant:........................................................................................................

Identity Card No:.......................................................................... ( Malaysian Citizen )

Passport No:.................................................................................( Non-Malaysian )

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                       Signature                                                                         Date