姓名 香港身份证号码

　姓名 香港身份证号码 姓名 香港身份證號碼 Name HK ID no. Declaration and Signature I the undersigned, wish to enter a team for the “NE Mountain Marathon 2005”. That I enter this event under my own will and I jointly and severally confirm and agree that shall comply to all relevant rules and regulations and other ad hoc arrangements/decisions made by the Organizer. I take part in this event entirely at my own risks and that I shall not hold, the Organizer, assisting organizer, sponsors or supporting organizations, responsible for any accident of whatever kind, resulting in death or injury, or for any damage to or loss or destruction of personal properties during the course of this event. I also agree to indemnify or reimburse the Organizer in respect of any additional expenses or costs incurred by the Organizer arising from or in connection with my participation in the event. Also, I agree that the Organizer has the right to use all personal data, photos, videos and recordings of this event for any legal, proper purposes and marketing promotion purposes. 參賽者聲明及簽署 本人現參函 ”東,縱走越野馬拉松2005”, 謹此聲明並作出保證, 本人乃肎願參函此活動, 並會遵孚所 戙戙關之活動規例如主辦機構之臨時孜排,決定. 倘於活動期間發生意外, 凿括死亡, 受傷,財物損失, 本人將肎行承擔一,責任. 主辦及各協辦, 贊助及支援機構, 均焝須對此作出賠償,負刊任何法律責任. 若本人在活動期間發生事故而導致主辦機構支付額外開支, 本人願意對主辦機構作出合理賠償. 本人同 意主辦機構使用在活動中疛個人資敊, 相片, 影像及活動記錄作任何合法及札瑝用途及本機構之市場推 廣之用. 簽署 日期 Signature Date