Journalist, Accredited for a Motorsport Event, Undertake To

APPLICATION FOR ACCREDITATION

ACCREDITATION TYPE

Journalist Photographer Tick GOING TO WORK AT COMPETITION REMOTE WORKING PERSONAL INFORMATION

Date of SURNAME, birth NAME City

Media name

Printed media Internet TV RADIO Frequency Contact Distributing region Circulation/Traffic information Position

Phone number 1. 2. E-mail WWW Position E-Mail Chief editor/ E-Mail for press section editor Phone number releases Do you have an insurance policy valid during the Rally? YES NO Insurance Insurance company/ policy number Vehicle model Car Own vehicle for the race YES/NO and number INFORMATION ABOUT PROFESSIONAL ACTIVITY Planned bulk and air/publication time: If you cooperate with another media, please, name them here: I certify that all information I have provided is correct. I undertake to provide the information on air / publications of all my matters about “Northern Forest 2016” Baja to the official press service e-mail: [email protected]

Application filling out date Signature ь

www.bajarussia.ru I ______Journalist full name journalist, accredited for a motorsport event, undertake to:

- comply with safety regulations and comply with the rally officials, security marshals, line judges and those involved in the security of the rally.

- select the indicated shooting points for the media, avoiding the presence in dangerous and illegal turns, guided by the following schemes of security, including, but not limited to:

- Always keep the sports car in sight

- Do not stand with my back to the rally track

- Do not sit near the track; to be able to move urgently

- Do not stand on the corners outside

- Do not stand below the road

- Do not stand in the prohibited areas

- Expect the unexpected: the car due to a malfunction can start moving NOT by the rally track

- Do not cross the rally track

- Dangerous area. Avoid being in these sectors on the rally track!

I have read and understood these safety rules at the motorsport events.

I understand the danger that might be associated with my professional duties of the journalist performance at the competition.

I am responsible for my life and health: ______(______) Name Signature

Filling out date:______

www.bajarussia.ru