Aust_Dirt_Bike_Adventures_-_Sup_Regs-_SteelHorse

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					                                          SUPPLEMENTARY REGULATIONS
                                  “STEEL HORSE INTERCLUB MOTOCROSS MEETING”

MEETING NAME                                VENUE                                 DATE
                                                                                            th
Steel Horse Interclub Motocross   “Four Wynnes” 348 Cusacks Lane, Jimboomba              30 May 2010

PROMOTER                                     MQ TRACK LICENCE No.                 MQ PERMIT No.
Australian Dirt Bike Adventures                    6743                                 39864

RACE SECRETARY                              POSTAL ADDRESS                        CONTACT DETAILS
Raelene Gray                           P.O.Box 3905 Loganholme QLD 4129           Ray - 0402484471

CLERK OF COURSE                                                                   MA STEWARD
Ray Buchanan                                                                       Brett Harman
1.   ANNOUNCEMENT:
     Australian Dirt Bike Adventures, hereinafter called the Promoter will conduct the Steel Horse Interclub
     Commercial Natural Terrain Motocross for Senior riders in Open, Lites and Veterans classes and Junior
     riders in Junior Lites and Mini-Lite classes.
2.   JURISDICTION:
 2.1. The above mentioned meetings have been authorised by Motorcycling Queensland (MQ) who has
      issued the Motorcycling Australia Permit Number as above and are open to holders of current
      Motorcycling Australia National, Club, Nipper/Mini and One Meeting Licences (OML only junior riders
      that have a current JCP Log Book) who are full financial members of the participating clubs; Albert
      Districts MCC, Gold Coast MXC, Moreton Districts MXC & Toowoomba MXC.
 2.2. The meeting will be held in accordance with the current Manual of Motorcycle Sport General
      Competition Rules (GCR’s), these Supplementary Regulations, and any Final Instructions approved by
      Motorcycling Queensland.
      BY ENTERING THESE MEETINGS ALL PARTIES AGREE TO COMPLY WITH THESE RULES,
      REGULATIONS, BY-LAWS AND INSTRUCTIONS.
3.   ENTRIES:
 3.1 Entries open forthwith and close last mail Wednesday 18th May 2010.
 3.2 In the case of postponement or abandonment of the meeting, all or any part of the entry fee may be
      retained by the Promoter, if such retention is approved by Motorcycling Queensland.
 3.3 Only entries received on the Official Entry Form that is accompanied by the correct fee will be
      accepted. (No phone, fax, e-mail or in person entries accepted)
 3.4 NOTE: 1. LATE ENTRIES (THOSE RECEIVED AFTER THE WEDNESDAY 11 DAYS BEFORE THE EVENT
        BUT LAST MAIL FRIDAY 9 DAYS BEFORE) MAY ONLY BE ACCEPTED IF ACCOMPANIED BY $25.00 LATE
        FEE. 2. ENTRIES RECEIVED AFTER FRIDAY WILL NOT BE ACCEPTED AND WILL BE RETURNED. 3. THE
        RETURN OF ENTRY FEES FOR ANY RIDER WITHDRAWING FROM THE MEETING IS AT THE DISCRETION
        OF THE PROMOTER. 4. NO PHONE, FAX, E-MAIL OR IN PERSON ENTRIES WILL BE ACCEPTED.

4.      INSURANCE:
 4.1.    National Personal Accident Scheme provides basic cover for death and permanent disability.
 4.2.    Ambulance Insurance is compulsory for licensees.
 4.3    IT IS STRONGLY RECOMMENDED THAT COMPETITORS GIVE CONSIDERATION TO TAKING OUT
        WEEKLY BENEFITS INSURANCE.

5.     MEDICAL SERVICES:
       QAS and other qualified First Aid personnel will be in attendance at each race meeting, from the start of
       practice until fifteen minutes after the last race.
6.    ENTRY FEE:
   6.1 Senior $75-00            $40-00 Each additional class
        Junior $65-00           $35-00 Each additional class
   6.2 The entry fee includes a $5.00/rider Flag Marshal levy.
   6.3 Payment, Cheque or Money Order only (Do Not Send Cash).
        ANY FEES FOR DISHONOURED CHEQUES WILL BE THE RESPONSIBILITY OF THE ENTRANT.
 6.4 Cheques and Money Orders are to be payable to Australian Dirt Bike Adventures
       Please send entries to: P.O. Box 3905 Loganholme QLD 4129 Or
        On Line entries can be made through Nominate, www.nominate.com.au
        ONLINE ENTRY CREDIT CARD PAYMENTS INCUR A 3.3% HANDLING FEE. Only Mastercard and Visa
        will be accepted.
 6.5     Please include a self addressed stamped envelope for Entry passes & any final instructions.

7.      ENTRY PASSES:
        Each competitor will receive one admit two pass for Rider and one other. EXTRA PASSES WILL NOT
        BE SOLD WITH ENTRIES. Admission prices at the club/promoters discretion.

8.      CLASSES OF COMPETITION AND RACE FORMAT:
      1. Ladies - Senior Unlimited                                                               3 x 9 minutes
      2. Trail Bike                                                                              3 x 9 minutes
      3. Senior Open – Clubman            (165cc to 500cc 2/ & 255cc to 663 4/)                  3 x 9 minutes
      4. Senior Lites – Clubman          (100 to 150cc 2/- & 200 to 255cc 4/-)                   3 x 9 minutes
      5. Veterans (35 to 44) and (45+) – Unlimited                                               3 x 9 minutes
      6. Mini Lites (85cc 2 stroke/150cc 4 stroke) – 12 to U16 yrs (SW & BW)                     3 x 9minutes
      7. Junior 150cc 2 Stroke – 13 to U16 yrs (100cc - 150cc 2/-)                               3 x 9 minutes
      8. Junior 250cc 4 Stroke Graded – 13 to U16 yrs (200cc to 250cc 4/-)                       3 x 9 minutes
      9. Senior Lites – Pro, Expert and Intermediate                                             3 x 15 minutes
      10. Senior Open – Pro, Expert and Intermediate                                             3 x 15 minutes
      11. Senior Quad - Unlimited                                                                3 x 9 minutes

9.      AWARDS AND PRIZEMONEY:
     9.1 Pro, Expert & Intermediate Open & Lites         1st $100-00, 2nd $80-00, 3rd $60-00, 4th $40-00
         Clubman Open & Lites, Ladies, Quads             1st $90-00, 2nd $80-00, 3rd $60-00, 4th $40-00
        Juniors                                          1st $85-00, 2nd $55-00, 3rd $35-00, 4th $25-00

        Payments up to 4th for all other classes may be altered if there are not the required 10 bikes to constitute
       a class.

10. ENTRIES TO CONSTITUTE A CLASS:
10.1 To constitute a Class, the number of contestants entered and competing in each Class shall be (10).
10.2 Should there be insufficient entries in any Class of Competition, the decision to run or cancel the Class,
     or to combine events and re-distribute any awards and/or prize money, will be at the discretion of the
     Promoter, subject to Motorcycling Queensland approval.

11. MACHINES AND RIDERS:
 11.1 All machines entered must comply with the current GCR’s for Motocross Competition.
 11.2 Multiple entry of the one Machine in the same Class of Competition is not permitted.
11.3 Change of machine maybe permitted if submitted in writing to the Clerk of Course and with the
      approval of the MQ Steward at least ten (10) minutes prior to the start of the event in which the
      substitution is requested. Substitute machine must have past machine examination, be eligible for the
      class and replace a machine that cannot be reasonably repaired.

12.   RIDING NUMBERS:
 12.1 Wherever possible, competitors will be allocated their Registered MX Riding Number, but the promoter
      does have the right to allocate numbers at their discretion. MQ by-laws apply to Inter-state entries and
      these competitors may be requested to change their Registered Riding Number to comply.
 12.2 All number plates on all Machines MUST comply with the GCR’s.
 12.3 Number plate colours will be as per GCR 12.6.3.2 age group colours for Junior competitors and GCR’s
      or all other competitors.
 12.4 Back Numbers: Are compulsory for all Junior and Senior competitors. These numbers must be legible
      in contrasting colours corresponding to machine number. Back numbers that correspond to the
      machine must be shown at machinery.

13.       GRID POSITIONS:
          Positions for races will be by ballot for the first race of the day. Race 2 & 3 will be by finishing order of
          previous race with the exception of heat races which will be by ballot in all races.
14.    RIDERS BRIEFING:
        A Riders Briefing will be held prior to the commencement of racing and ALL Competitors MUST attend
       the Riders Briefing. Riders Briefing is a NON Smoking Area.

15.    DRUG AND OR ALCOHOL TESTING:
 15.1 All competitors and officials are advised that as part of the MA drug education program, drug testing
      may take place at any competition in accordance with Australian Sports Commission policy as
      implemented by the Australian Sports Drug Agency.
 15.2 If any doubts exist over banned substances it is recommended competitors telephone the Drugs in
      Sport Hotline 1800 020506. When drug testing takes place, the payment of prizemoney or awards may
      be delayed at the Promoter’s discretion until the results of the tests are known.
16.    CODE OF CONDUCT:
       All Competitors, Officials and Parents are reminded of the Motorcycling Australia By-Law - CODE OF
       CONDUCT (as stipulated in the GCR’s) which is a guide to appropriate behaviour at all Motorcycle
       Race Meetings. This CODE OF CONDUCT applies to this Meeting and will be enforced.

17.    TIMETABLE: Unless notified in final instructions the timetable for Saturday and Sunday will be as
       follows:
       Machinery:              6.30am – 8.15am
       Rider Track Walk:       7.00am – 8.15am
       Riders Briefing:        8.30am
       Practice:               8.45am
                   Racing: Starts immediately after the conclusion of practice. 10.00am
       For the purposes of drug & alcohol testing, the commencement of the meeting will be deemed to be the
       starting time of scrutineering with the completion of the meeting for the participant being 30 minutes at
       completion of last race.
18.    CIRCUIT DESCRIPTION: Natural Terrain
19.     STARTS:
       All starts will be self-penalizing gates. A two-minute board will be displayed and competitors must be
       ready to start after the two minutes as per GCR’s. After this time a 15/5 second signal will be used with
       the gate dropping a minimum of 5 seconds after the 5 seconds board is displayed. Starts may not be
       delayed after the two minutes has expired. All rounds have 40 gates. All people other than officials and
       riders of that event must vacate at the direction of the starter or 2 minutes board.
20.    RACING:
      There will be 4 laps of practice offered per class on the day. Race format will be as per paragraph
      eight. Practice is limited to 125% of the grid per group (50 bikes). Some classes can be combined
      provided the GCR’s s and the maximum number is not breached.

21.    NOISE: As per GCR’s 12.10 – 96db (A) for 2/- and 94db(A) for 4/- machines

22.    GST:
       The Goods and Services Tax affects the payment of Prize money. If you do not provide an ABN or
       declare the sport a hobby, the Promoter must withhold 48% of prize money over $50-00, which is
       otherwise payable to you.

23. SPECIAL NOTES AND WARNINGS:
23.1 Please note that depending on entries the Junior 150cc/2- and 250cc/4- classes may be run together
     but scored separately.
23.2  If a riders parent / legal guardian are not attending the meeting with the rider the correct “Guardianship
     Form”, which can be obtained of the MQ website, must be sent with the rider and presented at sign on
     to the Steward.
24 Transponders Electronic Timing will be used for this series. It is compulsory to use the Transponders
    provided by Sunstate Timing Services.
       (a) Transponders are the riders responsibility for each round hired, any loss or damage will be
           charged for.
       (b) It is the rider’s responsibility to ensure the transponder is mounted properly and securely to
           prevent damage from fouling other components on the machine. Reusable cable ties will be
           provided.
       (c) It is the rider’s responsibility that transponders are returned in good condition at the end of the
           event, or if due to machine failure or injury before the machine leaves the pit area. Competitors
           will be charged a LATE RETURN FEE of $20p/day for transponders that are not retuned correctly.
           Some leeway may be given in special circumstances, if the transponder is returned on the
           Monday following the meeting or posted (post marked) on that Monday. Transponders returned
           after the Monday will be charged at $20p/day for every day they are late.
       (d) Transponders must be picked up and returned to the designated person/s. A competitors MA
           licence will be held by this person/s and returned in exchange for transponder MA have agreed
           they will not re-issue or renew any licences of anyone until the transponder is returned and/or all
           outstanding fees are paid. MQ will also enforce payment of any costs or fees.
       (e) For transponders not returned on the same day, or not returned to the designated person/s, in
           addition to the late return fee. The hirer is responsible for the transponder until it arrives back at
           the designated place (Sunstate Timing Services, P O Box 6, Morayfield 4506). This includes while
           in transit with Australia Post and by courier. No excuse will be entertained for non delivery. It is
           recommended transponders be hand delivered. If returning by courier or hand delivery, please
           ring first for any address.
       (f) Transponders must be fitted for all practice sessions
                                                   Australian Dirt Bike Adventures
                                                                    Will conduct the
                                     “Steel Horse Interclub Motocross Meeting”
                                                         On
                                                   30th May 2010
                                                              ENTRY FORM

Entrant/Sponsor    ....................................................                              MA Licence NO:            .

MA Lic. Expiry Date:                                     . (Only licenced entrant/sponsors will appear in the programme)



Rider’s Surname:                                                                    ..Rider’s First Name:                               .
Next of Kin:                                                   MA Lic. No:                         MA Lic. Expiry Date:
Address:                                                                                                                   .       .
Post Code:                           Club:                                ..                   .. Grade:        ...
Date of Birth:                                                            .. Registered Competition No:                                 .
    (Home):                                     .. (Work):                                   . (Mobile):                           ..
CLASS/S                                                                   GRADE            MACHINE              CAPACITY
Unlimited Ladies                                                           N/A
Trail Bike                                                                 N/A
Open Quad - Senior                                                         N/A
Veterans                                                                   N/A
Mini Lites 12 to u16 Years SW/BW                                           N/A
Junior 125cc 13 – u16 yrs (100cc to 150cc 2/- )                            N/A
Junior 250cc 13 – u16 yrs (200 - 250cc 4/- only)                           N/A
Senior Lites
Senior Open
I ACKNOWLEDGE THAT THIS MEETING WILL BE HELD IN ACCORDANCE WITH THE CURRENT GENERAL COMPETITION RULES
(GCR’s), THESE SUPPLEMENTARY REGULATIONS (OF WHICH THIS ENTRY FORM FORMS PART OF) AND ANY FINAL INSTRUCTIONS.
BY ENTERING THIS MEETING ALL PARTIES AGREE TO COMPLY WITH THESE RULES, REGULATIONS, BY-LAWS AND INSTRUCTIONS.
ENTRY FEES:                     TOTAL PAYABLE = $
Senior $75-00 One class $40-00 Each Additional Class – Junior $65-00 One Class $35-00 Each Additional Class
____________________________________                            ______________________________              ___________________________
RIDERS NAME                                              SIGNATURE                                     DATE
____________________________________                                  _____________________________             _______________________
PARENT/GUARDIAN                                           SIGNATURE                                    DATE
PLEASE TICK ONE
        I AM A PROFESSIONAL RIDER AND MY ABN IS:
        MOTORCYCLING SPORT IS MY HOBBY WHICH IS THE REASON I AM NOT QUOTING AN ABN
On Line entries can be made through Nominate, www.nominate.com.au
Postal Entries: Please make cheques payable to: Australian Dirt Bike Adventures. Return postal address
P.O. Box 3905 Loganholme 4129
 INCLUDE A STAMPED SELF ADDRESSED ENVELOPE FOR RETURN OF PASSES.
                                                                                                                                                                                            Motorcycling Queensland
     B (i.                                                                                                                                                                                  PO Box 2072, North Ipswich Q 4305
                                                                                               PARTICIPANT DECLARATION                                                                      Ph:07 3281 2255 Fax:07 3812 2742
                                                                                                                                                                                            Email: info@mqld.org.au Web: www.mqld.org.au


                            CONTRACT TO PARTICIPATE IN THE STEEL HORSE INTERCLUB COMMERCIAL MOTOCROSS
          WARNING! THIS IS AN IMPORTANT DOCUMENT WHICH AFFECTS YOUR LEGAL RIGHTS AND OBLIGATIONS, PLEASE READ IT CAREFULLY AND DO NOT SIGN IT UNLESS
                                                            YOU ARE SATISFIED YOU UNDERSTAND IT.
1.    I THE UNDERSIGNED (see below):                [Insert Name]                        Regulations 2004.                                                                            iii) It is reasonable for MA and my SCB to collect, store, use and disclose my
                                                                                         For the purposes of the clause 3, “the Supplier” shall mean and include the                       Information in accordance with clause 11(a)(i) above and in the manner set out
     _____________________________________________________                               Indemnitees.                                                                                      in clause 11(b).
                                                                                                                                                                                      b) IN CONSIDERATION of my acceptance as an entrant in the Meeting I
HEREBY AGREE with Motorcycling Australia Limited (“MA”) that I am by this                5. INDEMNITY AND RELEASE GIVEN TO ORGANISERS
                                                                                                                                                                                           consent and agree that MA and my SCB:
agreement entitled to participate in the motorcycle activity/meeting listed in           IN CONSIDERATION of the acceptance of me as a participant in the Meeting:
                                                                                                                                                                                      i) may collect and store any of my Information, including obtain my Information
Schedule 2 (hereinafter called "the Meeting" or the “Event”) at the venue                a) I AGREE TO INDEMNIFY AND KEEP INDEMNIFIED to the full extent
                                                                                                                                                                                           from third parties including my Carers;
listed at Schedule 3 (hereinafter called "the Venue") on the terms and                        permitted by law the Indemnitees and each of them in the following
                                                                                                                                                                                      ii) may use any information collected in accordance with this clause for any
conditions set out in this document.                                                          manner:
                                                                                                                                                                                           purpose consistent with creating safer competition in motorcycle sport
2. DEFINITIONS In this declaration:                                                      i) that I participate in the meeting at my sole risk and responsibility;
                                                                                                                                                                                           and events held by or in conjunction with MA, my SCB, or with an MA or
a)    “Claim” means and includes any action, suit, proceeding, claim,                    ii) that I accept the Venue as it stands with all or any defects hidden or
                                                                                                                                                                                           SCB permit;
      demand, damage, cost or expense however arising including but not                       exposed;
                                                                                                                                                                                      iii) may disclose my Information to third parties provided such disclosure is
      limited to negligence but does not include a claim against a Motorcycling          iii) that I indemnify and hold harmless the Indemnitees, their respective
                                                                                                                                                                                           reasonably intended to be used for the purpose of improving safety at
      Organisation under any right expressly conferred by its constitution or                 servants, agents, officials and competitors against any actions, costs,
                                                                                                                                                                                           events held by or in conjunction with MA, or with an MA permit provided
      regulation;                                                                             losses or claims which may be made by me or on my behalf for or in
                                                                                                                                                                                           any such information is held by MA or my SCB in accordance with the MA
b)    “Indemnitees” means and includes the persons, organisations and                         respect of or arising out of my death or any injury loss or damage caused
                                                                                                                                                                                           Privacy Policy.
      bodies corporate whose names appear in Schedule 1.                                      to me or my equipment whether caused by negligence, breach of
                                                                                                                                                                                      c) I irrevocably authorise MA and my SCB and hereby appoint MA and my SCB
c)    “MA” means Motorcycling Australia Limited;                                              contract or in any other manner whatsoever.
                                                                                                                                                                                           as my lawful attorneys to collect from my Carers, and I hereby direct my Carers
d)    “State Controlling Body” (SCB) means a state or territory motorcycling             b) I AGREE TO RELEASE to the full extent permitted by law the
                                                                                                                                                                                           to provide to MA or my SCB upon request being made by MA or my SCB, any
      association affiliated as a member of MA;                                               Indemnitees and each of them from all liability to me for any claim, loss,
                                                                                                                                                                                           of my Information including but not limited to any information concerning any
e)    “Motorcycling Activities” means performing or participating in any                      damage, cost or expense (whether arising under statute, from
                                                                                                                                                                                           incident or event causing or contributing to or resulting from any injury, illness
      capacity in any authorised or recognised Motorcycling Organisation event,               negligence, personal injury, psychological trauma, death, property
                                                                                                                                                                                           or death to me, the details of any diagnosis and prognosis provided to me by
      meeting or activity;                                                                    damage or infringement of third party rights or otherwise) that arises as a
                                                                                                                                                                                           my Carers (or any party with the knowledge of any of my Carers), and any
f)    “Motorcycling Organisation” means and includes MA, and the MA                           result of any act, matter or thing done, permitted or omitted to be done by
                                                                                                                                                                                           other matter to the knowledge of my Carers that might reasonably be
      members (including the SCBs and affiliated clubs) and where the                         me or which is in any way connected with my presence at or involvement
                                                                                                                                                                                           considered to be requested by MA or my SCB for the purpose of improving
      context so permits, their respective directors, officers, members,                      in the Event.
                                                                                                                                                                                           safety at MA and SCB events.
      servants or agents.                                                                c) The release and indemnity provided by me in this declaration is in addition to,
                                                                                              and will not in any way limit the application of, the conditions of sale attaching to   9. POLICIES AND REGULATIONS
3. ACKNOWLEDGMENT OF RISKS, DANGERS & OBLIGATIONS                                             tickets, conditions of entry, conditions of credentials or any other applicable         a)     I acknowledge, understand and agree that it is a condition of my
I ACKNOWLEDGE that:                                                                           terms or conditions in respect of the Event.                                                   participation in the Event that I agree to be bound by, and subject to, the
a) motorcycle sport is dangerous and that by engaging in the sport                       d) A term of this release and indemnity will not apply where the term                               rules, regulations and jurisdiction of MA as amended from time to time.
     (whether as a competitor, recreational rider, coach, official or media) at               contravenes the law of the relevant jurisdiction under which any legal action                  Copies of all MA rules, policies and regulations are available by
     the Meeting I take and am exposed to certain risks and dangers and am                    is legitimately taken however such terms are severable and do not invalidate                   contacting the MA office.
     under certain obligations as follows:                                                    the remaining terms.                                                                    b)     All participants are bound by the MA anti doping policy and thus
i) that I may be injured, physically or mentally, and may be killed;                                                                                                                         understand they may be subject to drug testing. Testing conducted by
ii) that my machinery or equipment may be damaged, lost or destroyed;                    6. MEDICAL
                                                                                                                                                                                             the Australian Sports Anti-Doping Authority (ASADA) is in accordance
iii) that competitors may ride dangerously or with a lack of skill;                            I declare that I am and must continue to be medically and physically fit and
                                                                                                                                                                                             with the ASADA Act and the National Ant-Doping Scheme. This
iv) that track or event conditions may be hazardous and may vary without                       able to participate in the Meeting. I will immediately notify MA in writing via
                                                                                                                                                                                             involves the taking of a sample (any human biological fluid or tissue
     warning or predictability;                                                                my SCB of any change to my fitness and ability to participate. I understand
                                                                                                                                                                                             whether alive or otherwise, or any human breath) for the purpose of
v) that organisers, officials, landowners/track operators and any agents or                    and accept the Indemnitees will continue to rely upon this declaration as
                                                                                                                                                                                             detecting the use of a Prohibited Drug or Doping Method. Any
     representatives of those in charge of meetings are frequently obliged to                  evidence of my fitness and ability to participate.
                                                                                                                                                                                             participant infringing MA’s policy or refusing a drug test may be
     make decisions under pressure of time/or events;                                          I acknowledge and agree that if required, the Indemnitees (or any of them)
                                                                                                                                                                                             disqualified or otherwise dealt with in accordance with the terms of the
vi) that any policy of insurance of or in respect of my life or physical or                    may arrange medical or hospital treatment (including ambulance
                                                                                                                                                                                             anti-doping policy.
     mental health may be voided;                                                              transportation) for me. I authorise such actions being taken by the
vii) that there may be no or inadequate facilities for treatment or transport of               Indemnitees and agree to meet all costs associated with such action. I                 10. RIGHT TO USE IMAGE
     me if I am injured;                                                                       understand it is compulsory for me to have ambulance insurance in some                        Right to Use Image: I acknowledge and consent ot Photographs and
vii) that I have an obligation to myself and to others to act safely and within                form and I accept responsibility for the cost of ambulance transportation,                    electronic images (including, but not limited to, moving images) being
     the rules and regulations of MA;                                                          ambulance cover and further agree to maintain ambulance cover during the                      taken of me during my participation in the Event. I acknowledge and
b) the Indemnitees do not make any warranty that the services at the                           term of my license / membership.                                                              agree that such photographs and electronic images are owned by
     Meeting will be provided with due care and skill or that any materials                                                                                                                  (organisation) and it may use the photographs and electronic images for
                                                                                         7. PRIVACY
     provided in connection with the services will be fit for the purpose for                                                                                                                promotional or other purposes without my further consent being
                                                                                               I hereby consent to the collection of my personal information by the
     which they are supplied;                                                                                                                                                                necessary. Further, I consent to (organisation) using my name, image,
                                                                                               Promoter/Event Organiser, MA and the SCB in connection with my involvement
c) to the extent that any warranty is implied it is excluded to the full extent                                                                                                              likeness and also my performance in the Event at any time, by any form
                                                                                               at the Event and the use and disclosure of my personal information by Event
     permitted by law;                                                                                                                                                                       of media, to promote (organisation) or the Event.
                                                                                               Organiser, and MA to other agencies and officials associated with the Event for
d) have voluntarily read and understood this warning and accept and assume                     the purposes of conducting and managing the Event. I understand that I may
     the inherent risks in participating in the Event.                                         gain access to my personal information held by contacting MA at 147 Montague           SCHEDULE 1:
4. WARNING UNDER THE FAIR TRADING ACT 1999 (VIC)                                               St, South Melbourne, Victoria, 3205. I understand that if I do not provide the         1)  Federation Internationale de Motocyclisme
     Under the provisions of the Fair Trading Act 1999 (Vic) several conditions                personal information requested above that I may not be permitted to participate        2)  Motorcycling Australia Ltd
     are implied into contracts for the supply of certain goods and services.                  in the Event.                                                                          3)  Motorcycling Queensland
     These conditions mean that the supplier named on this form is required to                                                                                                        4)  Australian Dirt Bike Adventures
                                                                                         8. PERSONAL HEALTH INFORMATION                                                               5)  Australian Dirt Bike Adventures
     ensure that the recreational services it supplies to you are:                             I hereby agree with MA and the SCB that in consideration for my participation in
     - rendered with due care and skill;                                                                                                                                              6)  Sue Wynne
                                                                                               the Event that MA and the SCB may receive, collect, store and use personal
     - as fit for the purpose for which they are commonly bought as it is                                                                                                             7)  <Add Sponsor Here>
                                                                                               health information about me in the manner set out below:
       reasonable to expect in the circumstances; and                                                                                                                                 8)  Queensland Ambulance Service
                                                                                         a)    I ACKNOWLEDGE that:                                                                    9)  <Add Other Here>
     - reasonably fit for any particular purpose or might reasonably be
                                                                                         i)    If I am injured, become ill or die at or following the Event the party listed          10) All other persons involved in the organisation, conduct and promotion of
       expected to achieve any result you have made known to the supplier.
                                                                                               at Item 8 in Schedule 1 in addition to any hospital at which I am treated                  the Event or construction or location of the facilities used in connection
Under section 32N of the Fair Trading Act 1999, the supplier is entitled to ask
                                                                                               (together “my Carers”) will have health related information about me in                    with or otherwise related to the Event
you to agree that these conditions do not apply to you. If you sign this form,
                                                                                               their possession, power and control relating to me which is subject to                 11) Each of the respective officers, employees, servants, agents, sponsors,
you will be agreeing that your rights to sue the supplier under the Fair
                                                                                               obligations imposed by the Privacy Act (“my Information”) and the                          successors and assignees of each of the above.
Trading Act 1999 if you are killed or injured because the services were not
                                                                                               Privacy Act is intended to protect my personal information;
rendered with due care and skill or they were not reasonably fit for their                                                                                                            SCHEDULE 2:
                                                                                         ii)   MA and my SCB wish to collect my Information for purposes that include
purpose, are excluded, restricted or modified in the way set out in this form.                                                                                                        6.30am – 30th May, 2010
                                                                                               their risk management programs, evaluating and improving the safety of
                                                                                               MA and SCB events and of the Meeting organisers and facility providers                 SCHEDULE 3:
NOTE: The change to your rights, as set out in this form, does not apply if                    of MA / SCB permitted events, and generally to reduce the risks to                     Cusacks Lane, Jimboomba
your death or injury is due to gross negligence on the supplier's part. "Gross                 persons engaged in motorcycle sport; and
negligence" is defined in the Fair Trading (Recreational Services)

                                     14.    EXECUTION            I THE UNDERSIGNED STATE THAT I HAVE READ AND UNDERSTOOD                                                                     THIS     DECLARATION            (INCLUDING          THE      WARNING,
                                                              INDEMNITY AND RELEASE) AND AGREE TO THE TERMS AND CONDITIONS AS STATED.
          SIGN
                                     NAME (PRINT): ___________________________________________ SIGNATURE: _____________________________________________ DATE: _________________________
          HERE
                                     PASSENGER (PRINT): _____________________________________ SIGNATURE: _____________________________________________ DATE: _________________________
                                     15. THIRD PARTY INDEMNITY WHERE PARTICIPANT IS UNDER 18 YEARS OF AGE

     I/WE ______________________________________________________________ being the parents or guardians of the person named in Clause 1 (hereinafter called "the entrant") HEREBY ACKNOWLEDGE:
     a)    I/we have read the whole of this document and understand it; b) I/we consent to the entrant participating in the Event; AND c)..I/we are aware of the risks, dangers and obligations set out in Clause 3 above; d) I/we acknowledge that the entrant is
           bound by and subject to the rules and policies of MA, including, without limitation, the MA anti-doping policy.
     16. IN CONSIDERATION of the entrant being accepted as a participant in the Meeting I/WE HEREBY INDEMNIFY AND RELEASE the Indemnitees in the same manner and to the same effect as if I/WE were the entrant and agree to personally accept
         all terms and conditions and obligations set out in this declaration,

     PARENT/GUARDIAN: ___________________________________________________________ SIGNATURE ___________________________________________ DATE: _____________________

     PASSENGER’S PARENT/GUARDIAN: _____________________________________________ SIGNATURE ___________________________________________ DATE: _____________________




            MOTORCYCLING AUSTRALIA (MA - ABN 83 057 830 083) IS THE CONTROLLING BODY OF MOTORCYCLE SPORT IN AUSTRALIA. AFFILIATED TO FEDERATION INTERNATIONALE DE MOTOCYCLISME (F.I.M.) ACN 077-842-114

				
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posted:2/27/2012
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