Corryong Sup Regs _ entry form

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					                                    SUPPLEMENTARY REGULATIONS

                                              HIGH COUNTRY MX MUSTER
                                                    2 DAY OPEN
                                            16th & 17th OCTOBER 2010

            MEETING NAME                                              VENUE                                              DATE
         High Country MX Muster
                                                                      Towong                                   16th & 17th October 2010
               2 Day Open

              PROMOTER                                    TRACK LICENCE NUMBER                                    PERMIT NUMBER
                UMMC                                               TBA                                                 TBA

          RACE SECRETARY                                          ADDRESS                                       CONTACT NUMBER/S
                                                     Towong Turf Club, Murray Valley H’Way                         0488 537077
              Neena Keeffe
                                                           Corryong, Victoria, 3707                                0407 906628

              STEWARD                                         CLERK OF COURSE
             Craig Windam                                         Paul Byatt

The Upper Murray Motorcycle Club, hereinafter called the PROMOTER, will conduct the Muster High Country MX at Towong Turf Club,
Towong on 16th & 17th October 2010.

The abovementioned meeting has been authorised by Motorcycling Victoria (MV) and will be held in accordance with the General
Competition Rules (GCR’s) of Motorcycling Australia (MA), the by-laws of MV, these Supplementary Regulations and any final instructions
issued by the stewards of the meeting.

Entries will be accepted forthwith from current MA Senior National (SNA) and MA Junior National (JNA) competition licence holders. Current
competition licence and current club membership card must be produced at sign in. NO EXCEPTIONS.

          Juniors - $40.00 (Extra Class $20)
          Seniors - $50.00 (Extra Class $20)

Junior Classes                                                                          Senior Classes

50cc Division 2 ( 8mins+1lap)                                                           Senior Lites A,B&C (15mins+1lap)
65cc 7-U13 A,B&C (10mins+lap)                                                           Senior Womens Open (12mins+1lap )
85ccSW 9-U12 A,B&C (10mins+lap)                                                         Senior Open A,B&C (15mins+1lap)
85ccBW 12-U16 A,B&C (10mins+lap)                                                        Veterans Over 35yrs (10mins+1lap)
Junior 13-U16 A,B&C 125cc 2st (12mins+1lap)                                             Senior Feature Race
Junior 250cc 4st 13-U16 A,B&C (12mins+1lap)
Junior Feature Race 125/250cc

4 Rounds – 2 Rounds Saturday 16th October & 2 Rounds Sunday 17th October

Entries for this event must be sent to:
Race Secretary
P.O. Box 118
Corryong, Vic, 3707

Only entries received on the official Entry Form will be accepted. Entries must be accompanied by a cheque or money order made payable
to Upper Murray Motorcycle Club. No cash by post. Incorrectly filled out Entry Form may result in entry not being accepted.
NOTE: Entries close on 15th October 2010.

Must compete the 2 Days to be eligible to enter into the Feature Race. Feature Race will consist of a cold start and a 3 Round elimination
process for both Senior and Junior Entrants. Working on 30 Entrants 1st round will eliminate the last 10 riders, 2 nd round will eliminate the
last 10 riders and 3rd round last 10 riders will battle for 1st, 2nd and 3rd place winners, this will apply for both Junior and Senior competitors

The St. Johns will be in attendance from the entirety of the event.

Sign in for the abovementioned event will take place from 6pm-8pm Friday 15th Oct 2010 & 6:45am - 7:45am Saturday 16th Oct 2010

Attendance at the Riders Briefing is compulsory. The Riders Briefing will take place at 8:00am Saturday 16th Oct 2010
Five solo entries to constitute a class. Grades may be combined with higher or lower grade if insufficient entries are received to constitute a
class. The club reserves the right to cancel / combine classes at its discretion

A $10.00 Fee is to be paid per entry or $15.00 for family with more then one competitor with entry. Corner duty to be supplied by Upper
Murray Motorcycle Club, if by chance we have an issue and require you to attend corner duty we will REFUND your duty fee

By peg selection

11. PIT
Open pits apply for this meeting. No smoking or open footwear in this area. Motorcycles are to be ridden at walking pace in this area at all
times and the rider must wear a helmet while riding.

All machines must comply with the 2009 GCR’s
All machines will be examined between 06:45am to 07:45 on Saturday 16th October 2010

Trophies will be awarded to 1st, 2nd & 3rd place winners for each junior class
Trophies will be awarded to 1st, 2nd & 3rd place winners for each senior class
Junior Feature awards 1st - $300.00 2nd - $200.00 3rd - $100.00 4th - $50.00
Senior Feature awards 1st- $500.00 2nd- $250.00 3rd - $100.00 4th - $50.00

Camping available - $10.00 fee applies

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.

                                 Sign In                   06:45am-07:45am
      Saturday                   Machine Examination       6:45am – 07:45am
                                  Riders Briefing            8:00am
                                  Practice Starts            8:30am – 09:00am
                                  Racing Start               Immediately After Practice
      Sunday                     Racing Starts             0800am
      UMMC will be offering a sign on at 6pm-8pm Friday the 10th September

Track length is 1.4km
Track surface is Soil
A full canteen service will operate for the entirety of the event (if applicable)
* Please also include any further information necessary

1.         Noise: Noise emissions must comply with rules and in the 2010 Manual of Motorcycle Sport and not exceed
           96dB (A).
2.         Numbers & Numberplates: Must comply with the 2010 Manual of Motorcycle Sport.
3.         Change of Motorcycle: A change of motorcycle may be permitted up to 15 minutes before the start of the race provided that the
           notice is in writing and handed to the secretary of the meeting and approval obtained by the stewards.
4.         Back Numbers: All competitors must wear a corresponding and legible back number at all times when practicing or competing.
5.         Points Score: As per 2010 Manual of Motorcycle Sport.
6.         Riding of Motorcycles: The riding of any competing motorcycles in the pits or car park or camping area is not permitted.
           Infringing riders will be brought before the stewards of the meeting. Any offender may be fined $50.00, which must be paid before
           any further participation is permitted. No pit bikes or non - competing motorcycles are permitted to be ridden at any time at the
7.         No Hassle Policy: Any rider, entrant or person associated with a rider or entrant shall conduct themselves in an orderly manner in
           any dealings whatsoever, with any official of the meeting. A rider shall be responsible for his/her own conduct and that of any
           person with whom he/she is associated who abuses or threatens in any manner, either verbally or physically, any official.
           Penalties, which may be imposed by the stewards for breach, include reprimand or warning. Minimum $50.00 fine or exclusion
           from the meeting.
8.         Abandonment: In the event of the meeting being abandoned due to circumstances beyond the control of the promoters before
           racing commences, entry fees will be returned, less a fee per entry to cover administration costs. Once the competition has
           commenced only the stewards of the meeting have the authority to abandon the meeting and their decision shall be final. In such
           cases the stewards will rule on the results according to the circumstances.
9.         Bicycles: Bicycles are not permitted in the pits or on the racing circuit. No Pit Bikes will be allowed anywhere at this complex.
10.        Animals: Are not permitted into the grounds. Seeing Eye dogs are permitted.
11.        Motorcycles: Are to be kept in the pit area at all times when not being used for competition. Unless permission to remove the
           motorcycle has been granted by the stewards of the meeting. Any motorcycle removed from the pit area without permission of the
           stewards, will be deemed to have withdrawn from the competition.
12.        Reservations: The Stewards of the meeting reserve the right to alter, postpone or cancel all or part of the events program.
13.        Unauthorised: Persons are prohibited from entering the track infield area. Such unauthorised persons will be removed from
           prohibited areas.
           It is conditional upon acceptance of this entry that it is fully understood by the rider/entrant/parent/guardian to arrange personal
           injury and ambulance transportation insurance cover in case you should require the same during the running of this competition.
           RIDERS INSURANCE: The Motorcycling Australia Insurance Scheme provides: As per 2010 Manual of Motorcycle Sport.
                                                                   ENTRY FORM

                                                          HIGH COUNTRY MX MUSTER
                                                                 2 DAY OPEN
                                                         16th & 17th OCTOBER 2010

  Entrant:                                                           Licence No.:                                         Licence Expiry Date:

  Rider:                                                             Licence No.:                                         Licence Expiry Date:


  Town / Suburb:                                                           State:                                 Postcode:                         D.O.B.:

  Phone Number:                                                      Mobile:                                                    Gender: Male / Female

  Racing No. :                                                       Grade:                               Club:

   Transponder No.:

    Junior Grade                         Senior Grade                                      Capacity                                Engine Number                               Fee
                                                                                       Division 2 7-U9                                                                    $
                                                                                         65cc 7-U13                                                                       $
                                                                                  85cc/150cc 4st SW 9-U12                                                                 $
                                                                                 85cc/150cc 4st BW 12-U16                                                                 $
                                                                                     125cc 2st 13-U16                                                                     $
                                                                                        250F 13-U16                                                                       $
                                                                                 125cc 2st/250 4st Senior                                                                 $
                                                                              250 2st/251 4st & over Seniors                                                              $
                                                                                  Senior Womens Open                                                                      $
                                                                                       Vets Over 35                                                                       $
                                                                                                                               Plus Feature Race $10                      $
                                                                                                                               Plus $10 Camping Fee                       $
                                                                                                                               Plus $10/$15 Flag Duty                     $
                                                                                                                               Plus $11 Riders Levy                       $
                                                                                                                               TOTAL PAYABLE:                             $

                             **PLEASE COMPLETE TABLE AS PER YOUR EVENT**

Junior: $40.00 + ($20.00 extra class) (plus $11.00 MV Rider Levy)
Senior: $50.00 + ($20.00 extra class) (plus $11.00 MV Rider Levy)
Feature Race $10.00

Closing Date: 8th October 2010
Late Entries: Late Entries will not be accepted

Post Entries to: Race Secretary
                 P.O Box 118
                 Corryong, Vic 3707

                                                                    Cheque and Money Order made payable to:
                                                                           Upper Murray Motorcycle Club
Office Use Only

Amount:           $                                                                                Cheque / Cash / MO:

Bank:                                                                                              Cheque / MO No.:
                                                     CONTRACT TO PARTICIPATE IN THE HIGH COUNTRY MX MUSTER
                                            UNLESS YOU ARE SATISFIED YOU UNDERSTAND IT.
1.   I THE UNDERSIGNED (see below):                [Insert Name]                     NOTE: The change to your rights, as set out in this form, does not apply                 am treated (together “my Carers”) will have health related
                                                                                     if your death or injury is due to gross negligence on the supplier's part.               information about me in their possession, power and control relating
                                                                                     "Gross negligence" is defined in the Fair Trading (Recreational Services)                to me which is subject to obligations imposed by the Privacy Act
     _____________________________________________________                                                                                                                    (“my Information”) and the Privacy Act is intended to protect my
                                                                                     Regulations 2004.
HEREBY AGREE with Motorcycling Australia Limited (“MA”) that I am by                 For the purposes of the clause 3, “the Supplier” shall mean and include                  personal information;
this agreement entitled to participate in the motorcycle activity/meeting            the Indemnitees.                                                                    ii) MA and my SCB wish to collect my Information for purposes that
listed in Schedule 2 (hereinafter called "the Meeting" or the “Event”) at the                                                                                                 include their risk management programs, evaluating and improving
venue listed at Schedule 3 (hereinafter called "the Venue") on the terms             5. INDEMNITY AND RELEASE GIVEN TO ORGANISERS                                             the safety of MA and SCB events and of the Meeting organisers and
and conditions set out in this document.                                             IN CONSIDERATION of the acceptance of me as a participant in the                         facility providers of MA / SCB permitted events, and generally to
                                                                                          Meeting:                                                                            reduce the risks to persons engaged in motorcycle sport; and
2. DEFINITIONS In this declaration:                                                  a) I AGREE TO INDEMNIFY AND KEEP INDEMNIFIED to the full                            iii) It is reasonable for MA and my SCB to collect, store, use and disclose my
a)   “Claim” means and includes any action, suit, proceeding, claim,                      extent permitted by law the Indemnitees and each of them in the                     Information in accordance with clause 11(a)(i) above and in the manner set
     demand, damage, cost or expense however arising including but not                    following manner:                                                                   out in clause 11(b).
     limited to negligence but does not include a claim against a                    i) that I participate in the meeting at my sole risk and responsibility;            b) IN CONSIDERATION of my acceptance as an entrant in the Meeting
     Motorcycling Organisation under any right expressly conferred by its            ii) that I accept the Venue as it stands with all or any defects hidden or               I consent and agree that MA and my SCB:
     constitution or regulation;                                                          exposed;                                                                       i) may collect and store any of my Information, including obtain my
b)   “Indemnitees” means and includes the persons, organisations and                 iii) that I indemnify and hold harmless the Indemnitees, their respective                Information from third parties including my Carers;
     bodies corporate whose names appear in Schedule 1.                                   servants, agents, officials and competitors against any actions,               ii) may use any information collected in accordance with this clause for
c)   “MA” means Motorcycling Australia Limited;                                           costs, losses or claims which may be made by me or on my behalf                     any purpose consistent with creating safer competition in motorcycle
d)   “State Controlling Body” (SCB) means a state or territory                            for or in respect of or arising out of my death or any injury loss or               sport and events held by or in conjunction with MA, my SCB, or with
     motorcycling association affiliated as a member of MA;                               damage caused to me or my equipment whether caused by                               an MA or SCB permit;
e)   “Motorcycling Activities” means performing or participating in any                   negligence, breach of contract or in any other manner whatsoever.              iii) may disclose my Information to third parties provided such disclosure is
     capacity in any authorised or recognised Motorcycling Organisation              b) I AGREE TO RELEASE to the full extent permitted by law the                            reasonably intended to be used for the purpose of improving safety at
     event, meeting or activity;                                                          Indemnitees and each of them from all liability to me for any claim,                events held by or in conjunction with MA, or with an MA permit provided
f)   “Motorcycling Organisation” means and includes MA, and the MA                        loss, damage, cost or expense (whether arising under statute, from                  any such information is held by MA or my SCB in accordance with the
     members (including the SCBs and affiliated clubs) and where the                      negligence, personal injury, psychological trauma, death, property                  MA Privacy Policy.
     context so permits, their respective directors, officers, members,                   damage or infringement of third party rights or otherwise) that arises         c) I irrevocably authorise MA and my SCB and hereby appoint MA and my
     servants or agents.                                                                  as a result of any act, matter or thing done, permitted or omitted to               SCB as my lawful attorneys to collect from my Carers, and I hereby direct
3. ACKNOWLEDGMENT OF RISKS, DANGERS & OBLIGATIONS                                         be done by me or which is in any way connected with my presence                     my Carers to provide to MA or my SCB upon request being made by MA
I ACKNOWLEDGE that:                                                                       at or involvement in the Event.                                                     or my SCB, any of my Information including but not limited to any
a) motorcycle sport is dangerous and that by engaging in the sport                   6. The release and indemnity provided by me in this declaration is in addition           information concerning any incident or event causing or contributing to or
     (whether as a competitor, recreational rider, coach, official or media)              to, and will not in any way limit the application of, the conditions of sale        resulting from any injury, illness or death to me, the details of any diagnosis
     at the Meeting I take and am exposed to certain risks and dangers                    attaching to tickets, conditions of entry, conditions of credentials or any         and prognosis provided to me by my Carers (or any party with the
     and am under certain obligations as follows:                                         other applicable terms or conditions in respect of the Event.                       knowledge of any of my Carers), and any other matter to the knowledge of
i) that I may be injured, physically or mentally, and may be killed;                 7. A term of this release and indemnity will not apply where the term                    my Carers that might reasonably be considered to be requested by MA or
ii) that my machinery or equipment may be damaged, lost or destroyed;                     contravenes the law of the relevant jurisdiction under which any legal              my SCB for the purpose of improving safety at MA and SCB events.
iii) that competitors may ride dangerously or with a lack of skill;                       action is legitimately taken however such terms are severable and do
                                                                                          not invalidate the remaining terms.                                            12. POLICIES AND REGULATIONS
iv) that track or event conditions may be hazardous and may vary                                                                                                             I acknowledge, understand and agree that it is a condition of my
     without warning or predictability;                                              8. MEDICAL                                                                              participation in the Event that I agree to be bound by, and subject to,
v) that organisers, officials, landowners/track operators and any agents                  I declare that I am and must continue to be medically and physically fit           the rules, regulations and jurisdiction of MA as amended from time to
     or representatives of those in charge of meetings are frequently                     and able to participate in the Meeting. I will immediately notify MA in            time. Copies of all MA rules, policies and regulations are available
     obliged to make decisions under pressure of time/or events;                          writing via my SCB of any change to my fitness and ability to                      by contacting the MA office.
vi) that any policy of insurance of or in respect of my life or physical or               participate. I understand and accept the Indemnitees will continue to          13. All participants are bound by the MA anti doping policy and thus
     mental health may be voided;                                                         rely upon this declaration as evidence of my fitness and ability to                understand they may be subject to drug testing. Testing conducted
vii) that there may be no or inadequate facilities for treatment or                       participate.                                                                       by the Australian Sports Anti-Doping Authority (ASADA) is in
     transport of me if I am injured;                                                9.   I acknowledge and agree that if required, the Indemnitees (or any of               accordance with the ASADA Act and the National Ant-Doping
vii) that I have an obligation to myself and to others to act safely and                  them) may arrange medical or hospital treatment (including ambulance               Scheme. This involves the taking of a sample (any human biological
     within the rules and regulations of MA;                                              transportation) for me. I authorise such actions being taken by the                fluid or tissue whether alive or otherwise, or any human breath) for
b) the Indemnitees do not make any warranty that the services at the                      Indemnitees and agree to meet all costs associated with such action. I             the purpose of detecting the use of a Prohibited Drug or Doping
     Meeting will be provided with due care and skill or that any materials               understand it is compulsory for me to have ambulance insurance in                  Method. Any participant infringing MA’s policy or refusing a drug test
     provided in connection with the services will be fit for the purpose for             some form and I accept responsibility for the cost of ambulance                    may be disqualified or otherwise dealt with in accordance with the
     which they are supplied;                                                             transportation, ambulance cover and further agree to maintain                      terms of the anti-doping policy.
c) to the extent that any warranty is implied it is excluded to the full                  ambulance cover during the term of my license / membership.
     extent permitted by law;                                                                                                                                            SCHEDULE 1:
d) have voluntarily read and understood this warning and accept and                  10. PRIVACY                                                                         1)  Federation Internationale de Motocyclisme
     assume the inherent risks in participating in the Event.                             I hereby consent to the collection of my personal information by the <Add      2)  Motorcycling Australia Ltd
                                                                                          Upper Murray Motorcycle Club, MA and the SCB in connection with my             3)  Motorcycling Victoria
4. WARNING UNDER THE FAIR TRADING ACT 1999 (VIC)                                          involvement at the Event and the use and disclosure of my personal             4)  Upper Murray Motorcycle Club
      Under the provisions of the Fair Trading Act 1999 (Vic) several                     information by Upper Murray Motorcycle Club, and MA to other agencies          5)  Towong
      conditions are implied into contracts for the supply of certain goods and           and officials associated with the Event for the purposes of conducting and     6)  Upper Muray Motorcycle Club
      services. These conditions mean that the supplier named on this form                managing the Event. I understand that I may gain access to my personal         7)  <Add Sponsor Here>
      is required to ensure that the recreational services it supplies to you are:        information held by Upper Murray Motorcycle Club by contacting Upper           8)  <Add First Aid Provider Here
      - rendered with due care and skill;                                                 Murray Motorcycle Club at Upper Murray Motorcycle Club or MA at 147            9)  <Add Other Here>
      - as fit for the purpose for which they are commonly bought as it is                Montague St, South Melbourne, Victoria, 3205. I understand that if I do        10) All other persons involved in the organisation, conduct and
        reasonable to expect in the circumstances; and                                    not provide the personal information requested above that I may not be             promotion of the Event or construction or location of the facilities
      - reasonably fit for any particular purpose or might reasonably be                  permitted to participate in the Event.                                             used in connection with or otherwise related to the Event
        expected to achieve any result you have made known to the                                                                                                        11) Each of the respective officers, employees, servants, agents,
        supplier.                                                                    11. PERSONAL HEALTH INFORMATION
                                                                                          I hereby agree with MA and the SCB that in consideration for my                    sponsors, successors and assignees of each of the above.
Under section 32N of the Fair Trading Act 1999, the supplier is entitled to
ask you to agree that these conditions do not apply to you. If you sign                   participation in the Event that MA and the SCB may receive, collect, store     SCHEDULE 2:
this form, you will be agreeing that your rights to sue the supplier under                and use personal health information about me in the manner set out             16th & 17th October 2010
the Fair Trading Act 1999 if you are killed or injured because the services               below:
                                                                                                                                                                         SCHEDULE 3:
were not rendered with due care and skill or they were not reasonably fit            a)   I ACKNOWLEDGE that:                                                            Towong
for their purpose, are excluded, restricted or modified in the way set out in        i)   If I am injured, become ill or die at or following the Event the party
this form.                                                                                listed at Item 8 in Schedule 1 in addition to any hospital at which I

     SIGN                                                                INDEMNITY AND RELEASE) AND AGREE TO THE TERMS AND CONDITIONS AS STATED.

     HERE                      NAME (PRINT): ____________________________________ SIGNATURE: _____________________________________ DATE: _____________________

                               PASSENGER (PRINT): _____________________________ SIGNATURE: _____________________________________ DATE: _____________________

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: __________________

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