The 2009 Noosa Journal Breakfast Fun Run is a great way for runners from beginners to champions to enjoy a fun and friendly run to kick off the weekend. The Zonta Club of Noosa (Inc.) will donate all proceeds from The Noosa Journal Breakfast Fun Run to the National Breast Cancer Foundation for research into breast cancer. This event will also feature on Seven SUNRISE on the morning of the event. Date Friday 30th October 2009 Location Festival Village, The Woods, Hastings Street, Noosa Heads Course A scenic fun run around the beautiful bays and beaches of Noosa approx. 5km Prizes Everyone who enters has a chance to win great random draw How to Enter Complete entry form with prizes as well as special prizes for: payment to Mail: USM EVENTS PO Box 1345, Noosa Heads Q 4567 Biggest School Team Online: www.usmevents.com.au Win $500 cash courtesy of Richardson & Wrench Noosa Most Innovative Team Entries Close 5pm 28th October 2009 Prize courtesy of Bluewater Restaurant at Sunshine Race day entries between 6.30-7.15am Beach Surf Club A late entry fee applies Best Decorated Male Outﬁt (bra or t-shirt) Entry Fee Juniors (under 16) $12.00 Prize courtesy of River2Sea (GST inc) Adults $25.00 All proceeds go to the National Breast Cancer Foundation. Best Decorated Female Outﬁt (bra or t-shirt) Includes a huge breakfast and lots of great random prize draws. Prize from The Noosa Spa of Health and Beauty Race Day Entries Juniors (under 16) $20.00 First Male Across the Line (GST inc) Adults $35.00 Gift pack from Noosa Heads Surf Club Cancellation The event organisers reserve the right to cancel, First Female Across the Line Gift from Smyths Hairdressing postpone or relocate the event due to any conditions deemed unsafe or unsuitable for the conduct of the event. Race Day 6.00 – 9.00am SEAFM Live Outside Broadcast Timetable 6.30 – 7.15am Check In and Race Day Entries Cancellation Fee 50% of your entry fee until 5pm 19th October 2009 and NO (Race day entries accepted until 7.15am) REFUND after 5pm 19th October 2009. 7.30am Run Start 7:45am Breakfast Starts Withdrawals Must be in writing by mail, USM EVENTS PO Box 1345 Noosa 8.30am Random Draw Prizes Heads QLD 4567 or email email@example.com All entries are non-transferable Dedicate the event to someone special Enquiries USM Events on 07 5449 0711 or email firstname.lastname@example.org You can wear a tribute placard or survivor placard to dedicate your participation to someone you have lost to breast cancer, to someone who is ﬁghting the disease, Tax Invoice Crossport Management & Marketing Pty Ltd T/A USM EVENTS. or to someone who has survived breast cancer. Tick the ‘tribute placecard’ or ABN# 670 523 42239 ‘survivor placard’ below. If tax invoice is required, copy entry form before sending. 2009 Ofﬁcial Entry Form - The Noosa Journal Breakfast Fun Run TERMS AND CONDITIONS PARTICIPANTS DETAILS May be photocopied The following are the terms and conditions of entry of USM EVENTS. These terms are not negotiable and buy accepting an entry to the event via the USM EVENTS registration system and paying the entry fees you are SURNAME FIRST NAME hereby acknowledging your acceptance of our terms and conditions (For competitors under 18, a parent or guardian must accept) WARNING: This is a legal document that affects your rights, if you are uncertain or TRIBUTE PLACARD REQUIRED SURVIVOR PLACARD REQUIRED uncomfortable with some of the condition of registration then we recommend that you obtain advice to ensure you understand and accept the conditions of entry. I agree to participate in this event on the following basis: 1. I acknowledge that competitive sporting events involve the real risk of serious injury or even death from various DATE OF BIRTH AGE AT EVENT DAY MALE FEMALE causes including overexertion, equipment failure, dehydration, accidents with other competitors, spectators or road users, and course or weather conditions and other causes. 2. I understand that I should not participate in this event unless I have trained appropriately and will be in a fit state to complete the event safely. I ADDRESS acknowledge that if I am aware of an existing medical condition and uncertain of my state of fitness then a medical practitioner should verify my physical condition. 3. By participating, I accept all risks necessarily SUBURB/TOWN STATE flowing from my participation that could result in injury, loss of life or permanent injury. Accordingly, I release all POSTCODE persons or corporations associated directly or indirectly with the conduct of the event from all claims demands and proceedings arising out of my participation and I hereby indemnify them against, all liability (including PHONE EMAIL liability for their negligence and negligence of others) for all injury, loss or damage arising out of or connected with my participation in this event. This release shall extend to and include USM EVENTS, Triathlon Australia Inc, its members, state and territory triathlon associations, Queensland Events Corporation, Sunshine Coast TEAM NAME (If member) TEAM CAPTAIN NAME Regional Council, event sponsors, event marshals and their respective directors, partners, managers, officers, agents, contractors, employees and volunteers including event medical and paramedical personnel. This release and indemnity continues forever and binds my heirs, executors, personal representatives and assigns. OCCUPATION* EMPLOYER* 4. I consent to receiving any medical treatment including ambulance transportation that event organisers think desirable during or after the event. 5. I have provided or attached to my entry form details of any medical or *Please assist our product development and customer service by supplying all of the information. Information supplied is strictly confidential and for internal use only. physical conditions from which I suffer that might affect my performance or be relevant if medical treatment is needed. I accept the risk of participating despite these conditions. I have supplied an emergency contact SCHOOL/CLUB HOUSE name and number, this person is contactable both during and after the event and is not another participant. 6. I understand that compulsory insurance cover affected for participants in this event may not cover me for all EVENT DAY injury, loss or damage sustained by me. 7. Safety precautions undertaken by organisers (such as course NAME PHONE supervision, race safety briefings, bicycle and helmet safety checks) are a service to me and other participants CONTACT but are not a guarantee of safety. 8. My registration is not transferable to other people. Any attempt to transfer THIS MUST BE COMPLETED: This person must be contactable on this number and can not be another competitor my entry or allow another person to participate under my name without the event organisers knowledge may result in total cancellation without refund, insurance being deemed void and inability to enter further USM EVENTS events. 9. My event registration is 50% refundable up to 5pm 10 days prior to event date. If I am SIGNATURE unable to compete after this time and date my registration fee is non-refundable. 10. Event organisers may THIS MUST BE SIGNED change the event format, course or other race conditions at their discretion. If that occurs, this agreement applies to the changed conditions. 11. I agree that if the event is cancelled due to storm, rain, inclement Please read the terms and conditions and sign as a condition of entry. Parent/guardian to sign for child under 18 weather, winds or other ‘Act of God’ conditions or safety concerns, or if I do not participate in the event for any other reason, my entry fee shall be non refundable. 12. I agree to abide by all race results and directions issued by the event organiser and/or the relevant sport’s governing body. 13. I certify I will receive a race briefing at registration that I will read and abide by! 14. I acknowledge and consent to photographs and electronic images PAYMENT DETAILS being taken of me before, during or after the event by an official representative of the event organiser. I CASH CHEQUE MONEY ORDER (Cheques and money orders made payable to USM Events) acknowledge and agree that such photographs and electronic images are owned by the event organiser and that the event organiser and event sponsors may use the images, my name and my performance for promotional broadcasting, reporting purposes and/or other purposes at any time by any form of media without VISA MASTER CARD AMEX (4% Surcharge applies) my further consent being necessary. The event organiser is not responsible for photographs and electronic images taken by persons who are not an official representative of the event organiser. 15. I acknowledge and CARD NUMBER EXPIRY DATE consent to the event organisers providing my personal details (limited to race number and full name) to Sporting Images for the purpose of promoting photographs from the event. Sporting Images will place photos MONTH YEAR from the event on their website, www.sportingimages.com.au which will be available for purchase. 16. I agree to my name and contact details being included on the event database which may be used for commercial CARD HOLDERS NAME purposes. I acknowledge that USM EVENTS will automatically subscribe me to the bi-monthly USM EVENTS email newsletter, which contains important information and updates relating to events. I can opt-out at any time by clicking the relevant link in any issue of the USM eNews. 17. I am fully responsible for the security of CARD HOLDERS SIGNATURE my personal possessions at the event. 18. I acknowledge that I will receive a race timing band at all timed events which remains the property of USM EVENTS. Should I not return my timing band to USM EVENTS I agree to reimburse them $50. 19. I certify that I am 18 years of age or older, or I am the parent/legal guardian DONATION TO NATIONAL of a child under the age of 18 and I have read this document and understand and accept the terms and BREAST CANCER FOUNDATION $ (If using a credit card with secure code, you are not conditions it contains. permitted to use this method of entry. Please TOTAL AMOUNT $ (inc. GST) visit www.usmevents.com.au to enter online) MEDICAL If you do not wish your contact details CONDITIONS SEND TO: USM Events, PO Box 1345, Noosa Heads Q 4567 to be included on further USM Events (see item 5) PLEASE NOTE: ENTRIES BY FAX OR PHONE WILL NOT BE ACCEPTED mail outs, please tick.