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GYMPIE MOTORCYCLE CLUB WIDGEE TRAIL RIDE 29th March 2009

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GYMPIE MOTORCYCLE CLUB WIDGEE TRAIL RIDE 29th March 2009 Powered By Docstoc
					                                                          GYMPIE MOTORCYCLE CLUB
    Permit No. 39263                                         WIDGEE TRAIL RIDE
    Venue: VR016

    MA Lic No.
                                                               29th March 2009
                                                                            RIDER’S INDEMNITY FORM
       WARNING! THIS IS AN IMPORTANT DOCUMENT WHICH AFFECTS YOUR LEGAL RIGHTS AND
       OBLIGATIONS. READ IT CAREFULLY AND DO NOT SIGN IT UNLESS YOU ARE SATISFIED YOU
                                      UNDERSTAND IT.

                    The Widgee Trail Ride is run under Motorcycling Queensland’s Regulations for trail rides.
1.       CONTRACT TO PARTICIPATE IN MOTORCYCLE SPORTING EVENT AND/OR ACTIVITY
I hereby agree with the persons, organisations and bodies corporate whose names appear in Schedule 1 (hereafter
collectively called “the organiser”) that I am by this agreement entitled to participate in the Widgee Trail Ride (hereinafter called
“the meeting”) held on 29th March 09 at Upper Widgee Rd, Widgee (hereinafter called “the venue”) on the terms and
conditions set out in this document.
2.       ACKNOWLEDGEMENT OF RISKS, DANGERS AND OBLIGATIONS
I acknowledge that motorcycling sport is dangerous and that by engaging in the sport and participating in this meeting I take
and am exposed to certain risks and dangers and am under certain obligation as follows:
      a)       that I may be injured, physically or mentally, and may be killed;
      b)       that my machinery or equipment may be damaged, lost or destroyed;
      c)       that other riders may ride dangerously or with lack of skill;
      d)       that track or event conditions may be hazardous and may vary without warning or predictability;
      e)       that organisers, officials, landowners/track operators and any agents or representatives of those in charge of
               meetings are frequently obliged to make decisions under pressure of time and/or events;
      f)       that any policy of insurance of or in respect of my life or physical or mental health may be avoided;
      g)       that there may be no or inadequate facilities for treatment or transport of me if I am injured;
      h)       that I have an obligation to myself and to others to participate safely and within the rules of this meeting.
3.      INDEMNITY GIVEN TO ORGANISERS
In consideration of the acceptance of me as an entrant in this meeting I AGREE TO INDEMNIFY the organisers and each of
them in the following manner:
             a) that I participate in this meeting at my sole risk and responsibility;
             b) that I accept the venue as it stands with all or any defects hidden or exposed;
             c) that I indemnify and hold harmless the organisers, their respective servants, agents or officials against any
                 actions or claims which may be made by me or on my behalf or by other parties for or in respect of or arising
                 out of my death or any injury, loss or damage caused to me or to my machinery or equipment, whether
                 caused by negligence, breach of contract or in any other manner whatsoever.
4.       SCRUTINEERING DECLARATION
I declare that my machine is safe for use in the Widgee Trail Ride. I declare that the brakes, suspension, steering and exhaust
system of my machine are working effectively and that it has no external oil leaks.
I acknowledge that my machine may be subjected to random scrutineering checks and that I may be required to repair or
cease using my machine if it is found unsafe or unacceptable for any reason.
SCHEDULE 1               1.   Federation Internationale Motorcyclist
                         2.   Motorcycling Australia Ltd
                         3.   Motorcycling Queensland
                         4.   Gympie Motorcycle Club (Promoting Club)
                         5.   As per venue registration (Landowner)

SURNAME: ................................................................. GIVEN NAMES:..................................................................

ADDRESS: ..............................................................................................................................................................

SUBURB: .................................................................................................. POSTCODE: ........................................

PHONE (Home or Mobile): ............................................ DATE OF BIRTH: ......................... GENDER: Male / Female
                                                                                                                                                                          (Please circle)


NEXT OF KIN / EMERGENCY CONTACT: ..............................................................................................................

SIGNED: ........................................... SIGNATURE OF GUARDIAN (IF UNDER 18): ...........................................
WIDGEE ONE DAY TRAIL RIDE
                     Sunday 29th March, 2009
       Non Competitive ride run under Motorcycling Queensland’s Regulations for trail rides.
                            Peewee track and novice track available
      RAFFLE – WIN A FREE RIDE WITH SCAR TOURS!


Canteen on the day will be available and all proceeds go towards Gympie Show Princess entrant. The
money raised goes to much needed charities in the area so please help out by supporting them on the
day.


                          --- ENTRY FEES ---
   • Open track riders: $40 with current MA licence $60 without
   • Novice track riders: $30 with current MA licence $50 without
   • Peewee track riders: $20 with current MA licence $40without
       (MA – Motorcycling Australia race licence, recreational licence or interclub licence)

Numbers will be capped at 450riders ONLY so please send your entries
in to: Gympie Motorcycle Club, PO Box 550, GYMPIE QLD 4570. Or
drop it into Motorcycle Country, Gympie.

Any rider aged 18yrs or under MUST be accompanied by a parent or
guardian whilst attending this trail ride. If not, they will not be
permitted to ride – no exceptions. Riders under the age of 16 cannot ride
a 250 two stroke (in accordance to MA rules & regs).

Camping is available on the Saturday night – BYO water etc.

Rider’s Briefing: 8.45am (all riders must attend) Track opens: 9.00am

For enquiries: Andrew on 0419 642 963 or George & Lyn 5486 1224
                 Motorcycle Country b/h 07 5482 6911
Remember! This is not a competitive ride – riders of all ages and abilities
will be on the track so please show courtesy and common sense.
                                                   

				
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Description: GYMPIE MOTORCYCLE CLUB WIDGEE TRAIL RIDE 29th March 2009