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RIVER TO RIVER RIDE

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					                                   Conditions of Entry & Waiver                                                       Fraser Coast Bicycle Users Group
1)    I attest that I am physically fit and that my bike is in a sound me-
      chanical order prior to undertaking the event. I understand that
      cycling on public roads is a potentially hazardous activity.

2)    During this event I agree to wear a cycling helmet, abide by the road
      rules, obey the directions of Police officers, route marshals and ride
      with care and consideration of others on the road.

3)    Safety precautions undertaken by organisers (such as course supervi-
      sion, ride safety briefings) are a service to me and other participants but
      are not a guarantee of safety.                                                                                RIVER TO RIVER RIDE
4)    In consideration of the Fraser Coast BUG permitting me to enter and
      participate in the Cardno River to River Ride on 1st & 2nd May, 2010,
      and as a condition of such entry, I release the Fraser Coast BUG, its                                         Burrum River to Mary River Heads
      servants or agents from all claims for injury, loss or damage of what-
      ever kind I might suffer as a result of any acts or omissions whether
      negligent or otherwise of the Fraser Cost BUG its servants or agents in                                                1st & 2nd MAY 2010
      relation to the event.

5)    A cycling adult must accompany children under the age of 16. Children
      under the age of 12 must not pilot their own bike.

6)    I have listed my date of birth, emergency contact details and any con-
      dition from which I may suffer that might affect my performance or be
      relevant if medical treatment is needed. I accept the risk of
      participating despite these conditions.


7)    I consent to receiving any medical treatment including ambulance
      transportation that the event organisers think desirable on or at the
      event.

8)    My registration is not transferable to other people. I agree that if the
      event is cancelled or the event format and/or course is altered due to
      inclement weather or other ’Acts of God’ or conditions and safety con-
      cerns outside the control of the event organiser, or if I do not partici-
      pate in the event for any other reason my entry fee shall be non-
      refundable.

9)    I consent to event organisers using my name, image and likeness be-
      fore, during and after the event for event promotional broadcasting or
      reporting purposes in any media.                                                                                  A fun, family activity by the sea
I certify that I am 18 years or older and I have read this document and fully
understand it. As a parent or guardian of the participant, I agree to the
above for myself and on behalf of my child. I indemnify and will keep                                                   bicycleusersgroup@yahoo.com.au
indemnified all people and corporations associated with the conduct of the
event on the terms referred to.



Name:................................................ Date of Birth:……………………………                                               www.fcbug.org.au

Signed...............................................................   Date:....................................
                                                                                                                           REGISTRATION FORM
                                         The Fraser Coast Bicycle Users Group
                                         invites you to join the Cardno River to
                                         River Ride to be held on 1st and 2nd        NAME:.......................................................................................
                                         May, 2010.
                                                                                     ADDRESS:......................... ......................................................
                                        Hop on your bike and join us for a
                                        week-end of cycling and friendship.
                                        Irrespective of your cycling ability, this   SUBURB:............................................. ...P/Code........................
                                        easy, mainly flat route with a couple of
                                        hills is a great introduction to the joys
                                                                                     PHONE:(H/W ) ........................ ... ...(Mob)......... ...... .................
                                        of overnight cycle tours. Beginning at
                                        Burrum Heads, the 50 km Day 1 route
hugs the Fraser Coast through Toogoom — where we stop for morning tea                EMAIL:......................................................................................
— to the lunch stop and finish for the day at ―The Pines at Pialba.

                                                                                     EMERGENCY CONTACT NAME......................................................
After enjoying an evening socializing with new-found friends, we head off
from ―The Pines at Pialba at 8.00am on Sunday to River Heads for morning
tea and back to Pier Park Urangan for a sausage sizzle- 55km return.                 EMERGENCY CONTACT PHONE.....................................................
At the rest areas, our band of volunteers will support your efforts and pro-
vide water and refreshments. The Sag Wagon is available for those who
                                                                                     Existing Medical conditions/Allergies
need it and our volunteer riders will assist with basic mechanical issues.


RIDE TO THE START - HERVEY BAY TO BURRUM HEADS Sat 1st May
Two informal groups will ride from the bus shelter opposite Eli Waters               Special Dietary Requirements (Please be specific)
Shopping Centre on the Hervey Bay/Maryborough Rd to the start at
Burrum Heads as follows;                                                             ...................................................................................................................
Group 1 – Depart 5.30am (average ride speed 23km/h)                                  ENTRY FEES
Group 2 – Depart 5.50am (average ride speed 28km/h)                                  Ride Weekend - $30.00                                                                                            [$             ]
These rides are not an official part of the River to River but will be led by        (Includes—2 x morning teas & 2 x lunches)
experienced local riders.                                                            Dinner Saturday Night - $25.00                                                                                   [$             ]
                                                                                     Additional Dinner(s) Saturday Night - $25.00                                                                     [$             ]
                                                                                     Children’s Dinner(s) (U11) Saturday Night – $10.00                                                               [$             ]
LUCKY ENTRANT PRIZE – 2 night’s accommodation for 2 persons at the
Mantra Resort Hervey Bay valued at $500.00. Mantra Resort is our
preferred accommodation provider – www.mantraherveybay.com.au                                                                      Total Amount remitted                                            $.............

EVENT DETAILS
                                                                                      (Saturday pm shuttle to collect vehicle - no charge)                                                           Yes/No
When: Saturday 1st & Sunday 2nd May.

Entries close Friday 23 April                                                         PAYMENT                                                                                                      Tick one
                                                                                     Money Order (payable to Fraser Coast BUG)                                                                             [   ]
Start Time : 8.00am, 1st May 2010                                                    Cheque (payable to Fraser Coast BUG)                                                                                  [   ]
Where:       Lions Park, Burrum Street, Burrum Heads                                 Internet Transfer                                                                                                     [   ]
             (own transport required)                                                 Bank Account Details: BSB 034 811 Acc No: 104952199
Parking:     At Lions Park. Shuttle Bus available from                                Acc Name: Fraser Coast Bicycle Users Group Inc.
             Pialba to Burrum Heads from 2.00pm Sat to collect                        Send Entry Form and payment to:
             vehicles
                                                                                      Fraser Coast BUG, PO Box 7492, Urangan, 4655
WHAT DO I NEED TO DO ?
                                                                                      Please read Conditions of entry and Waiver overleaf, and then sign this
Arrange overnight accommodation (Try www.mantraherveybay.com.au )                     registration form. Entries will only be processed on receipt of a signed
Arrange transport (or ride) to Lions Park                                             Registration Form. Separate form required for each participant.
Arrive with your bike, helmet & water bottle — fit and enthusiastic!
Don’t forget the sunscreen!                                                           Signature of Participant............................................................
MORE INFORMATION:             Ph: Cathy Voigt 0438 215 676                            (or parent/guardian if participant under 18 yrs of age)
                             email: bicycleusersgroup@yahoo.com.au                    It is strongly recommended that participants join Bicycle Queensland.
                                                                                      This state body provides support to cycle groups and personal insur-
                                                                                      ance to members. Ph: (07) 38441144 or www.bq.org.au

				
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