CMCC, SCMC, BMCC, AJSMCC, BSA & HDMC & LWMCC
In conjunction with WAMX Committee
Smarter Than Smoking
2010 WA STATE MOTOCROSS
OFFICIAL ENTRY FORM
SERIES PERMIT NO: 5018, 5019, 5020, 5021, 5022, 5023
MOTORCYCLE RACING IS DANGEROUS AND CAN RESULT IN INJURY TO
COMPETITORS AND DAMAGE TO MACHINERY
These supplementary regulations and attached entry form are important documents, which affect your legal rights
and obligations. Read these documents carefully and do not sign the ENTRY FORM for this competition unless you
are completely satisfied that you understand the contents and agree to be bound by them.
Round 1 11/04/10 Coastal MCC Coastal Park Cockburn Road Henderson
Round 2 08/05/10 Southern Capes MCC Jindong Park Nth Jindong Road Busselton
09/05/10 (Split Round Quads Saturday, Solo’s Sunday)
Round 3 20/06/10 Bunbury MCC Shrubland Park South West Hwy Bunbury
Round 4 11/07/10 AJS MCC Wanneroo Park Wattle Ave Wanneroo
Round 5 22/08/10 BSAHDMC Noble Falls Toodyay Rd Gidgegannup
Round 6 19/09/10 Lightweight MCC Hendley Park South West Highway Byford
1. ANNOUNCEMENT & JURISDICTION
The CMCC, SCMCC, BMCC, AJSMCC, BSA&HD MC & LWCC and the WAMX Committee known as the
PROMOTERS, will conduct the meetings in accordance with the GENERAL COMPETITION RULES OF
MOTORCYCLING AUSTRALIA, these supplementary regulations & any additions or amendments approved
by Motorcycling Western Australia.
Officials are appointed with the approval of Motorcycling Western Australia. Control will be under the Clerk of
Course with the supervision from the Steward/s of the meeting who reserve the right to alter, postpone or
cancel all or part of the event program if required, without notice.
Series Steward Tuesday Wallace
Series Clerk of Course Graham Collis
Series Race Secretary Cindy Collis/ Leanne Brenton
Machine Examiner Dean Merrylees
3. ELIGIBLE CLASSES & EVENTS
3.1 STATE CHAMPIONSHIPS. ANY RIDER MAY ENTER A CHAMPIONSHIP CLASS. Preference given to those with a
higher grade State Championship events will be contested for each Solo & Quad machine capacity class as
§ Pro Lite Championship: Up to 150cc 2 stroke + 250cc 4 stroke 2 Heats of 15 mins + 1 lap, 1 x 6 Lap Sprint
§ Pro Open Championship: Up to 500cc 2 stroke + Up to 650cc 4 str. 2 Heats of 15 mins + 1 lap, 1 x 6 Lap Sprint
§ Quad Championship: Up to 550cc 2 stroke + Up to 700cc 4 stroke 3 x 10 mins + 1 lap
§ Women’s Solo Championship: Up to 500cc 2 stroke + Up to 650cc 3 x 4 laps
3.2 SUPPORT CLASSES may be conducted at promoter’s discretion
Intermediate Open and Intermediate Lites 2 x 10 mins plus 1 lap, 1 x 6 Lap sprint
Veteran and Pro Veterans (35 yrs & over, race together scored separately) 3 x 4 laps
Clubman Lites Classes and Clubman Open 3 x 4 laps
Quad Racer Clubman Classes Up to 550cc 2 stroke + up to 700cc 4 stroke 3 x 4 laps
Transponders will be compulsory at this meeting. Transponders are either hired through your entry fee to the
event, or can be purchased through AMB on (02) 9546 2606 or email firstname.lastname@example.org. It is compulsory
to have fitted a transponder bracket. Transponder brackets are available for purchase for $15.00 at the
event. You must supply your own cable ties.
Condition of entry:
1. When a transponder is transferred to the competitor, it is the competitor’s responsibility for any repairs or
replacement cost of the transmitter if damaged or lost.
2. It is the competitor's responsibility to ensure the transponder is mounted correctly, and securely to prevent
damage from fouling other components on the machine.
3. It is the competitor's responsibility 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 fined $50 for
not returning transponders on the day.
4. Transponders must be returned to the designated person as advised at the riders briefing.
5. For transponders not returned on the same day, or not returned to the designated person, in addition to the
$50 fee, the hirer is responsible for the transponder until it arrives back at the MWA office. 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.
6. Transponders must be fitted for all practice sessions.
NOTE: The onus is on guardian/rider to ensure transponders are on bikes prior to each event. Please
download order forms from www.motorcyclingwa.org.au and forward to MWA.
7. TIME SCHEDULE
PITS OPEN 6.30am
MACHINE EXAMINATION 6.30am-7.55am
PITS CLOSE 8.00am
RIDERS MEETING 8.15am
FIRST RACE 9.30am
LUNCH BREAK 20 minutes
PRESENTATIONS Following final event
8. EVENT CLASS/LAP SCHEDULE
Proposed format for all Rounds - subject to change according to entries received.
1) Clubman Lites A or B (Refer to Attached Class Event Schedule) 3 x 4 Laps
2) Veterans/Pro Veterans (Refer to Attached Class Event Schedule) 3 x 4 Laps
3) Pro Lite Championship (Refer to Attached Class Event Schedule) 2 x 15 mins + 1 plus 1 x 6 Lap Sprint
4) Quad Championship (Refer to Attached Class Event Schedule) 3 x 10 mins + 1 (except Rd 2)
5) Intermediate Lites (Refer to Attached Class Event Schedule) 2 x 10 mins + 1 plus 1 x 6 Lap Sprint
6) Quad Clubman A or B (Refer to Attached Class Event Schedule) 3 x 4 Laps
7) Intermediate Open (Refer to Attached Class Event Schedule) 2 x 10 mins + 1 plus 1 x 6 Lap Sprint
8) Clubman Open (Refer to Attached Class Event Schedule) 3 x 4 Laps
9) Pro Open Championship (Refer to Attached Class Event Schedule) 2 x 15 mins + 1 plus 1 x 6 Lap Sprint
10) Women’s Championship (Refer to Attached Class Event Schedule) 3 x 4 Laps
9. MINIMUM / MAXIMUM RIDERS
6.1 STATE CHAMPIONSHIPS
As per the 2010 G.C.R’s, the maximum number of entries that will be accepted per class is forty, (40), except the
quad-racer class where it will be twenty, (20) as per G.C.R.’s. The minimum number of starters required to
constitute a championship race is 25% of the grid.
6.2 SEEDED RIDERS
6.2.1 The top five riders in the 2009 Pro-Lite Championships will be automatically seeded into the Pro-Lite
Championship class for the first round only.
6.2.2 The top five riders in the 2009 Pro-Open Championships will be automatically seeded into the Pro-Open
class for the first round only.
6.2.3 The top five quad riders in 2009 Pro Quad Racer Championships will be automatically seeded into the
Quad-Racer class for the first round only.
At all remaining rounds, the 5 riders with the overall highest points will be automatically seeded into their
6.3 SUPPORT CLASS
The minimum number of entries required to constitute any of the support classes is 25% of the grid.
10. ENTRY FEES & CONDITIONS
CLOSING DATE FOR ENTRIES
Entries will officially close Ten (10) days prior to each championship round. However, entries will be
accepted up to Five (5) days prior to each round but with the penalty of $50 payable in addition to the entry
fee. Under no circumstances will any late entries be accepted after this final date. Incomplete or late
entries will not be accepted and will be returned to the entrant. To be eligible for a refund, you must
notify the race secretary 5 days before the event and have a legitimate reason. Refunds will incur a $10
administration fee. NO EXCEPTIONS. All refunds will be paid at soon as practical by the Promoter
As per Entry form, refer to respective class you have nominated for to see total, and add transponder fee if you
do not supply your own transponder.
Series entries per Class:
§ Prolite/Pro Open/Quad Championship Classes (6 Rds) $432.00 (Plus Transponder fee)
§ Intermediate Lites/Open Classes (5 Rds) $340.00 (Plus Transponder fee)
§ Clubman Opens (5 Rds) $310.00 (Plus Transponder fee)
§ Clubman Lites and Clubman Quad Classes (3 Rds) $186.00 (Plus Transponder fee)
§ Veterans/Pro-Veteran Classes (5 Rds) $285.00 (Plus Transponder fee)
Individual round entries per Class:
§ Prolite/Pro Open/Quad Championship Classes: $80.00 (Plus Transponder fee)
§ Intermediate Lites/Int Open $75.00 (Plus Transponder fee)
§ Clubman Lites/Clubman Opens/Clubman Quads $70.00 (Plus Transponder fee)
§ Veterans/Pro-Veteran $65.00 (Plus Transponder fee)
§ Women’s Solo’s (Round 1 only) $80.00 (Plus Transponder fee)
Competitors entering in more than one class must pay the full entry fee for each class as listed above
either as a series entry or individual entry cost, please note you only need one transponder if you are
using the same bike in both classes, or you wish to use two different bikes and manually change
transponder over from bike to bike, otherwise you must include a second transponder fee for the
duration of the second class nominated.
7.2 ENTRY CONDITIONS:
All entries must be correctly submitted on the Motorcycling Western Australia Entry Form, stating the correct
capacity and grade. The entry form and the indemnity clauses must be signed. Entry fees must accompany
entry form or entry will NOT be accepted, NO EXCEPTIONS. Competitors must be current registered
members of an affiliated club. Competitors must be able to produce proof of current club membership. Club
membership cards or receipts must be presented with the competition licence at machine examination for
inspection. Interstate riders must include documented proof of their current grading from their LCB. The
promoters reserve the right to refuse any unacceptable entry.
7.3 ADDRESS FOR ENTRIES:
Entries are to be addressed to WAMX Series Race Secretary
P.O. Box 293
Kwinana W.A. 6167
Cheques & Money orders are to be made payable to WAMX.
DO NOT PUT "Motorcycling Western Australia" on any money orders or cheques. These nominations
will not be accepted. NOTE: A STAMPED SELF ADDRESSED ENVELOPE must be included with each
entry for the return of passes. If you do not present a pass at the gate before 10.00am on race day you
will be charged the normal admission fee. THERE WILL BE NO REFUNDS OF ADMISSION FEES
DO NOT SEND ENTRIES TO THE HOST CLUB OR MWA OFFICE AS THEY WILL NOT BE ACCEPTED
DATE PROMOTOR ENTRIES CLOSE
Round 1 11/04/2010 Coastal MCC 1 April 2010
Round 2 08/05/2010 Southern Capes MCC - Quad Only 28 April 2010
Round 2A 09/05/2010 Southern Capes MCC – Solo’s Only 29th April 2010
Round 3 20/06/2010 Bunbury MCC 10th June 2010
Round 4 11/07/2010 AJSMCC 01 July 2010
Round 5 22/08/2010 BSAHD MCC 1 August 2010
Round 6 19/09/2010 Lightweight MCC 09th September 2010
WOMENS MX State Championships:
1. 11/04/2010 Coastal MCC – Coastal Park 1/04/2010
2. 01/08/2010 BSAHDMCC – Noble Falls 22/7/2010
3. 08/08/2010 Southern Cross 29/7/2010
4. 26/09/2010 Southern Capes MCC – Jindong 16/09/2010
If under any circumstances the event is abandoned, or an entry is not accepted, all entry fees less $10.00 will be
returned. The promoters reserve the right to postpone, cancel, or change the programme, if necessary, with
Motorcycling Western Australia approval prior to the meeting, or with permission from the MA Steward on the
day of the meeting. Control will be under the Clerk of Course with supervision from the Steward whose
interpretation of the rules shall be binding and final.
11. MACHINE EXAMINATION
Pits will open 6.30am. Machine Examination will commence at 6.30am and conclude at 7.55am
At each round, all machines entered in the competition are to be successfully passed through machine
examination prior to taking part in official activities. All competitors must present themselves with their MA
license, proof of current club membership and full riding gear for inspection. All Riders must wear
full length Motocross Boots, short boots will not be permitted. Any machine not presented with all of
the above requirements will be rejected!
ALL MACHINES MUST CONFORM TO THE GENERAL COMPETITION RULES. Machines may be
measured; bore and stroke, and fuel samples taken at random. The steward will be responsible for the
decision to measure machines on the day. Any machine may be measured at the request of the steward or
under protest. It is a condition of entry that all cost will be borne by the entrant for machines measured under
the instruction of the Steward.
NO SMOKING IN THE PIT OR CANTEEN AREAS
BIKES TO BE WASHED IN DESIGNATED WASH AREAS AS OUTLINED BY EACH HOST CLUB. RIDERS
WITH PRESSURE CLEANERS TO SUPPLY THEIR OWN WATER DRUMS TO FREE UP HOSES FOR
RIDERS WISHING TO HAND WASH THEIR MACHINES. (Drums can be filled before event or when hoses
As per GCR Rule 12.10
12. RACE CONDITIONS
9.1 START/FINISH METHOD
For the allocation of championship points, the championship races must be of the prescribed duration for the
Prolite/Pro Open classes and 10 mins + l lap for the Quad Championship classes.
Riders are not permitted on the start grid until authorized by the officials. Only riders and officials are allowed at the
starting gate from the moment the first rider is placed in position.
Grid selection: Heat 1 - Rider to select a peg. Peg 1 = first selection of all gates, peg 25 = 25th selection of gates
Grid selection: Remaining heats - Riders will select their gate as per the finishing order of the previous heat. i.e.
1st place = 1st selection of ALL gates, 25th placing = 25th selection of remaining gates.
Practice for all championship classes will be as follows. Riders will only have one (1) practice each, except for
those riding two (2) separate capacity machines.
The order of practice and number of laps for each class will be as follows:
§ Clubman Lites 3 laps
§ Quad Clubman 3 laps
§ Quad Championship 5 laps
§ Clubman Open 3 laps
§ Veterans Support 3 laps
§ Women’s 3 laps
§ Pro-Lite Championship/ Inters 5 laps
§ Pro-Open Championship / Inters 5 laps
Practice classes may be combined.
Practice Starts: will only be permitted during official practice however no practice starts will be permitted after
the last lap board is displayed. Riders must leave the track via the pit return or as directed by the Clerk of
14. CHANGE OF MACHINE
Change of machine is permitted in either of the Championship or Support events as per GCR's on the condition
that notification must be in the hands of the Clerk of Course at least 10 minutes prior to the race in which the
substitution is to be made and further, that the replacement machine must have been correctly entered,
examined and passed at machine examination. Machine change must be of same capacity.
15. CROSSING THE CIRCUIT
Competitors are reminded that crossing the circuit during racing or practice is strictly prohibited.
16. MECHANICS’ AREA
This is the only area where mechanics can get trackside to signal their riders, and if necessary, assist with
mechanical problems without being penalised. Change of goggles/gloves is permitted in this area only. Riders
will be advised of this area at the riders meeting.
The National Personal Accident policy provides basic cover for death and permanent disability. Additional
insurance is the responsibility of individuals. IT IS STRONGLY RECOMMENDED COMPETITORS GIVE DUE
CONSIDERATION TO TAKING OUT SUCH INSURANCE COVER.
"Closed pits" will be in operation at each round. Competitors are to comply with the requests of hosting clubs as to
parking and machine scrutineering. Competitors are to push their machines to and from the start marshalling area.
§ STRICTLY NO RIDING OF BIKES IN THE PIT AREA
§ STRICTLY NO ALCOHOL IN THE PITS
§ DOGS ARE NOT PERMITTED WITHIN THE CONFINES OF THE CIRCUIT
§ COMPETITORS ARE RESPONSIBLE FOR THEIR OWN CONDUCT AS WELL AS THE CONDUCT OF ANY
PERSON ASSOCIATED WITH THEM.
Minimum prize money will be calculated on OVERALL points gained at each round. The WAMX Treasurer will
distribute the prize money applicable to each round. POINTS WILL BE SCORED AS PER GCR’s 17.12.6.
Prize money – Championship Classes - Prize money paid to minimum of 3rd or 25% of the Solo
Championship grid. Quad Championships & Support Classes maximum to 5th place. Intermediate graded quad
racers will be paid bonus prize money at the discretion of the Promoters.
1st $450; 2nd $400; 3rd $360; 4th $330; 5th $300; 6th $250; 7th $230; 8th $200; 9th $180; 10th $150.
Intermediate Classes (not quads) - 1st $250, 2nd $230, 3rd $180, 4th $150, 5th $125.
Clubman Classes - 1st $200, 2nd $180, 3rd $150, 4th $120, 5th $100.
Women’s Solo Class (Round 1 only) – 1st $350, 2nd $250, 3rd $150, 4th $100, 5th $50.
Sponsors product may also be given to series entrants at random.
Total maximum series prize money $68,240.00
17. FIRST AID
An ambulance service will be in attendance. It is a condition of entry that First Aid MUST be accepted wherever
deemed necessary by the attending first aid officers. The Clerk of Course has the right to refuse further
participation if first aid treatment is refused.
17.1 Medical Clearances
Any rider transported via Ambulance or private vehicle will require a medical certificate stating they
are fit to participate in Motorcycle Sport. The Steward will collect information from the injury reports
and relay this to the MWA office where it will be recorded that you require a certificate before you
can compete in any further events and your name placed on a Medical Suspension list. The Medical
Suspension list will be made available to all clubs and promoters.
17.2 Ambulance Cover
All riders are reminded that ambulance cover is compulsory as a condition of your licence. Cover
must be maintained for the duration of your licence. Riders please ensure your Ambulance
Insurance cover is adequate for transport by any Ambulance service provider. i.e. St Johns
Ambulance – Advanced Life Ambulance etc.
18. NO HASSLE POLICY
Any rider or entrant or person associated with the rider or entrant shall conduct himself or herself in an
orderly manner. A rider shall be responsible for his own conduct and that of any person with whom he is
associated. Anyone who abuses or threatens personally or physically any official or any other person present
at the event shall deemed to be in Breach of this rule. The Clerk of Course for a breach of this rule may
impose one or all of these PENALTIES on the day of this meeting i.e.: *Reprimand or warning. *Fine. Loss
of Licence *Expulsion from the meeting. All breaches will be reported to MWA for possible further action.
19. GENERAL RULES
No alcoholic beverages allowed in pits or racing circuit.
There will be no riding of bikes other than on the track, or in marked lanes
Machines must be pushed to and from vehicles and in and out of the pits. Engine may be running to
Dogs will not be permitted (except guide dogs).
Machines must remain in pits for the duration of the days racing, unless permission has been granted by the
Clerk of Course to remove the machine. Riders of machines removed without authority may be excluded and
all points forfeited for the day’s event and/or incur a fine of up to $100.00. Enclosed footwear must be worn
in the pits at all times.
NO pushbikes, quads, pit bikes or scooters permitted within the premises.
20. RIGHT TO USE IMAGE
It is a condition of entry that consent is given by the entrant/rider and/or parent/guardian for all photographs
and electronic images (including moving images) that may be taken during the event by or on behalf of the
Promoter, or with permission of the Promoter. All such images are the property of the Promoter and will only
be used in accordance with the Motorcycling Australia Member Protection Policy and for the purposes of
promotional or other purposes without further consent being required.
21. ADDITIONAL INFORMATION
Full canteen and bar will be running. Please obey promoter’s instructions as to parking.
21.2 Riders please ensure your Ambulance Insurance cover is adequate for transport by any
ambulance service provider. i.e. St Johns Ambulance
Race Secretary Cindy Collis Phone 0403 195 767
Fax 9439 5018
Treasurer Leanne Brenton Phone 0418 934 566
Fax 6296 5098
Event Co-Ordinator Bethwyn Gaisford Phone: 9527 6413
Healthway and the Smarter than Smoking messages are major sponsors of Motocross. We value
your support for our sponsors in maintaining all areas where racing can be viewed are smoke free.
Please if you feel the need to smoke do so away from spectator areas.
STATE ROUND SERIES FINAL INSTRUCTIONS SHEET
CLUBMAN LITES AND CLUBMAN QUADS
3 ROUNDS EACH ONLY AND PASSES WILL BE SUPPLIED FOR THE ROUNDS
AND GROUP YOU WILL BE COMPETING IN.
CLUBLITES “A” - ROUNDS 1, 2 and 5
CLUBLITES “B” - ROUNDS 2, 4 and 6
CLUBMAN QUADS “A” - ROUNDS 2, 3 and 5
CLUBMAN QUADS “B” - ROUNDS 2, 4 and 6
EARLY BIRD SERIES ENTRIES NEED TO BE IN AND FULLY PAID FOR BY 10th
SERIES ENTRIES RECEIVED AFTER THIS DATE ARE CLASSIFIED AS SINGLE
ENTRIES TO AVAILABILITY OF PLACEMENTS.
NO PREFERENCES WILL BE GIVEN AND ENTERED AS DATE RECEIVED
Coastal Southern Capes Southern Capes Bunbury AJS BSA Byford
Rds 11/04/2010 08/05/2010 09/05/2010 20/06/2010 11/07/2010 22/08/2010 12/09/2010
Split Quad Rd Solo Rd
Pro Open 6 Pro Open Pro Open Pro Open Pro Open Pro Open Pro Open
Pro Lites 6 Pro Lites Pro Lites Pro Lites Pro Lites Pro Lites Pro Lites
Quad Chmps 6 Quad Chmps Quad Chmps Quad Chmps Quad Chmps Quad Chmps Quad Chmps
Int Open 5 Int Open Int Open Int Open Int Open Int Open
Int Lites 5 Int Lites Int Lites Int Lites Int Lites Int Lites
Club Open 5 Club Open Club Open Club Open Club Open Club Open
Club Lites A 3 Club Lites A Club Lites A Club Lites A
Club Lites B 3 Club Lites B Club Lites B Club Lites B
Club Quads A 3 Club Quads A Club Quads A Club Quads A
Club Quads B 3 Club Quads B Club Quads B Club Quads B
Veteran Solo's 5 Veteran Solos Veteran Solos Veteran Solos Veteran Solo's Veteran Solo's
Womens Solo’s 1 Womens Solo's
Important Note: Clubman Lite/Quad entrants wanting to enter group A & B must only pay upfront for 3 rounds- one
group- if entering a series entry. Then register their interest with the race secretary for any spaces that may become
available at other rounds.
CMCC, SCMCC, BMCC, AJSMCC, BSA&HDMC & LWMCC
In conjunction with WAMX Committee Presents
WA STATE MX CHAMPIONSHIPS
2010 OFFICIAL ENTRY FORM
MA LICENSE NO. LICENSE EXPIRY DATE. RACING NO. MAWA GRADING
RIDERS NAME________________________DATE OF BIRTH____________RIDERS CLUB__________CLUB
MODEL/CC of BIKE__________________CLASS______________________QUAD or SOLO ___________________________
(ie 250F or 250 2stroke) (ie Clubman Lites etc)
Banking Details: Acc Name ______________________________________BSB#_______________ ACC#________________
ALL PRIZE MONEY IS TO BE PAID INTO BANK ACCOUNTS NO CHEQUES OR CASH WILL BE ISSUED
Circle which Transponder
CLASSES Class Nominate Per Fee
Or Rounds Class (Cross Out if Total
Classes you have
Series Entry All Championship Classes - (6 Rds) Lites/Opens/Quad $432 $78
Series Entry All Intermediate Lites and Open Classes - Lites/Opens $340 $65
(5 Rds) – NOT QUADS
Series Entry Clubman Opens only (5 Rds) Opens $310 $65
Series Entry All Clubman Lites and Quad Classes Lites $186 $39
Clubman Lites - (3 Rds)
Clubman Quads - (3 Rds) Quads $186 $39
Series Entry All Vets Classes - (5 Rds) Pro/Clubman $285 $65
Individual Rounds All Championship Classes (1 Rd only) Lites/Open/Quad $80 $13
Individual Rounds All Intermediate Classes (1 Rd only) Lites/Open $75 $13
Individual Rounds All Clubman Classes (1 Rd only) Lites/Open/Quad $70 $13
Clubman Open, Clubman Lites, Clubman Quads
Individual Rounds All Vets Classes (1 Rd only) Pro/Clubman $65 $13
Women’s Solo’s – (1 Rd only) Women’s Solo’s $80 $13
Transponder Serial Number (If providing your own) – ________________________
LATE ENTRY FEE
If you wish to nominate for several different Rounds or Classes on one entry please provide Information in the
nominated boxes above to ensure you are entered correctly $50
TOTAL AMOUNT PAYABLE AND ENCLOSED $
Quoting an Australian Business Number (ABN) - The goods and services tax affects the payment of prize money.
If you do not provide an ABN or declare the sport as a hobby, the Promoter may withhold 48.5% of prize money
over $50:00, which is otherwise payable to you. Please tick one of the boxes below and if appropriate provide your
ABN to ensure the full amount of prize money is paid.
I am a professional rider and my ABN is___________________________
Motorcycle Sport is my hobby, which is the reason I am not quoting an ABN
RCB (i.e. Brian Adams House
46 Seventh Avenue PARTICIPANT DECLARATION
MAYLANDS SCB Logo
CONTRACT TO PARTICIPATE IN THE 2010 WA STATE MOTOCROSS CHAMPIONSHIPS
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] negligence" is defined in the Fair Trading (Recreational Services) Regulations of MA / SCB permitted events, and generally to reduce the risks to
2004. persons engaged in motorcycle sport; and
For the purposes of the clause 3, “the Supplier” shall mean and include the iii) It is reasonable for MA and my SCB to collect, store, use and disclose my
_____________________________________________________________ Indemnitees. Information in accordance with clause 11(a)(i) above and in the manner set out in
HEREBY AGREE with Motorcycling Australia Limited (“MA”) that I am by this 5. INDEMNITY AND RELEASE GIVEN TO ORGANISERS
b) IN CONSIDERATION of my acceptance as an entrant in the Meeting I
agreement entitled to participate in the motorcycle activity/meeting listed in IN CONSIDERATION of the acceptance of me as a participant in the Meeting:
consent and agree that MA and my SCB:
Schedule 2 (hereinafter called "the Meeting" or the “Event”) at the venue listed a) I AGREE TO INDEMNIFY AND KEEP INDEMNIFIED to the full extent
permitted by law the Indemnitees and each of them in the following i) may collect and store any of my Information, including obtain my Information from
at Schedule 3 (hereinafter called "the Venue") on the terms and conditions set
third parties including my Carers;
out in this document. manner:
ii) may use any information collected in accordance with this clause for any
2. DEFINITIONS In this declaration: i) that I participate in the meeting at my sole risk and responsibility;
ii) that I accept the Venue as it stands with all or any defects hidden or purpose consistent with creating safer competition in motorcycle sport and
a) “Claim” means and includes any action, suit, proceeding, claim, demand, events held by or in conjunction with MA, my SCB, or with an MA or SCB
damage, cost or expense however arising including but not limited to exposed;
negligence but does not include a claim against a Motorcycling iii) that I indemnify and hold harmless the Indemnitees, their respective
servants, agents, officials and competitors against any actions, costs, iii) may disclose my Information to third parties provided such disclosure is
Organisation under any right expressly conferred by its constitution or reasonably intended to be used for the purpose of improving safety at events
regulation; losses or claims which may be made by me or on my behalf for or in
held by or in conjunction with MA, or with an MA permit provided any such
b) “Indemnitees” means and includes the persons, organisations and bodies respect of or arising out of my death or any injury loss or damage caused
to me or my equipment whether caused by negligence, breach of contract information is held by MA or my SCB in accordance with the MA Privacy
corporate whose names appear in Schedule 1. Policy.
c) “MA” means Motorcycling Australia Limited; or in any other manner whatsoever.
c) I irrevocably authorise MA and my SCB and hereby appoint MA and my SCB as
d) “State Controlling Body” (SCB) means a state or territory motorcycling b) I AGREE TO RELEASE to the full extent permitted by law the
Indemnitees and each of them from all liability to me for any claim, loss, my lawful attorneys to collect from my Carers, and I hereby direct my Carers to
association affiliated as a member of MA; provide to MA or my SCB upon request being made by MA or my SCB, any of my
e) “Motorcycling Activities” means performing or participating in any capacity damage, cost or expense (whether arising under statute, from negligence,
Information including but not limited to any information concerning any incident or
in any authorised or recognised Motorcycling Organisation event, meeting or personal injury, psychological trauma, death, property damage or
event causing or contributing to or resulting from any injury, illness or death to me,
activity; infringement of third party rights or otherwise) that arises as a result of
any act, matter or thing done, permitted or omitted to be done by me or the details of any diagnosis and prognosis provided to me by my Carers (or any
f) “Motorcycling Organisation” means and includes MA, and the MA party with the knowledge of any of my Carers), and any other matter to the
members (including the SCBs and affiliated clubs) and where the context which is in any way connected with my presence at or involvement in the
knowledge of my Carers that might reasonably be considered to be requested by
so permits, their respective directors, officers, members, servants or Event.
6. The release and indemnity provided by me in this declaration is in addition to, and MA or my SCB for the purpose of improving safety at MA and SCB events.
will not in any way limit the application of, the conditions of sale attaching to 12. POLICIES AND REGULATIONS
3. ACKNOWLEDGMENT OF RISKS, DANGERS & OBLIGATIONS tickets, conditions of entry, conditions of credentials or any other applicable terms I acknowledge, understand and agree that it is a condition of my
I ACKNOWLEDGE that: 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 (whether 7. 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.
as a competitor, recreational rider, coach, official or media) at the Meeting contravenes the law of the relevant jurisdiction under which any legal action is Copies of all MA rules, policies and regulations are available by contacting
I take and am exposed to certain risks and dangers and am under certain legitimately taken however such terms are severable and do not invalidate the MA office.
obligations as follows: the remaining terms. 13. 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 the
ii) that my machinery or equipment may be damaged, lost or destroyed; 8. MEDICAL
Australian Sports Anti-Doping Authority (ASADA) is in accordance with the
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
ASADA Act and the National Ant-Doping Scheme. This involves the
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 my
SCB of any change to my fitness and ability to participate. I understand and taking of a sample (any human biological fluid or tissue whether alive or
warning or predictability; otherwise, or any human breath) for the purpose of detecting the use of a
v) that organisers, officials, landowners/track operators and any agents or accept the Indemnitees will continue to rely upon this declaration as evidence
Prohibited Drug or Doping Method. Any participant infringing MA’s policy
representatives of those in charge of meetings are frequently obliged to of my fitness and ability to participate.
9. I acknowledge and agree that if required, the Indemnitees (or any of them) or refusing a drug test may be disqualified or otherwise dealt with in
make decisions under pressure of time/or events; accordance with the terms of the anti-doping policy.
vi) that any policy of insurance of or in respect of my life or physical or mental may arrange medical or hospital treatment (including ambulance
health may be voided; transportation) for me. I authorise such actions being taken by the SCHEDULE 1:
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 1) Federation Internationale de Motocyclisme
me if I am injured; understand it is compulsory for me to have ambulance insurance in some 2) Motorcycling Australia Ltd
vii) that I have an obligation to myself and to others to act safely and within the form and I accept responsibility for the cost of ambulance transportation, 3) Motorcycling Western Australia
rules and regulations of MA; ambulance cover and further agree to maintain ambulance cover during the 4) WAMX
b) the Indemnitees do not make any warranty that the services at the Meeting term of my license / membership. 5) Coastal Motorcycle Club
will be provided with due care and skill or that any materials provided in 10. PRIVACY 6) Southern Capes Motorcycle Club
connection with the services will be fit for the purpose for which they are I hereby consent to the collection of my personal information by the WAMX, MA 7) Bunbury Motorcycle Club
supplied; and the SCB in connection with my involvement at the Event and the use and 8) AJS Motorcycle Club
c) to the extent that any warranty is implied it is excluded to the full extent disclosure of my personal information by WAMX and MA to other agencies and 9) BSAHDMCC
permitted by law; officials associated with the Event for the purposes of conducting and managing 10) Lightweight Motorcycle Club
d) have voluntarily read and understood this warning and accept and assume the the Event. I understand that I may gain access to my personal information held 11) City of Cockburn
inherent risks in participating in the Event. by WAMX by contacting WAMX at WAMX or MA at 147 Montague St, South 12) Town of Busselton
Melbourne, Victoria, 3205. I understand that if I do not provide the personal 13) City of Bunbury
4. WARNING UNDER THE FAIR TRADING ACT 1999 (VIC) 14) City of Wanneroo
Under the provisions of the Fair Trading Act 1999 (Vic) several conditions are information requested above that I may not be permitted to participate in the
Event. 15) Shire of Swan
implied into contracts for the supply of certain goods and services. These 16) Shire of Mundijong
conditions mean that the supplier named on this form is required to ensure 11. PERSONAL HEALTH INFORMATION 17) Dept of Environment & Conservation
that the recreational services it supplies to you are: I hereby agree with MA and the SCB that in consideration for my participation in 18) St John Ambulance >
- rendered with due care and skill; the Event that MA and the SCB may receive, collect, store and use personal 10) All other persons involved in the organisation, conduct and promotion of
- as fit for the purpose for which they are commonly bought as it is health information about me in the manner set out below: the Event or construction or location of the facilities used in connection
reasonable to expect in the circumstances; and with or otherwise related to the Event
- reasonably fit for any particular purpose or might reasonably be a) I ACKNOWLEDGE that:
i) If I am injured, become ill or die at or following the Event the party listed at 11) Each of the respective officers, employees, servants, agents, sponsors,
expected to achieve any result you have made known to the supplier. successors and assignees of each of the above.
Item 8 in Schedule 1 in addition to any hospital at which I am treated
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 SCHEDULE 2:
you to agree that these conditions do not apply to you. If you sign this form, you
their possession, power and control relating to me which is subject to
will be agreeing that your rights to sue the supplier under the Fair Trading Act 8am 11/4/10, 8&9/5/10, 20/6/10, 11/7/10, 22/8/10, 19/9/10
obligations imposed by the Privacy Act (“my Information”) and the Privacy
1999 if you are killed or injured because the services were not rendered with
Act is intended to protect my personal information; SCHEDULE 3:
due care and skill or they were not reasonably fit for their purpose, are
ii) MA and my SCB wish to collect my Information for purposes that include
excluded, restricted or modified in the way set out in this form.
their risk management programs, evaluating and improving the safety of Coastal Park, Jindong, Shrublands Park, Wanneroo Park, Noble
NOTE: The change to your rights, as set out in this form, does not apply if your MA and SCB events and of the Meeting organisers and facility providers Falls, Hendley Park
death or injury is due to gross negligence on the supplier's part. "Gross
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.
NAME (PRINT): ___________________________________________ SIGNATURE: _____________________________________________ DATE: __________________________
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