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HONDA BROADFORD BIKE BONANZA

VIEWS: 9 PAGES: 5

									                       HONDA BROADFORD
                         BIKE BONANZA
                                   EASTER, APRIL 3 - 4, 2010
                         ENTRY FORM FOR ALL PARTICIPANTS
 Closing date 12/3/2010. Return forms to: PO Box 134, South Melbourne Vic, 3205 or fax back to 03 9684 0555
NAME
ADDRESS
                                                                            POSTCODE
PH                                 EMAIL
D.O.B.                             M.A. LICENCE                              I need a 1 event Licence*
I will be riding: (please tick all appropriate)
                     Roadbikes                          Road Racing                 Road Racing Sidecar
          Motocross Pre-1965                     Motocross Pre-1975                   Motocross Pre-1985
           Motocross Sidecar                                    Trials                              Enduro
        Short Circuit/Dirt Track                          Speedway           M/C Engined Cars, Morgans.
My pre1985 bikes that will be ridden        are; (add pages if required, please detail history - see over)
MAKE          MODEL                                      YEAR           CAPACITY                Riding # on the
                                                                                                bike




I will be riding on:                          SATURDAY 3 APRIL                          SUNDAY 4 APRIL
My pre 1985 bikes that will be displayed in the ‘Show & Shine’ are; ($5 entry pay on the day )
MAKE               MODEL                                 YEAR           CAPACITY                (OFFICE USE ONLY)




         ALL       BIKES       FOR      AUCTION          DETAILS        (add pages if reqd.)    RES. PRICE
                                                                                                $
                                                                                                $
                           ACCOMODATION (please tick all appropriate)
Seeking local accommodation? (see over)               I will be camping at the track until the Aust.Classic MXC
If camping, indicate type of site:
        Bike & Tent                Car & Tent                               Van                   Motorhome
                                                   Thursday 1 April                             Friday 2 April
If Camping, which nights?
                                                   Saturday 3 April                            Sunday 4 April

           RIDER/TRADE/SWAP/SPECTATOR ENTRY FEES (Kids under 16 free)
                                Saturday 3 April              Sunday 4 April                    Both Days
RIDERS (All tracks, all access) $60 until 30/1/2010           $80 after 30/1/2010                $60/$80
SPECTATORS                             $25                            $25                          $40
MA Riders Division members             $25                            $25                          $35
TRADE DISPLAY SPACE              Under cover $400               Open site $200                  $200/$400
SWAP MEET SPACE                        $25                            $25                          $40
MA SINGLE EVENT RECREATIONAL LICENCE *                                                             $20
MOTORCYCLE AUCTION REGISTRATION FEE                                                                $50
*It is a requirement that all Riders have either a current MA Competition Licence, a current MA Annual
Recreation Licence or purchase a MA Single Event Recreational Licence.

ENQUIRIES: Event Coordinator – Peter Drakeford 0422 299 003 or 03 9684 0500
Please include payment for the items below                                            Number?             FEE
RIDER ENTRY (additional bikes entered, $10 extra each)                                             $60/80 +$10 etc.

SPECTATOR ENTRY (Non MA Members, $25 one day, $40 both)                                               $25 or $40
CAMPING FEES ($40 per vehicle, up to 4 nights)                                                            $40
MA RIDERS DIVISION members (must show card at gate, 1 day or 2)                                       $25 or $35
Bitumen for Broadford
BFB Medallion owners gain free entry but the track riding fee applies.                                Free or $60
TRADE DISPLAY SPACE                                                                                  $200 or $400
MA SINGLE EVENT RECREATIONAL LICENCE*                                                                     $20
SWAP MEET SPACE ($25 a single day, $40 for both)                                                      $25 or $40
SATURDAY NIGHT DINNER (alcohol not included)                                                              $80
Note; cars entering the complex with dogs in them will be turned away.                                   TOTAL $
I’d like to pay by (tick):          Cheque              Money order                              Credit Card
                                                      Type of card (tick)              MasterCard                           Visa
                                                Write Number on card

                                                   Write Name on card                                    Expiry date

  BFB Medallion Number………………………………………….Your signature
                                                      Make cheques to:      Motorcycling Australia Ltd
                                                        Send or fax to:     PO Box 134, Sth Melbourne Vic, 3205 or 03 9684 0555
This is a Tax Invoice Motorcycling Australia Ltd ABN 83 057 830 08
                                      ACCOMMODATION NEAR BROADFORD
                                                       BEVERIDGE
Beveridge Tavern B&B                         Old Hume Highway, Beveridge                 03 9745 2363       2 units
                                                     BROADFORD
Sugarloaf Motel                              Cnr Short & High Street                     03 5784 1069       Full/Go Karts
Broadford B&B Katie’s Cottage                310 Davis Road                              03 5784 1821       1 cottage
Flowerdale Estate                            Broadford-Flowerdale Road                   03 5784 5600
                                                        KILMORE
Bindley House Cottages                       20-22 Powlett Street                        03 5781 1142       2 cottages
Kestrel Motor Inn                            99 Powlett Street                           03 5782 1457       12 rooms
Kilmore Country Motel                        95 Sydney Street                            03 5782 1346       21 units
Laurel Hill Cottages                         12 Melrose Drive                            03 5782 1630
Merlin Park B&B                              65 O’Sheas Road                             03 5782 1243       3 rooms
Lancemore Hill                               1030 Kilmore-Lancefield Road                03 5782 1844       71 rooms
                                                        SEYMOUR
Auto Lodge Motor Inn                         20 Emily Street                             03 5792 1700       Full/Go Karts
Comfort Inn Coach & Bushman                  Cnr Emily & Bolton Street                   03 5792 9744       Full/Go Karts
†Best Western New Crossing Place Motel       53 Emily Street                             03 5792 2800       Full/Go karts
The River Shack Motor Inn                    72-74 Emily Street                          03 5792 2119
Saratoga Lodge                               110 Kobyboyn Road                           03 5799 2669       Full/Go Karts
Seymour Motel                                Goulburn Valley Highway                     03 5792 1500       Full/Go karts
Goulburn River Caravan Park                  14-16 Progress Street                       03 5792 1530
Highlands Caravan Park                       33 Emily Street                             03 5792 2124
Aurora Castle Cottages                       125 Old Highland Road, Highland             03 5796 9238       3 cottages
Golden Chain Wattle Motel                    9 Emily Street                              03 5792 2411       Full/Go Karts
                                                       TOOBORAC
Mimosa Cottage B&B                           2418 Lancefield-Tooborac Road               03 5433 5346       2 cottages
                                                        TRAWOOL
Trawool Shed                                 Goulburn Valley Highway                     03 5799 1595
Trawool Valley Resort                        8150 Goulburn Valley Highway                03 5792 1444       27 rooms
Clyde Cottages B&B                           8340 Goulburn Valley Highway                03 5799 2302
Rosehill Guest Cottage                       Goulburn Valley Highway                     03 5799 1595
Schoolhouse Gallery B&B                      5570 Goulburn Valley Highway                03 5792 3118       2 rooms
                                                         WALLAN
Hidden Valley Golf & Country Park            189 Hidden Valley Boulevard                 03 5783 0200
                                                       WANDONG
Highfields House B&B                         26 Mathiesons Road                          03 5787 2140       2 apartments
Wandong Australia Caravan Park               Hume Freeway                                03 5787 1539
Wandong Australia Motel                      Broadhurst Lane                             03 5787 1401       20 units
                                                    UPPER PLENTY
Stringybark B&B Accommodation                Hume Freeway                                03 5783 1939       2 bedrooms
Luxury Cedar Farm Cottage                    35 Hadfield Road West                       03 5782 1691
NOTE: †MA Members receive Best Available Rates at Best Western properties when booking through MA website: www.ma.org.au
RCB (i.e.                                                                                                                                                                          Motorcycling Australia
Address                                                                                   PARTICIPANT DECLARATION                                                                  P.O, Box 134 Sth Melbourne Vic, 3205
                             www.ma.org.au                                                                                                                                         T:03 6684 0500 F:03 9684 0555 E: mail@ma.org.au

                   CONTRACT TO PARTICIPATE IN THE 2010 HONDA BROADFORD BIKE BONANZA
 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)                    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
                                                                                     Regulations 2004.                                                                        (“my Information”) and the Privacy Act is intended to protect my
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
2. DEFINITIONS In this declaration:                                                       Meeting:                                                                            reduce the risks to persons engaged in motorcycle sport; and
a)   “Claim” means and includes any action, suit, proceeding, claim,                 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
     demand, damage, cost or expense however arising including but not                    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
     limited to negligence but does not include a claim against a                         following manner:                                                                   out in clause 11(b).
     Motorcycling Organisation under any right expressly conferred by its            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
     constitution or regulation;                                                     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:
b)   “Indemnitees” means and includes the persons, organisations and                      exposed;                                                                       i) may collect and store any of my Information, including obtain my
     bodies corporate whose names appear in Schedule 1.                              iii) that I indemnify and hold harmless the Indemnitees, their respective                Information from third parties including my Carers;
c)   “MA” means Motorcycling Australia Limited;                                           servants, agents, officials and competitors against any actions,               ii) may use any information collected in accordance with this clause for
d)   “State Controlling Body” (SCB) means a state or territory                            costs, losses or claims which may be made by me or on my behalf                     any purpose consistent with creating safer competition in motorcycle
     motorcycling association affiliated as a member of MA;                               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
e)   “Motorcycling Activities” means performing or participating in any                   damage caused to me or my equipment whether caused by                               an MA or SCB permit;
     capacity in any authorised or recognised Motorcycling Organisation                   negligence, breach of contract or in any other manner whatsoever.              iii) may disclose my Information to third parties provided such disclosure is
     event, meeting or activity;                                                     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
f)   “Motorcycling Organisation” means and includes MA, and the MA                        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
     members (including the SCBs and affiliated clubs) and where the                      loss, damage, cost or expense (whether arising under statute, from                  any such information is held by MA or my SCB in accordance with the
     context so permits, their respective directors, officers, members,                   negligence, personal injury, psychological trauma, death, property                  MA Privacy Policy.
     servants or agents.                                                                  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
3. ACKNOWLEDGMENT OF RISKS, DANGERS & OBLIGATIONS                                         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
I ACKNOWLEDGE that:                                                                       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
a) motorcycle sport is dangerous and that by engaging in the sport                        at or involvement in the Event.                                                     or my SCB, any of my Information including but not limited to any
     (whether as a competitor, recreational rider, coach, official or media)         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
     at the Meeting I take and am exposed to certain risks and dangers                    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
     and am under certain obligations as follows:                                         attaching to tickets, conditions of entry, conditions of credentials or any         and prognosis provided to me by my Carers (or any party with the
i) that I may be injured, physically or mentally, and may be killed;                      other applicable terms or conditions in respect of the Event.                       knowledge of any of my Carers), and any other matter to the knowledge of
ii) that my machinery or equipment may be damaged, lost or destroyed;                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
iii) that competitors may ride dangerously or with a lack of skill;                       contravenes the law of the relevant jurisdiction under which any legal              my SCB for the purpose of improving safety at MA and SCB events.
iv) that track or event conditions may be hazardous and may vary                          action is legitimately taken however such terms are severable and do
                                                                                          not invalidate the remaining terms.                                            12. POLICIES AND REGULATIONS
     without warning or predictability;                                                                                                                                      I acknowledge, understand and agree that it is a condition of my
v) that organisers, officials, landowners/track operators and any agents             8. MEDICAL                                                                              participation in the Event that I agree to be bound by, and subject to,
     or representatives of those in charge of meetings are frequently                     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
     obliged to make decisions under pressure of time/or events;                          and able to participate in the Meeting. I will immediately notify MA in            time. Copies of all MA rules, policies and regulations are available
vi) that any policy of insurance of or in respect of my life or physical or               writing via my SCB of any change to my fitness and ability to                      by contacting the MA office.
     mental health may be voided;                                                         participate. I understand and accept the Indemnitees will continue to          13. All participants are bound by the MA anti doping policy and thus
vii) that there may be no or inadequate facilities for treatment or                       rely upon this declaration as evidence of my fitness and ability to                understand they may be subject to drug testing. Testing conducted
     transport of me if I am injured;                                                     participate.                                                                       by the Australian Sports Anti-Doping Authority (ASADA) is in
vii) that I have an obligation to myself and to others to act safely and             9.   I acknowledge and agree that if required, the Indemnitees (or any of               accordance with the ASADA Act and the National Ant-Doping
     within the rules and regulations of MA;                                              them) may arrange medical or hospital treatment (including ambulance               Scheme. This involves the taking of a sample (any human biological
b) the Indemnitees do not make any warranty that the services at the                      transportation) for me. I authorise such actions being taken by the                fluid or tissue whether alive or otherwise, or any human breath) for
     Meeting will be provided with due care and skill or that any materials               Indemnitees and agree to meet all costs associated with such action. I             the purpose of detecting the use of a Prohibited Drug or Doping
     provided in connection with the services will be fit for the purpose for             understand it is compulsory for me to have ambulance insurance in                  Method. Any participant infringing MA’s policy or refusing a drug test
     which they are supplied;                                                             some form and I accept responsibility for the cost of ambulance                    may be disqualified or otherwise dealt with in accordance with the
c) to the extent that any warranty is implied it is excluded to the full                  transportation, ambulance cover and further agree to maintain                      terms of the anti-doping policy.
     extent permitted by law;                                                             ambulance cover during the term of my license / membership.
d) have voluntarily read and understood this warning and accept and                                                                                                      SCHEDULE 1:
                                                                                     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 t             2)  Motorcycling Australia Ltd
4. WARNING UNDER THE FAIR TRADING ACT 1999 (VIC)                                          Motorcycling Australia Ltd and the SCB in connection with my                   3)  Motorcycling Victoria
      Under the provisions of the Fair Trading Act 1999 (Vic) several                     involvement at the Event and the use and disclosure of my personal             4)  Motorcycling Australia Ltd
      conditions are implied into contracts for the supply of certain goods and           information by Motorcycling Australia Ltd to other agencies and officials      5)  Motorcycling Victoria
      services. These conditions mean that the supplier named on this form                associated with the Event for the purposes of conducting and managing          6)  Motorcycling Victoria
      is required to ensure that the recreational services it supplies to you are:        the Event. I understand that I may gain access to my personal information      7)  Honda Australia
      - rendered with due care and skill;                                                 held by Motorcycling Australia Ltd by contacting Motorcycling                  8)  St Johns Ambulance, Race Safe, First Response.
      - as fit for the purpose for which they are commonly bought as it is                Australia Ltd at 147 Montague St, South Melbourne, Victoria, 3205. I           9)  Delegated Officials
        reasonable to expect in the circumstances; and                                    understand that if I do not provide the personal information requested         10) All other persons involved in the organisation, conduct and
      - reasonably fit for any particular purpose or might reasonably be                  above that I may not be permitted to participate in the Event.                     promotion of the Event or construction or location of the facilities
        expected to achieve any result you have made known to the                                                                                                            used in connection with or otherwise related to the Event
        supplier.
                                                                                     11. PERSONAL HEALTH INFORMATION
                                                                                          I hereby agree with MA and the SCB that in consideration for my                11) Each of the respective officers, employees, servants, agents,
Under section 32N of the Fair Trading Act 1999, the supplier is entitled to                                                                                                  sponsors, successors and assignees of each of the above.
                                                                                          participation in the Event that MA and the SCB may receive, collect, store
ask you to agree that these conditions do not apply to you. If you sign
                                                                                          and use personal health information about me in the manner set out             SCHEDULE 2: April 3, 4 2010
this form, you will be agreeing that your rights to sue the supplier under
                                                                                          below:
the Fair Trading Act 1999 if you are killed or injured because the services                                                                                              SCHEDULE 3:
were not rendered with due care and skill or they were not reasonably fit            a)   I ACKNOWLEDGE that:                                                            Victorian Motorcycle Sports Complex, Broadford
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

                                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.
     SIGN
                                NAME (PRINT): ___________________________________ SIGNATURE: _____________________________________ DATE: _____________________
     HERE




      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
RCB (i.e.                                                                                                                                     Motorcycling Australia
Address                                                               PARTICIPANT DECLARATION                                                 P.O, Box 134 Sth Melbourne Vic, 3205
                      www.ma.org.au                                                                                                           T:03 6684 0500 F:03 9684 0555 E: mail@ma.org.au



HONDA BROADFORD BIKE BONANZA - 2010 EVENT TIMETABLE:


 SATURDAY 3 APRIL

 7.00-10.00      Gates open, pit setup, Show 'n Shine judging 10am,

                      Road circuit entrants onl;y; riding parade on the roadrace circuit. Introduction of Star Riders and Special Guests.
 10.30-11.00           Lunch 11.00 – 12.00.
                      ROADRACE TRACK                MX GP TRACK                           ENDURO          TRIALS         DIRT TRACK               SPEEDWAY

 12.00-12.15          Pre 1946                      Pre '60,'65,'70 Four Stroke                                          Star Session US                            12.00-12.15

 12.20-12.35          Pre 1963                      Pre '60,'65,'70 Two Stroke                                           Flat Trackers                              12.20-12.35

 12.40-12.55          1963-1972                     Pre '75                                                              Sliders                                    12.40-12.55

 1.00-1.15            1973-1985                     Pre '80                               All years                      MX Bikes w trials                          1.00-1.15

 1.20-1.35            Road bikes                    Pre '85                                                              tyres                                      1.20-1.35

 1.40-1.55            Sidecars                      Sidecars                                              All years      Sliders                                    1.40-1.55

 2.00-2.15            MC eng. cars/Morgans          Pre '60,'65,'70 Four Stroke                                                                   Solos             2.00-2.15

 2.20-2.35            Honda Stars                   Pre '60,'65,'70 Two Stroke                            Star                                                      2.20-2.35

 2.40-2.55            Kenny Blake bikes             Pre '75                                               Session                                 Sidecars          2.40-2.55

 3.00-3.15            Pre 1946                      Pre '80                                                                                                         3.00-3.15

 3.20-3.35            Pre 1963                      Pre '85                               Star                                                    Star Session      3.20-3.35

 3.40-3.55            1963-1972                     Sidecars                              Session                                                                   3.40-3.55


 SUNDAY 4 APRIL
                      ROADRACE TRACK                MX GP TRACK                           ENDURO          TRIALS         DIRT TRACK               SPEEDWAY

 10.00-10.15          1973-1985                     Minibikes                                             All years      Star Session US                            10.00-10.15

 10.20-10.35          Road bikes                    Pre '60,'65,'70 Four Stroke                                          Flat Trackers                              10.20-10.35

 10.40-10.55          Sidecars                      Pre '60,'65,'70 Two Stroke                                           Sliders                                    10.40-10.55

 11.00-11.15          MC eng. Cars/Morgans          Pre '75                               All years                                                                 11.00-11.15

 11.20-11.35          Honda Stars                   Pre '80                                                              MX Bikes w trials                          11.20-11.35

 11.40-11.55          Kenny Blake bikes             Pre '85                                                              tyres                                      11.40-11.55

 12.00-12.15          Pre 1946                      Sidecars                                                             Sliders                                    12.00-12.15

 12.20-12.35          Pre 1963                      Minibikes                                                                                                       12.20-12.35

 12.40-1.30           LUNCH                         LUNCH                                                 LUNCH                                   LUNCH             12.40-1.30

 1.30-1.45            1963-1972                     Star session                                          Star                                    Solos             1.30-1.45

 1.50-2.05            1973-1985                     Pre '60,'65,'70 Four Stroke                           Session                                                   1.50-2.05

 2.10-2.25            Road bikes                    Pre '60,'65,'70 Two Stroke                            All years                               Sidecars          2.10-2.25

 2.30-2.45            Sidecars                      Pre '75                               All years                                                                 2.30-2.45

 2.50-3.05            MC eng.Cars/Morgans           Pre '80                                                                                       Star Session      2.50-3.05

 3.10-3.25            Honda Stars                   Pre '85                                                                                                         3.10-3.25

 3.30-3.45            Kenny Blake bikes             Sidecars                                                                                      Organisers        3.30-3.45

 3.50-4.05            Organisers choice             Minibikes                                                                                     discression       3.50-4.05




BIKE HISTORY DETAILS (if applicable, we use the info as general interest to the announcers and public)




     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

								
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