2016 KTM PONY EXPRESS SERIES
Rnd 1:
E.D.G. (Endurance Downunder Group) - Tarome (near Aratula)
5th June – Simmonds Rd Tarome - Contact Michael 0418754442
after 5pm only.
Rnd 2:
27th and 28th August
-
Rnd 3:
22nd October
Murphy’s Creek
-
Moorang Near Aratula
2016 KTM PONY
EXPRESS SERIES
SUPPLEMENTARY REGULATIONS
ENDURO – INTERCLUB – PONY EXPRESS
PARTICIPATING
CLUBS:
1.
CLOSING
DATE
PERMIT
NO
TRACK LIC
NO
RND
DATE
PROMOTER / VENUE
1
5/6/2016
E.D.G./TAROME, NEAR ARATULA
GPS: 28° 0'54.54"S 152°27'42.84"E
2/6/2016
42462
VR1645
2
28/8/2016
ARATULA / MOORANG
GPS: 27° 55’ 51”S 152°7’54”E
25/8/2016
42527
VR1672
3
22/10/2016
20/10/2016
42463
VR1601
RND
M.A.
STEWARD
CLERK OF THE
COURSE
RACE
SECRETARY
1
John Gierke
Bruce Krause
Karolla Harvey
2
John Walker
Peter Grant
Karolla Harvey
3
Lawrie Asgill
Mark Counsell
Dave Wagner
TOOWOOMBA MCC / MURPHY’S
CREEK
GPS: 27.449409S, 152.028762E
INDIVIDUAL EVENT CONTACTS
Michael Harvey 0418 754 442
AFTER 5PM ONLY
Michael Harvey 0418 754 442
AFTER 5PM ONLY
Toowoomba MCC
ANNOUNCEMENT:
1.1.
1.2.
1.3.
2.
TOOWOOMBA MOTORCYCLE CLUB, GYMPIE MOTORCYCLE CLUB, SUNSHINE COAST MOTORCYCLE
CLUB
E.D.G. (Endurance Downunder Group), hereafter called the PROMOTER will conduct Round 1 of the
KTM Pony Express Series at Simmonds Road Tarome, near Aratula on Sunday 5th June 2016.
E.D.G. (Endurance Downunder Group), hereafter called the PROMOTER will conduct Round 2 of the
KTM Pony Express Series at MOORANG, near Aratula on Sunday 28TH AUGUST 2016.
The Toowoomba Motorcycle Club (TMCC), hereafter called the PROMOTER will conduct Round 3 of
the KTM Pony Express Series at 21 Kherim Road, Murphy’s Creek, near Toowoomba on Saturday 22
October 2016. Queensland Enduro Presentation night will be held at the facilities on the evening after
the event. Camping will be allowed and encouraged.
JURISDICTION:
2.1.
2.2.
The abovementioned meetings have been authorised by Motorcycling Queensland (MQ) who has
issued the Motorcycling Australia Permit Numbers (above) and are open to holders of current
Motorcycling Australia National, Mini and One Meeting Licences (OML to junior riders if they hold a
current JCP Log Book), who are financial members of the Participating Club.
The meetings will be held in accordance with the current Manual of Motorcycle Sport General
Competition Rules (GCR’s) these Supplementary Regulations, and any Final Instructions approved by
MQ.
BY ENTERING A MEETING ALL PARTIES AGREE TO COMPLY WITH THESE RULES,
REGULATIONS, BY-LAWS AND INSTRUCTIONS.
ENTRIES:
3.1.
Entries open forthwith and will be accepted ONLINE at: www.queenslandenduro.com.au or via
Australia post to the relevant address for the round being entered.
Round 1, 2 & 3 – Queensland Enduro Entries, 135 Manly Rd, Manly West, QLD 4179
3.2.
3.3.
3.4.
3.5.
3.6.
4.
INSURANCE:
4.1.
4.2.
4.3.
5.
Entries on the weekend of the event will only be accepted as a paper copy THAT IS ACCOMPANIED
BY THE CORRECT FEE AS CASH, CHEQUE OR MONEY ORDER. THERE IS NO EFTPOS
FACILITY ON SITE.
A separate online nomination or entry form and participant declaration must be completed for each
round.
ONLY ENTRIES RECEIVED ON THE OFFICIAL ENTRY FORM (or electronic nomination) THAT IS
ACCOMPANIED BY THE CORRECT FEE WILL BE ACCEPTED.
In the case of postponement or abandonment of a meeting, all or any part of the entry fee may be
retained by the Promoter, if such retention is approved by MQ.
Withdrawals: Entrants wishing to withdraw from the event must notify the race secretary by phone or
email by 5pm on the Wednesday before the meeting in order to receive a refund (less 5%
administration fee).
National Personal Accident Scheme provides basic cover for death and permanent disability.
Ambulance Insurance is compulsory for licensees.
IT IS STRONGLY RECOMMENDED THAT COMPETITORS GIVE CONSIDERATION TO TAKING
OUT WEEKLY BENEFITS INSURANCE.
MEDICAL SERVICES:
As required by Motorcycling Queensland’s insurer, the Queensland Ambulance Service (QAS) and or Event
First Aid will be in attendance at the meetings prior to racing beginning & until 15 minutes after the conclusion of
racing.
6.
ENTRY FEE:
6.1.
6.2.
6.3.
6.4.
6.4.
6.5.
Entries INCLUDING THE CORRECT FEE received 9 days or more before each meeting will be:
- Seniors - $90 including transponder hire and timing expenses.
- Juniors - $70 including transponder hire and timing expenses.
Entries received after this 9 day date will be:
- Seniors - $120 including transponder hire and timing expenses.
- Juniors - $100 including transponder hire and timing expenses.
Riders with their own transponders pay $10 less. – Round 1 all riders pay $10 less as no Transponders
will be used at that event.
ONLINE payments can be made when you nominate online via www.queenslandenduro.com.au
NOTE: Credit card payments INCUR A 3.3% HANDLING FEE. Only MasterCard and Visa will be
accepted.
Payment by Cash, Cheque or Money Order only on the day. ANY FEES FOR DISHONOURED
CHEQUES WILL BE THE RESPONSIBILITY OF THE ENTRANT.
Cheques and Money Orders are to be made payable to the relevant Promoter for the round being
entered.
7.
ENTRY PASSES: N/A
8.
CLASSES OF COMPETITION:
A
Pro (All Powers)
B
Expert (All Powers) Teams may consist of Expert or Clubman riders.
C Veteran (Over 35’s).
D Clubman Under 200cc 2 stroke and up to 250cc 4 stroke.
E
Clubman Over 200cc 2 stroke and over 250cc 4 stroke.
G Ironman.
H Master (Over 45’s Men and Ladies).
I
Ladies.
L
Juniors Under 200cc 2 stroke and up to 250cc 4 stroke. 13 – 15 years.
M Juniors Under 85cc 2 stroke and up to 150cc 4 stroke. 12 -15 years. Small and Big Wheel.
N Juniors Under 85cc 2 stroke and up to 150 4 stroke. 9 -11 years. Small Wheel.
O Junior Girls 9 – 15 years.
Q Juniors Under 65cc 7 – 11 years.
9.
9.1.
9.2.
AWARDS AND PRIZEMONEY:
Trophies will be awarded to the first 3 placegetters in all Senior classes and the first 4 placegetters in
Junior classes.
Prizemoney is NOT paid for this series.
10.
GST: N/A as no prizemoney is paid.
11.
ENTRIES TO CONSTITUTE A CLASS:
11.1. Should there be insufficient entries in any Class of Competition, the decision to run or cancel the Class,
or to combine events and redistribute any awards and / or prizemoney, will be at the discretion of the
Promoter, subject to MQ approval.
12.
RACE FORMAT BIKES:
12.1. All Bikes will race in the Pony Express format.
12.2. Classes A, B, C, D, E, H, J, L, M, N, O, Q are for teams of Two riders – Two bikes OR Two Riders –
One bike OR One rider – One bike. Solo riders may enter these classes.
12.3. Race Duration (unless deemed unsafe, the Promoter may call the race).
- Juniors 3 hours
- Seniors 5 hours
12.4.
STARTS:
12.4.1 Rider “A” begins the race at a Le Mans start and only this rider may cause the bike to move
forward from the start.
12.4.2 Another person may hold the machine on the start line.
12.4.3 Engines may be running while on the start line.
12.4.4 There is a separate start for each class in alphabetical order at 2 minute intervals between each
class.
12.5. Teams will be required to change riders each lap.
12.6. If a team member is injured (medical report required), then the remaining rider may continue but the
injured rider may take no further part in the race.
12.7. If using two bikes, riders and bikes MUST change each lap and riders or bikes MUST touch during the
changeover WITHIN the designated changeover area.
13.
MACHINES AND RIDERS:
13.1.
13.2.
13.3.
13.4.
13.5.
13.6.
All machines entered must comply with the current GCR’s for Enduro Style Competition.
Any Enduro, Motocross or Trail motorcycle may be used, registration is unnecessary.
Change of machine during competition is not permitted.
All A Grade Motocross riders are automatically PROs, and B Grade are EXPERTs.
If a team enters two different capacity machines, they will be entered in the larger capacity class.
Helmets are mandatory and all persons (including officials) using a Bike, Trike or Quad at any Event
must be wearing a properly secured Helmet.
13.7. Single riders may enter as Ironmen or as solo riders within the other classes.
14.
SOUND TESTING:
An effective muffler must be fitted; all machines may be subject to sound testing as per GCR’s 17.15.
15.
RIDING NUMBERS:
15.1. All teams must have the same number and it is suggested that the lowest number be used with an “A”
for the starting rider and a “B” for the other rider.
15.2. All bikes MUST have race numbers on front plate and side plates (2) with an “A” for rider A, and a “B”
for rider B as there are no transponders for round 1.
15.3. For the Ironman class, riders will be provided with a piece of contact marked “G” on it. This is to be
affixed to their front numberplate.
15.4. Competitors without a QLD Enduro riding number will be allocated a number on the day by the
club/Promoter at sign on.
15.5. It is the entrant’s responsibility to ensure that rider numbers are displayed correctly and easily
discernible to the scorers for the duration of racing.
16.
TRANSPONDERS: (Rounds 2 & 3 – Manual Scoring Round 1)
16.1. Electronic timing will be utilised at Rounds 2 & 3 and it is compulsory for all competitors.
16.2. It is the competitor’s responsibility to ensure that the transponder is mounted correctly and securely on
their machine to prevent damage from, and fouling of, other components on their machine.
16.3. It is the competitor’s (or the parent/guardian for junior competitors), responsibility to ensure that the
correct transponder is on the correct machine prior to each event.
16.4. Transponders must be picked up and returned to the designated person and the competitor required to
provide their MA licence in exchange for a timing transponder.
16.5. When a transponder is transferred to a competitor it then becomes the responsibility of the competitor
to pay for any repairs or replacement costs if the transponder becomes damaged or lost in their care.
17
GRID POSITIONS: N/A
18.
RIDERS BRIEFING:
18.1. A Riders Briefing will be held prior to the commencement of racing and ALL Competitors MUST attend
the Riders Briefing.
18.2. RIDERS BRIEFING IS A NON SMOKING AREA.
18.3. Competitors under the age of 18 years MUST be accompanied by a parent/guardian.
19.
DRUG AND OR ALCOHOL TESTING:
19.1. All competitors and officials are advised that as part of the MA drug education program, drug testing
may take place at any competition in accordance with Australian Sports Commission policy as
implemented by the Australian Sports Drug Agency.
19.2. If any doubts exist over banned substances it is recommended competitors telephone the Drugs in
Sport Hotline 1800 020506. When drug testing takes place, the payment of prizemoney may be
delayed at Motorcycling QLD’s discretion until the results of the tests are known.
19.3. For the purpose of drug & alcohol testing, the commencement of the meeting will be deemed to be
6.45am with the completion of the meeting for the participant being when the participant has vacated
the venue.
20.
CODE OF CONDUCT:
All Competitors, Officials and Parents are reminded of the Motorcycling Australia By-Law - CODE OF
CONDUCT (as stipulated in the GCR’s) which is a guide to appropriate behaviour at all Motorcycle Race
Meetings. This CODE OF CONDUCT applies to this Meeting and will be enforced. Abusive behaviour will not
be tolerated by anybody, especially out on the track to your fellow sweep officials and volunteers.
21.
TIMETABLE:
Round 1 & 2 SATURDAY – Round 3 FRIDAY
SCRUTINEERING, SIGN ON
Round 1 & 2 SUNDAY – Round 3 SATURDAY
ALL CLASSES
3.00PM – 5.00PM
ALL CLASSES
SCRUTINEERING, SIGN ON and LATE ENTRIES
6:30 – 8:00AM
RIDERS BRIEFING:
8:00– 8.30AM
VIEWING LAP – ALL CLASSES TO BEGIN (ON THEIR RESPECTIVE TRACK):
8.30 – 8:45AM
START OF RACING JUNIORS: (CLASS L STARTS)
9:15AM
START OF RACING SENIORS: (CLASS A STARTS)
9:15AM
NB: ALL OTHER CLASSES WILL THEN START AT 2 MINUTE INTERVALS BETWEEN EACH
CLASS IN ALPHABETICAL ORDER.
Round 3 Saturday night will be Queensland Enduro Presentation night at the track.
22.
CIRCUIT DESCRIPTION:
22.1. Natural bush terrain with marking by arrows and tape.
22.2. Lap Time: Approximately 25 – 35 minutes per lap for Seniors, including Ladies.
22.3. Juniors are on a separate track to Senior riders with a lap time being approximately 15 – 20 minutes.
23
PITS
23.1. Every bike must use an approved enviromat as per MOMS 14.14.11.1 J (Page 169)
23.2. EACH RIDER MUST Supply a minimum 1KG Powder Fire Extinguisher at their refuelling area.
24.
ONE MEETING LICENCES:
24.1. Available at sign on $60. NB, ALL RIDERS ARE TO BE A MEMBER OF A PARTICIPATING CLUB
24.2. COMPETENCY TESTS AND CARDS – To obtain a one meeting licence, you must either hold a MQ
Competency Card or obtain one.
To qualify for a Competency Card, you must have either (i) previously held a MA Licence, (ii) Hold a current
road motorcycle licence, (iii) Attended an approved motorcycle coaching course, (iv) demonstrated competency
at a club day, or pass a competency test at the track on the Saturday.
24.3. FIRST TIME JUNIORS Junior participants who want to participate in a meeting by taking out a One
Meeting Competition Licence must have completed Kick Start and have been issued with a Log Book
from relevant MA state controlling body. Further information is available at http://www.mqld.org.au/enus/riders/kickstartjuniorcoaching.aspx. For further information, please contact Motorcycling Queensland
at www.mqld.org.au or by phone: 07 3281 22 55
25.
RACING:
25.1. The Winners in each senior class will be the riders who complete the most laps in five hours in the least
time.
25.2. The winners in the Junior Classes and will be the riders who complete the most number of laps in three
hours in the least time.
25.3. If a series points tie cannot be resolved by rules 12.14.0.3 and 12.14.0.4, then the relevant rider’s
finishing times (for events where they competed against each other) will be compared. If a tie still
exists, then the placing at the last round will determine the order.
25.4. The event may be shortened at the discretion of the Clerk of Course or the Steward on the day if the
track conditions deteriorate.
26.
FINISHING:
26.1. Pro and Experts – Minimum 50% of class winners laps and cross the finish line within one hour of the
official class finish time.
26.2. Veterans, Clubman, Ironman, Masters, Ladies and Juniors – Minimum 50% of class winners laps OR
cross the finish line within one hour of the official class finish time.
26.3. Any rider/team NOT crossing the finish line ON OR AFTER the official class finish time can only score a
maximum of five series points.
27.
SPECIAL NOTES AND WARNINGS:
27.1. Dogs (other than Guide Dogs) are not permitted.
27.2. Presentations: On the day, after competition.
27.3. For team entries – If one partner is injured the remaining partner may compete once as a Solo entry
and series points will be allocated to both partners as a team from the result.
27.4. Any queries or rule interpretations including the application of penalties, should be referred in the first
instance to the Clerk of Course, and if further clarification is necessary, advice may be sought from the
QESC members present on the day of the Event.
27.5. Camping is permissible at each round the night before the event (signage will be displayed on site).
27.6. Catering is available on the day at each round.
27.7. Please bring you own water, there is no running water on site.
27.8. Contained fires may be allowed by the landholder, however all due care and attention is advisable. Fire
restrictions will be available from the race secretary at the event.
27.9. Please remove all of your rubbish, there is no facility for disposal.
Round 1: Simmonds Rd, TAROME, NEAR ARATULA
GPS: 28° 0'54.54"S 152°27'42.84"E
Round 2: To Be Advised
Round 3: Toowoomba MCC – Murphy’s Creek, near Toowoomba
Kherim Rd GPS 27.450284S, 152.028234E
Round3
2016 KTM PONY EXPRESS SERIES
ROUND 1 – E.D.G. – 2/6/2016
ROUND 2 – E.D.G. – 25/08/2016
ROUND 3 – Toowoomba MCC – 22/10/2016
ENTRY FORM (Part 1 of 2)
I ACKNOWLEDGE THAT THIS MEETING WILL BE HELD IN ACCORDANCE WITH THE CURRENT GENERAL COMPETITION RULES (GCR's),
THESE SUPPLEMENTARY REGULATIONS (OF WHICH THIS ENTRY FORM FORMS PART OF) AND ANY FINAL INSTRUCTIONS. BY
ENTERING THIS MEETING, ALL PARTIES AGREE TO COMPLY WITH THESE RULES, REGULATIONS, BY-LAWS AND INSTRUCTIONS.
PAYMENT: Entry Fee is $120 for Seniors and $100 for Juniors, or $90 for Seniors and $70 for Juniors if received 9 days before the Event.
(Existing transponder owners pay $10 less, Round 1 all riders pay $10 less.) – Please make Cheques & Money Orders payable to the relevant
Promoter. Which round are you entering? (Circle)
Round 1 Promoter: Enduro Downunder Group
Send Round 1 Entries to: Enduro Entries, 135 Manly Rd, Manly West QLD 4179
Round 2 Promoter: To Be Advised
Send Round 2 Entries to: Enduro Entries, 135 Manly Rd, Manly West QLD 4179
Round 3 Promoter: Toowoomba Motorcycle Club Send Round 3 Entries to: Enduro Entries, 135 Manly Rd, Manly West QLD 4179
Round 2 Promoter: To Be Advised
Send Round 2 Entries to: Enduro Entries, 135 Manly Rd, Manly West QLD 4179
Round 3 Promoter: Toowoomba Motorcycle Club Send Round 3 Entries to: Enduro Entries, 135 Manly Rd, Manly West QLD 4179
PLEASE NOTE: AN ENTRY FORM AND PARTICIPANT DECLARATION MUST BE COMPLETED FOR EACH ROUND
RIDER A: I AM A PROFESSIONAL RIDER AND MY ABN IS:
RIDER B: I AM A PROFESSIONAL RIDER AND MY ABN IS:
MOTORCYCLE SPORT IS MY HOBBY WHICH IS THE REASON I AM NOT
QUOTING AN ABN
MOTORCYCLE SPORT IS MY HOBBY WHICH IS THE REASON I AM NOT
QUOTING AN ABN
ENTRANT(Sponsor): .........................................................
MA Lic. No: ........................................................
Expiry Date: ..........................
RIDER A: Surname: ................................................... First Name: ........................................................ Club: ................................................
MA Lic No: ....................................... MA Lic. Expiry Date: .................................... Age: .............. if under 18 years, Date of Birth: ...................
ADDRESS: ...........................................................................................................................................................
Postcode: ..........................
Email Address: …………..…………………………………………………………………………………………………………….………
PHONE: (Home)................................................ (Work)........................................ (Mobile)..............................................................................
If under 18 years:
Parent/Guardian Name (Print): .................................................................... Signature: ............................................................ Date: ..................
Next of Kin Details:
Name: …………………………………………………………….……………………………. Contact No: ……..……………………………….
RIDER B: Surname: ................................................... First Name: ........................................................ Club: ................................................
MA Lic No: ....................................... MA Lic. Expiry Date: .................................... Age: .............. if under 18 years, Date of Birth: ...................
ADDRESS: ................................................................................................................................................................
Postcode: ........................
Email Address: …………..…………………………………………………………………………………………………………….………
PHONE: (Home)................................................. (Work)....................................... (Mobile)..............................................................................
If under 18 years:
Parent/Guardian Name (Print): ...................................................................... Signature: ........................................................... Date: ..................
Next of Kin Details:
Name: …………………………………………………………….……………………………. Contact No: ……..……………………………….
BIKE
Make of Machine: .................................. Model: ................................
Capacity: ...........................
2 Stroke / 4 Stroke ….. (Circle)
Make of Machine: .................................. Model: ................................
Capacity: ...........................
2 Stroke / 4 Stroke ….. (Circle)
CLASS of COMPETITION BIKES (Circle):
A
B
C
D
E
G
H
I
L
M
N
O
Q
RIDER A – TRANSPONDER NUMBER:
(Please complete if you have your own)
RIDER B – TRANSPONDER NUMBER:
(Please complete if you have your own)
RIDER A CLUB MEMBERSHIP
RIDER B CLUB MEMBERSHIP
BY CASH
PROMOTER USE ONLY
LICENCES
“A”
PAID
“B”
BY
CHEQUE
RIDER
NUMBER
PARTICIPANT DECLARATION (Part 2 of 2)
Motorcycling Queensland
PO Box 2072, North Ipswich Q 4305
Ph:07 3281 2255 Fax:07 3812 2742
Email: [email protected] Web:
www.mqld.org.au
CONTRACT TO PARTICIPATE IN THE 2016 KTM PONY EXPRESS SERIES - Round (Circle) 1 OR 2 OR 3
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.
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
Indemnitees.
and disclose my Information in accordance with clause 11(a)(i) above and
1. I THE UNDERSIGNED (see below):
[Insert Name]
in the manner set out in clause 11(b).
5. INDEMNITY AND RELEASE GIVEN TO ORGANISERS
b) IN CONSIDERATION of my acceptance as an entrant in the Meeting I
IN CONSIDERATION of the acceptance of me as a participant in the
consent and agree that MA and my SCB:
Meeting:
HEREBY AGREE with Motorcycling Australia Limited (“MA”) that I am by this
i)
may collect and store any of my Information, including obtain my
a) I AGREE TO INDEMNIFY AND KEEP INDEMNIFIED to the full extent
agreement entitled to participate in the motorcycle activity/meeting listed in
Information from third parties including my Carers; ii) may use any
permitted by law the Indemnitees and each of them in the following manner:
Schedule 2 (hereinafter called "the Meeting" or the “Event”) at the venue listed at
information collected in accordance with this clause for any purpose
i)
that I participate in the meeting at my sole risk and
Schedule 3 (hereinafter called "the Venue") on the terms and conditions set out
consistent with creating safer competition in motorcycle sport and events
responsibility; ii)
that I accept the Venue as it stands with
in this document.
held by or in conjunction with MA, my SCB, or with an MA or SCB permit;
all or any defects hidden or exposed;
2. DEFINITIONS In this declaration:
iii) may disclose my Information to third parties provided such disclosure is
iii) that I indemnify and hold harmless the Indemnitees, their respective
a) “Claim” means and includes any action, suit, proceeding, claim, demand,
reasonably intended to be used for the purpose of improving safety at
servants, agents, officials and competitors against any actions, costs,
damage, cost or expense however arising including but not limited to negligence
events held by or in conjunction with MA, or with an MA permit provided
losses or claims which may be made by me or on my behalf for or in respect
but does not include a claim against a Motorcycling Organisation under any right
any such information is held by MA or my SCB in accordance with the MA
of or arising out of my death or any injury loss or damage caused to me or
expressly conferred by its constitution or regulation;
Privacy Policy.
my equipment whether caused by negligence, breach of contract or in any
b) “Indemnitees” means and includes the persons, organisations and
c) I irrevocably authorise MA and my SCB and hereby appoint MA and my
other manner whatsoever.
bodies corporate whose names appear in Schedule 1.
SCB as my lawful attorneys to collect from my Carers, and I hereby direct
b)
I AGREE TO RELEASE to the full extent permitted by law
c) “MA” means Motorcycling Australia Limited;
my Carers to provide to MA or my SCB upon request being made by MA
the Indemnitees and each of them from all liability to me for any claim, loss,
d) “State Controlling Body” (SCB) means a state or territory motorcycling
or my SCB, any of my Information including but not limited to any
damage, cost or expense (whether arising under statute, from negligence,
association affiliated as a member of MA;
information concerning any incident or event causing or contributing to or
personal injury, psychological trauma, death, property damage or
e) “Motorcycling Activities” means performing or participating in any
resulting from any injury, illness or death to me, the details of any diagnosis
infringement of third party rights or otherwise) that arises as a result of any
capacity in any authorised or recognised Motorcycling Organisation event,
and prognosis provided to me by my Carers (or any party with the
act, matter or thing done, permitted or omitted to be done by me or which
meeting or activity;
knowledge of any of my Carers), and any other matter to the knowledge of
is in any way connected with my presence at or involvement in the Event.
f)
“Motorcycling Organisation” means and includes MA, and the MA
my Carers that might reasonably be considered to be requested by MA or
c)
The release and indemnity provided by me in this
members (including the SCBs and affiliated clubs) and where the context so
my SCB for the purpose of improving safety at MA and SCB events.
declaration is in addition to, and will not in any way limit the application of,
permits, their respective directors, officers, members, servants or agents.
9. POLICIES AND REGULATIONS
the conditions of sale attaching to tickets, conditions of entry, conditions of
3. ACKNOWLEDGMENT OF RISKS, DANGERS & OBLIGATIONS I
credentials or any other applicable terms or conditions in respect of the
a)
I acknowledge, understand and agree that it is a condition
ACKNOWLEDGE that:
Event.
of my participation in the Event that I agree to be bound by, and subject to,
a) motorcycle sport is dangerous and that by engaging in the sport (whether as a
d)
A term of this release and indemnity will not apply where
the rules, regulations and jurisdiction of MA as amended from time to time.
competitor, recreational rider, coach, official or media) at the Meeting I take and
the term contravenes the law of the relevant jurisdiction under which any
Copies of all MA rules, policies and regulations are available by contacting
am exposed to certain risks and dangers and am under certain obligations as
legal action is legitimately taken however such terms are severable and do
the MA office.
follows:
b)
All participants are bound by the MA anti doping policy and
not invalidate the remaining terms.
i)
that I may be injured, physically or mentally, and may be killed;
thus understand they may be subject to drug testing. Testing conducted by
6. MEDICAL
ii) that my machinery or equipment may be damaged, lost or destroyed; iii)
the Australian Sports Anti-Doping Authority (ASADA) is in accordance with
I declare that I am and must continue to be medically and physically fit and
that competitors may ride dangerously or with a lack of skill;
the ASADA Act and the National Ant-Doping Scheme. This involves the
able to participate in the Meeting. I will immediately notify MA in writing via
iv) that track or event conditions may be hazardous and may vary without
taking of a sample (any human biological fluid or tissue whether alive or
my SCB of any change to my fitness and ability to participate. I understand
warning or predictability;
otherwise, or any human breath) for the purpose of detecting the use of a
and accept the Indemnitees will continue to rely upon this declaration as
v) that organisers, officials, landowners/track operators and any agents or
Prohibited Drug or Doping Method. Any participant infringing MA’s policy
evidence of my fitness and ability to participate.
representatives of those in charge of meetings are frequently obliged to make
or refusing a drug test may be disqualified or otherwise dealt with in
I acknowledge and agree that if required, the Indemnitees (or any of them)
decisions under pressure of time/or events;
accordance with the terms of the anti-doping policy.
may arrange medical or hospital treatment (including ambulance
vi) that any policy of insurance of or in respect of my life or physical or mental
10. RIGHT TO USE IMAGE
transportation) for me. I authorise such actions being taken by the
health may be voided;
Right to Use Image: I acknowledge and consent ot Photographs and
Indemnitees and agree to meet all costs associated with such action. I
vii) that there may be no or inadequate facilities for treatment or transport of
electronic images (including, but not limited to, moving images) being taken
understand it is compulsory for me to have ambulance insurance in some
me if I am injured;
of me during my participation in the Event. I acknowledge and agree that
form and I accept responsibility for the cost of ambulance transportation,
vii) that I have an obligation to myself and to others to act safely and within the
such photographs and electronic images are owned by (organisation) and
ambulance cover and further agree to maintain ambulance cover during
rules and regulations of MA;
it may use the photographs and electronic images for promotional or other
the term of my license / membership.
b) the Indemnitees do not make any warranty that the services at the Meeting
purposes without my further consent being necessary. Further, I consent
7. PRIVACY
will be provided with due care and skill or that any materials provided in
to (organisation) using my name, image, likeness and also my performance
I hereby consent to the collection of my personal information by the
connection with the services will be fit for the purpose for which they are supplied;
in the Event at any time, by any form of media, to promote (organisation)
Promoter/Event Organiser, MA and the SCB in connection with my
c) to the extent that any warranty is implied it is excluded to the full extent
or the Event.
involvement at the Event and the use and disclosure of my personal
permitted by law;
SCHEDULE 1
information by Event Organiser, and MA to other agencies and officials
d) have voluntarily read and understood this warning and accept and
1)
Federation Internationale de Motocyclisme
associated with the Event for the purposes of conducting and managing
assume the inherent risks in participating in the Event.
2)
Motorcycling Australia Ltd
the Event. I understand that I may gain access to my personal information
4. WARNING UNDER THE FAIR TRADING ACT 1999 (VIC)
3)
Motorcycling Qld
held by contacting MA at 147 Montague St, South Melbourne, Victoria,
Under the provisions of the Fair Trading Act 1999 (Vic) several conditions are
4)
Toowoomba Motorcycle Club
3205. I understand that if I do not provide the personal information
implied into contracts for the supply of certain goods and services. These
5)
Evan Christenson. Rnd1
requested above that I may not be permitted to participate in the Event.
conditions mean that the supplier named on this form is required to ensure that
6)
KTM Australia
8. PERSONAL HEALTH INFORMATION
the recreational services it supplies to you are:
7)
Event First Aid, Queensland Ambulance Service
I hereby agree with MA and the SCB that in consideration for my
rendered with due care and skill;
8)
QESC
participation in the Event that MA and the SCB may receive, collect, store
as fit for the purpose for which they are commonly bought as it is reasonable
9)
All other persons involved in the organisation, conduct and
and use personal health information about me in the manner set out below:
to expect in the circumstances; and
promotion of the Event or construction or location of the facilities used in
a) I ACKNOWLEDGE that:
reasonably fit for any particular purpose or might reasonably be expected
connection with or otherwise related to the Event
i)
If I am injured, become ill or die at or following the Event the
to achieve any result you have made known to the supplier.
10)
Each of the respective officers, employees, servants,
party listed at Item 8 in Schedule 1 in addition to any hospital at which I am
Under section 32N of the Fair Trading Act 1999, the supplier is entitled to ask you
agents, sponsors, successors and assignees of each of the above.
treated (together “my Carers”) will have health related information about
to agree that these conditions do not apply to you. If you sign this form, you will
SCHEDULE 2:
me in their possession, power and control relating to me which is subject
be agreeing that your rights to sue the supplier under the Fair Trading Act 1999
KTM Pony Express Series:
to obligations imposed by the Privacy Act (“my Information”) and the
if you are killed or injured because the services were not rendered with due care
5 June 2016, 28 August 2016, 22 October 2016.
Privacy Act is intended to protect my personal information;
and skill or they were not reasonably fit for their purpose, are excluded, restricted
ii)
MA and my SCB wish to collect my Information for purposes
SCHEDULE 3:
or modified in the way set out in this form. NOTE: The change to your rights, as
that
include
their
risk
management
programs,
evaluating
and
improving
the
Rnd 1 Tarome, Rnd 2 Moorang, Rnd 3 Murphy’s Creek.
set out in this form, does not apply if your death or injury is due to gross
safety
of
MA
and
SCB
events
and
of
the
Meeting
organisers
and
facility
negligence on the supplier's part. "Gross negligence" is defined in the Fair
providers
of
MA
/
SCB
permitted
events,
and
generally
to
reduce
the
risks
Trading (Recreational Services) Regulations 2004.
to persons engaged in motorcycle sport; and
SIGN
HERE
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.
RIDER NAME (PRINT): _____________________________ SIGNATURE: _____________________________ DATE: _____________________
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 antidoping 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,
RIDER PARENT/GUARDIAN: _______________________________________ SIGNATURE _____________________________________ DATE: __________________