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MUD N TARS MCC
WILL CONDUCT
2014 SA DIRT TRACK
STATE CHAMPIONSHIP
2 November 2014
SUPPLEMENTARY REGULATIONS
PROMOTER
VENUE
DATE
MUD N TARS MCC
DAY RD, VICTOR HARBOR
SUN 2ND NOVEMBER 2014
RACE SECRETARY
ADDRESS
[email protected]
MSA TRACK LICENCE
REBEKAH WATKINS
0405 774 060
PO Box 767
VICTOR HARBOR SA 5211
MSA-14-154
CLERK OF THE COURSE
STEWARD
PERMIT NO.
TBA
JUDITH ROWLEY
C14130
1.
ANNOUNCEMENT:
The afore mentioned clubs, hereafter called the PROMOTER will conduct the 2014 SA Dirt Track State Championship for Classic
Solo & Sidecar, Modern Solo & Sidecar and Junior Solo & Senior Quads at the afore mentioned venue, on the afore mentioned
date.
2.
2.1.
JURISDICTION:
The abovementioned meeting has been authorised by Motorcycling SA Inc which has issued the Motorcycling Australia Permit
Number C14130 and is open to holders of current Motorcycling Australia National Competition Licences for all classes except
Demo Class; and Single Recreational Activity Licences or a Mini Licence for Demo Class.
The meeting will be held in accordance with the current General Competition Rules (GCR’s), these Supplementary Regulations,
and any final instructions approved by Motorcycling SA Inc.
BY ENTERING THIS MEETING ALL PARTIES AGREE TO COMPLY WITH THESE RULES, REGULATIONS, BY-LAWS AND
INSTRUCTIONS.
2.2.
3.
3.1.
3.2.
3.3.
3.4.
ENTRIES:
Entries open forthwith and close last mail on Fri 17th October 2014.
In the case of postponement or abandonment of the meeting, all or any part of the entry fee may be retained by the Club, if such
retention is approved by Motorcycling SA Inc.
Only entries received on the official entry form that is accompanied by the correct fee will be accepted.
NOTE:- LATE ENTRIES WILL NOT BE ACCEPTED AND THE RETURN OF ENTRY FEES FOR ANY RIDER WITHDRAWING
FROM THE MEETING IS AT THE DISCRETION OF THE CLUB.
4.
4.1.
4.2.
4.3
INSURANCE:
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.
5.
MEDICAL SERVICES:
Approved Medical Services and/or Paramedics will be in attendance at these meetings prior to practice.
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6.1.
6.2.
ENTRY FEE:
Solos: $80 (includes Transponder hire for one bike)
Sidecars $90
(includes Transponder hire for one bike)
Quads $80
(includes Transponder hire for one bike)
Extra Class/Classes $15,
$15 per extra bike is payable, if more than one bike is entered, for extra transponders
50cc Auto Demo $20
One Day Non-Competitive License for demo class $25
Payment by cheque/money order, cash or credit card to Race Secretary with entry form. (for credit card payment contact Race
2014 SA Dirt Track
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6.3.
6.4.
Secretary by phone for card processing)
All cheques made payable to 'Mud n Tars Motorcycle Club'
Rider Notes will be posted on the “SA Dirt Track” Website one week prior to event.
This website can be found via the Motorcycling SA or Mud N Tars Websites or at www.sportingpulse.com/mudntars.
Entry passes will be left at entrance gates. Please stop at entrance gate upon entering venue, to be marked off.
7
ENTRY PASSES:
Solo- 2 Passes, Sidecar – 3 Passes, Quad – 2 Passes.
8
CLASSES OF COMPETITION
SENIORS
A Pre 1975 (up to 125cc)
B Pre 1975 (126cc and above)
C Pre 1985 Allpowers
D Pre 1975 Sidecar up to 1300cc
E Pro 250 (100cc-150cc 2 Str & 200cc-250cc 4 Str)
F Pro 450 (250cc 2 Str & 450cc 4 Str)
G Pro Open (Unlimited)
H Veterans (40 yrs and over)
I Women’s Open (Unlimited)
J Sidecar (Up to 1100cc)
K ATV Pro(up to 350cc 2 Str & 450cc 4 Str)
L ATV Open (Up to 550cc 2 Str & 700cc 4 Str)
M ATV Women (Up to 550cc 2 Str & 700cc 4 Str)
9
JUNIORS
N 50cc DEMO (4-u9yrs)
O 50cc Div 2 (7-u9yrs)
P 65cc (7-u9 yrs)
Q 65cc (9–u13 yrs)
R1 85cc 2 Str & 150cc 4 Str SW (9-u11 yrs)
R2 85cc 2 Str & 150cc 4 Str SW (11-u13 yrs)
S 85cc 2 Str & 150cc 4 Str SW (13-u16 yrs)
T 85cc 2 Str & 150cc 4 Str BW (11-u13 yrs)
U 85cc 2 Str & 150cc 4 Str BW (13-u16yrs)
V Girls 85cc 2 Str & 150cc 4 Str SW & BW (11–u16 yrs)
W 100cc 2 Str-150cc 2 Str (13-u16 yrs)
X 100cc-150cc 2 Str & 200cc-250cc 4 Str (13-u16 yrs)
Y Girls 100cc-150cc 2 Str & 200cc-250cc 4 Str (13-u16 yrs)
Z 200cc-250cc 4 Str (13-u16 yrs)
AWARDS AND PRIZEMONEY:
Trophies will be awarded at the conclusion of the event. All Demo Entries receive a ribbon at the event.
10
ENTRIES TO CONSTITUTE A CLASS:
10.1. A minimum of 5 riders is required to constitute a State Title class.
10.2. 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 club, subject to Motorcycling SA Inc. approval.
11
RACE FORMAT:
Modern Solos - 2 laps of practice, 5 lap heats. Juniors, Sidecars, Quads & Classic Solos – 3 laps of practice, 4 lap heats. Time
allowing (points allocated on completed rounds)
CHAMPIONSHIP FORMAT
11.1 Solo Format where there are more than 12 entries per class
The championship comprises:
a) Three qualifying heats of laps as per above format,
b) One repechage of 6 laps,
c) One final of 6 laps.
Heats and Final:
a) The number of heat positions must not exceed 12.
b) The right to compete in the final will be filled by:
i) The 10 competitors accumulating the highest number of points during the course of heats,
ii) The first two placings of the repechage.
Competitors who finish in 11th to 22nd inclusive during the course of the heats will contest the repechage.
The finishing order of each competitor in the final will determine Championship placings.
Grid positions will be pre-drawn and listed in the program for heats and/or rounds.
11.2 A Solo Format where there are 12 or less entries per class
The championship comprises four races of number of laps defined above.
Points accumulated by each competitor in the four races will determine the Championship placings.
11.3 B Sidecar /ATV Format where there are more than six entries per class
The Championship comprises:
a) Three qualifying heats of laps as per above format,
b) One repechage of five laps,
c) One final of five laps.
Heats and Final:
a) The number of heat positions must not exceed six.
2014 SA Dirt Track
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b) The right to compete in the final will be filled by:
i) The 5 competitors accumulating the highest number of points during the course of heats;
ii) The winner of the repechage.
Competitors who finish in 6th to 11th places inclusive during the course of the heats will contest the repechage.
The finishing order of each competitor in the final will determine Championship placings.
11.4 B Sidecar /ATV Format where there are less than six entries per class
The championship comprises four races of number of laps defined above.
Points accumulated by each competitor in the four races will determine the Championship placings.
12
12.1
12.2
12.3
MACHINES AND RIDERS:
All machines entered must comply with the current GCRs for Dirt Track Competition.
Multiple entry of the one machine in the same class of competition is not permitted.
Change of machine may be permitted up to 10 minutes prior to the start of the event in which substitution machine is required.
Provided that notice is given to, and approval given by the MSA Stewards. The substitute must have been passed at machine
examination.
12.4 Sidecars: One bike per class as per the intent of the rules. A junior capacity machine is not eligible in a senior class.
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TRANSPONDERS: (All Classes excluding Demo)
Electronic Timing will be used. It is compulsory to use the Transponders provided by Revolution Timing.
a. Transponders are the Rider’s responsibility for each event hired. Any loss or damage will be charged for.
b. It is the Rider’s responsibility to ensure the transponder is mounted properly and securely to prevent damage from fouling other
components on the machine. Cable ties will be provided.
c. It is the Rider’s responsibility that 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.
d. Transponders must be picked up and returned to the designated person/s. A Competitor’s MA license will be held by this person/s
and returned in exchange for the allocated transponder. MSA have agreed they will not re-issue or renew any license of any
person until the transponder is returned and/or all outstanding fees are paid. MSA will also enforce payment of any costs or fees.
e. For transponders not returned on the same day, or not returned to the designated person/s, the Hirer is responsible for the
transponder until it arrives back at the designated place. Revolution Timing, 68 Dawkins Road, LEWISTON SA 5501. 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. If returning by courier or hand delivery, please ring first – 0419 008 895.
f. Transponders MUST be fitted for all practice sessions
NOTE: The onus is on the Guardian/Rider to ensure the correct transponders are on the correct bikes prior to each event.
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VOLUNTEER LEVY:
ALL Riders are to supply a volunteer for flag/track assistant duty. Either duty will take approx 1 – 1.5 hours. Volunteers shall be aged
over 16 and not be under the influence of drugs or alcohol. All volunteers are required to sign-in, alongside rider at 8am. Duties/times
are booked on a first-in-best dressed system. Earlier entries will get a choice of duty, once full, you will be allocated a time and duty,
that may not be to your preference. Alternatively, if you can not supply a volunteer, a $25 levy will be payable on race day. Refusal to
supply volunteer or pay levy, will result in removal from racing.
15
GRID POSITIONS:
Peg selection will determine your gate pick for the first race. Thereafter your gate selection will be determined by your previous race
finishing position.
16
RIDERS’ BRIEFING:
A riders’ briefing will be held prior to the commencement of racing, which ALL competitors MUST attend. Details will be included in the
final instructions.
Riders Practice: Riders are required to attend at Practice.
17
DRUG AND OR ALCOHOL TESTING:
17.1
All competitors and officials are advised that as part of the MA and MSA drug education program, drug testing may take place at any
competition in accordance with Australian Sports Commission policy as implemented by the Australian Sports Anti-Doping Authority
and the Motorcycling SA Drug and Alcohol Policy.
If any doubts exist over banned substances it is recommended competitors contact the Drugs in Sport Hotline, tel 1800 020 506.
When drug testing takes place, the payment of prizemoney may be delayed at the Motorcycling SA Inc. discretion until the results of
the tests are known.
For the purposes of drug and alcohol testing, the commencement of the meeting will be deemed to be from the start of scrutineering
with the completion of the meeting for the participant being when the participant has vacated the venue. Also, this event will be
deemed to be finished at the completion of the riding time or 30 mins after the last rider completes the course.
17.2
17.3
18
CODE OF CONDUCT:
2014 SA Dirt Track
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All competitors, officials and parents are reminded of the Motorcycling Australia by-law - CODE OF CONDUCT (as stipulated in the
GCRs), which is a guide to appropriate behaviour at all motorcycle race meetings. This CODE OF CONDUCT applies to this Meeting
and will be enforced.
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TIMETABLE:
Gates Open
Sign on
Scrutineering
Rider Briefing
Practise:
Racing Starts:
7:30 AM
7:30 -8:30 AM
7:30- 9:00 AM
9:15 AM
9:30AM
after practice
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CIRCUIT DESCRIPTION:
Left and right hand bends of graded dolomite racing in an anti-clockwise direction.
21
STARTS:
30 and 5 second boards and either drop-back gates or rubber band starts
22
RACING:
See 8 for classes and 11 for format.
Important Information for Junior Riders:
2 Logbooks – All junior riders MUST hand their Log Book in at Sign On.
3 Junior and Senior Back numbers are Compulsory.
23
24
NOISE:
PLEASE NOTE NOISE LEVELS MUST NOT EXCEED 2 STROKE 96DB(a) / 4 STROKE 94DB(a). ANY MACHINE FOUND TO
EXCEED NOISE LEVELS MAY BE EXCLUDED FROM THE EVENT.
GST:
The Goods and Services Tax affects the payment of prizemoney. If you do not provide an ABN or declare the sport is a hobby, the
Promoter must withhold 48.5% of prizemoney over $75.00 which is otherwise payable to you. Please tick one of the boxes on the
entry form and if appropriate provide your ABN to ensure the full amount of prize money is paid to you.
25
25.1
SPECIAL NOTES AND WARNINGS:
Presentation to be held as soon as practical after racing finishes.
25.2
Bar, Catering and Toilet facilities at the venue.
25.3
No Riding of motorbikes or pushbikes in the pits or carpark - $50.00 fine will be imposed
25.4
No open toed shoes allowed in the pits.
25.5
No dogs allowed anywhere at venues.
25.6
NO ALCOHOL and NO SMOKING permitted in pits.
25.7
Dumping of fuel or oils on the ground are prohibited. Please use the waste liquid drums provided.
25.8
Public Admission is $10 per adult. Children under 14 free with an adult.
25.9
Rear Tyres- Road, Trials Universal, Speedway or Dirt Track tyres are allowed. No Motocross Knobby or claw pattern allowed. Quads
– Approved Tyres only.
25.10 Junior Size machines with up to and including 85cc 2 str/150cc 4 stroke big wheel machines are exempt from tyre restrictions.
25.11 Back Protectors must comply with GCR 18.1.2.4
25.12 Junior and Senior Back numbers are Compulsory.
25.13 Environmental Protection - An absorbent mat must be placed underneath the engine/gearbox and fuel tank of any solo or
sidecar while parked in the pit, paddock or work area. GCR 20.5.0.3
25.14 Where the armour is not constructed as a one-piece suit type, knee and elbow guards must be used in Dirt Track.
GCR 20.1.2.5.
ALL RIDERS MUST SUPPLY AN ABLE BODIED PERSON OVER 16 YEARS TO DO A FLAG SHIFT OR
OFFICIAL DUTY.
Your volunteer MUST sign in when rider signs in on race day or see Supp Reg no 14, above.
2014 SA Dirt Track
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MUD N TARS MCC &
WILL CONDUCT
SA DIRT TRACK
STATE CHAMPIONSHIP
ON SUN 2 NOVEMBER 2014
ENTRY FORM
Rider’st name: …………………………………………………………………………………………………………………Race Number:
MA licence number:
……………
MA licence expiry date:
Address:
If under 18 years – date of birth:
Junior Riders age
℡:
Club:……………………………………
EMERGENCY contact number:
email
Passenger’s name:
MA licence number:
MA licence expiry date:
Address:
If under 18 years – date of birth:
℡:
Club:
EMERGENCY contact number:
Transpon Class
email
Event
Machine/Capacity
Entry Fee
One Day Non-Comp Licence (Demo only)-$25
One Day Mud n Tars MCC Club Membership-$10
TOTAL $
I ACKNOWLEDGE THAT THIS MEETING WILL BE HELD IN ACCORDANCE WITH THE CURRENT GENERAL COMPETITION RULES (GCRS), 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.
RIDERS NAME
SIGNATURE
DATE
PASSENGERS NAME
SIGNATURE
DATE
PARENT / GUARDIAN NAME
SIGNATURE
DATE
VOLUNTEER NAME, over 16years
FLAG DUTY
PLEASE TICK ONE
I AM A PROFESSIONAL RIDER AND MY ABN IS: ______________________________
MOTORCYCLE SPORT IS MY HOBBY WHICH IS THE REASON I AM NOT QUOTING AN ABN
2014 SA Dirt Track
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10. I hereby consent to the collection of my personal information by the Mud N Tars MCC, MA and the
SCB in connection with my involvement at the Event and the use and disclosure of my personal
information by Mud N Tars MCC, and MA to other agencies and officials associated with the Event
for the purposes of conducting and managing the Event. I understand that I may gain access to my
personal information held by Mud N Tars MCC by contacting Mud N Tars MCC at Po Box 767, Victor
Harbor 5211 or MA at 147 Montague St, South Melbourne, Victoria, 3205. I understand that if I do
not provide the personal information requested above that I may not be permitted to participate in
the Event.
Motorcycling South Australia
WARNING! THIS IS AN IMPORTANT DOCUMENT WHICH AFFECTS YOUR LEGAL RIGHTS AND
251 The Parade, Beulah Park, S.A., 5067
OBLIGATIONS, PLEASE READ IT CAREFULLY AND DO NOT SIGN IT UNLESS YOU ARE
Phone: 08 8332 9000 Fax: 08 8332 9100,
SATISFIED YOU UNDERSTAND IT.
Email: [email protected] Website: www.motorcyclingsa.org.au
1. I THE UNDERSIGNED (see below): ########.##.
PERSONAL HEALTH INFORMATION
##############.###.#..##.. [Insert Name]
HEREBY AGREE with Motorcycling Australia Limited (“MA”) that I am by this agreement entitled to11. I hereby agree with MA and the SCB that in consideration for my participation in the Event that MA
and the SCB may receive, collect, store and use personal health information about me in the manner
participate in the motorcycle activity/meeting listed in Schedule 2 (hereinafter called "the Meeting" or the
set out below:
“Event”) at the venue listed at Schedule 3 (hereinafter called "the Venue") on the terms and conditions set
out in this document.
a) I ACKNOWLEDGE that:
i)
If I am injured, become ill or die at or following the Event the party listed at Item 8 in Schedule 1 in
DEFINITIONS
2. In this declaration:
addition to any hospital at which I am treated (together “my Carers”) will have health related
a) “Claim” means and includes any action, suit, proceeding, claim, demand, damage, cost or expense
information about me in their possession, power and control relating to me which is subject to
however arising including but not limited to negligence but does not include a claim against a
obligations imposed by the Privacy Act (“my Information”) and the Privacy Act is intended to protect
Motorcycling Organisation under any right expressly conferred by its constitution or regulation;
my personal information;
b) “Indemnitees” means and includes the persons, organisations and bodies corporate whose namesii) MA and my SCB wish to collect my Information for purposes that include their risk management
programs, evaluating and improving the safety of MA and SCB events and of the Meeting organisers
appear in Schedule 1.
c) “MA” means Motorcycling Australia Limited;
and facility providers of MA / SCB permitted events, and generally to reduce the risks to persons
d) “State Controlling Body” (SCB) means a state or territory motorcycling association affiliated as a
engaged in motorcycle sport; and
member of MA;
iii) It is reasonable for MA and my SCB to collect, store, use and disclose my Information in accordance
e) “Motorcycling Activities” means performing or participating in any capacity in any authorised or
with clause 11(a)(i) above and in the manner set out in clause 11(b).
recognised Motorcycling Organisation event, meeting or activity;
f)
“Motorcycling Organisation” means and includes MA, and the MA members (including the SCBs andb) IN CONSIDERATION of my acceptance as an entrant in the Meeting I consent and agree that MA
affiliated clubs) and where the context so permits, their respective directors, officers, members,
and my SCB:
servants or agents.
i)
may collect and store any of my Information, including obtain my Information from third parties
including my Carers;
ACKNOWLEDGMENT OF RISKS, DANGERS & OBLIGATIONS
ii) may use any information collected in accordance with this clause for any purpose consistent with
creating safer competition in motorcycle sport and events held by or in conjunction with MA, my
3. I ACKNOWLEDGE that:
SCB, or with an MA or SCB permit;
a) motorcycle sport is dangerous and that by engaging in the sport (whether as a competitor,
recreational rider, coach, official or media) at the Meeting I take and am exposed to certain risks andiii) may disclose my Information to third parties provided such disclosure is reasonably intended to be
used for the purpose of improving safety at events held by or in conjunction with MA, or with an MA
dangers and am under certain obligations as follows:
permit provided any such information is held by MA or my SCB in accordance with the MA Privacy
i)
that I may be injured, physically or mentally, and may be killed;
ii) that my machinery or equipment may be damaged, lost or destroyed;
Policy.
iii) that competitors may ride dangerously or with a lack of skill;
c) I irrevocably authorise MA and my SCB and hereby appoint MA and my SCB as my lawful attorneys
iv) that track or event conditions may be hazardous and may vary without warning or predictability;
to collect from my Carers, and I hereby direct my Carers to provide to MA or my SCB upon request
v) that organisers, officials, landowners/track operators and any agents or representatives of those in
being made by MA or my SCB, any of my Information including but not limited to any information
charge of meetings are frequently obliged to make decisions under pressure of time/or events;
concerning any incident or event causing or contributing to or resulting from any injury, illness or
vi) that any policy of insurance of or in respect of my life or physical or mental health may be voided;
death to me, the details of any diagnosis and prognosis provided to me by my Carers (or any party
vii) that there may be no or inadequate facilities for treatment or transport of me if I am injured;
with the knowledge of any of my Carers), and any other matter to the knowledge of my Carers that
vii) that I have an obligation to myself and to others to act safely and within the rules and regulations of
might reasonably be considered to be requested by MA or my SCB for the purpose of improving
MA;
safety at MA and SCB events.
b) the Indemnitees do not make any warranty that the services at the Meeting will be provided with due
care and skill or that any materials provided in connection with the services will be fit for the purposePOLICIES AND REGULATIONS
12. I acknowledge, understand and agree that it is a condition of my participation in the Event that I
for which they are supplied;
agree to be bound by, and subject to, the rules, regulations and jurisdiction of MA as amended from
c) to the extent that any warranty is implied it is excluded to the full extent permitted by law;
time to time. Copies of all MA rules, policies and regulations are available by contacting the MA
d) have voluntarily read and understood this warning and accept and assume the inherent risks in
office.
participating in the Event.
Motorcycling South Australia
251 The Parade, Beulah Park, S.A., 5067
Phone: 08 8332 9000 Fax: 08 8332 9100,
Email: [email protected] Website: www.motorcyclingsa.org.au
WARNING UNDER THE FAIR TRADING ACT 1999 (VIC)
13. All participants are bound by the MA anti doping policy and thus understand they may be subject to
4. Under the provisions of the Fair Trading Act 1999 (Vic) several conditions are implied into contracts
drug testing. Testing conducted by the Australian Sports Anti-Doping Authority (ASADA) is in
for the supply of certain goods and services. These conditions mean that the supplier named on this
accordance with the ASADA Act and the National Ant-Doping Scheme. This involves the taking of a
form is required to ensure that the recreational services it supplies to you are:
sample (any human biological fluid or tissue whether alive or otherwise, or any human breath) for the
purpose of detecting the use of a Prohibited Drug or Doping Method. Any participant infringing MA’s
- rendered with due care and skill;
- as fit for the purpose for which they are commonly bought as it is reasonable to expect in the
policy or refusing a drug test may be disqualified or otherwise dealt with in accordance with the
circumstances; and
terms of the anti-doping policy.
EXECUTION
- reasonably fit for any particular purpose or might reasonably be expected to achieve any result
14. I THE UNDERSIGNED STATE THAT I HAVE READ AND UNDERSTOOD THIS DECLARATION
you have made known to the supplier.
(INCLUDING THE WARNING, INDEMNITY AND RELEASE) AND AGREE TO THE TERMS AND
Under section 32N of the Fair Trading Act 1999, the supplier is entitled to ask you to agree that these
conditions do not apply to you. If you sign this form, you will be agreeing that your rights to sue the
CONDITIONS AS STATED.
supplier under the Fair Trading Act 1999 if you are killed or injured because the services were not
rendered with due care and skill or they were not reasonably fit for their purpose, are excluded, restrictedNAME (PRINT): X#####..##..#.##########..
or modified in the way set out in this form.
SIGNATURE: X#########.#.##. DATE: ####.
NOTE: The change to your rights, as set out in this form, does not apply if your death or injury is due to
gross negligence on the supplier's part. "Gross negligence" is defined in the Fair Trading (RecreationalPASSENGER (PRINT): X#####..##..#.###..####..
Services) Regulations 2004.
For the purposes of the clause 3, “the Supplier” shall mean and include the Indemnitees.
SIGNATURE: X#########.#.##. DATE: ####.
INDEMNITY AND RELEASE GIVEN TO ORGANISERS
THIRD PARTY INDEMNITY WHERE PARTICIPANT IS UNDER 18 YEARS OF AGE
5. IN CONSIDERATION of the acceptance of me as a participant in the Meeting:
15. I/WE X ##.#########.######..#####
PARTICIPANT DECLARATION
being the parents or guardians of the person named in Clause 1 (hereinafter called "the entrant")
CONTRACT TO PARTICIPATE IN THE SA Dirt Track State Championship
HEREBY ACKNOWLEDGE:
a) I AGREE TO INDEMNIFY AND KEEP INDEMNIFIED to the full extent permitted by law thea) I/we have read the whole of this document and understand it;
Indemnitees and each of them in the following manner:
b) I/we consent to the entrant participating in the Event; AND
i)
that I participate in the meeting at my sole risk and responsibility;
c) I/we are aware of the risks, dangers and obligations set out in Clause 3 above;
ii) that I accept the Venue as it stands with all or any defects hidden or exposed;
d) I/we acknowledge that the entrant is bound by and subject to the rules and policies of MA, including,
iii) that I indemnify and hold harmless the Indemnitees, their respective servants, agents, officials and
without limitation, the MA anti-doping policy.
competitors against any actions, costs, losses or claims which may be made by me or on my behalf
for or in respect of or arising out of my death or any injury loss or damage caused to me or my16. IN CONSIDERATION of the entrant being accepted as a participant in the Meeting I/WE HEREBY
equipment whether caused by negligence, breach of contract or in any other manner whatsoever.
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
b) I AGREE TO RELEASE to the full extent permitted by law the Indemnitees and each of them from all
this declaration,
liability to me for any claim, loss, damage, cost or expense (whether arising under statute, from
negligence, personal injury, psychological trauma, death, property damage or infringement of thirdPARENT/GUARDIAN: X ############.#####.
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 which is in any way connected with my presence at or involvement in the Event. SIGNATURE: X ####..######## DATE: ###..#
SCHEDULE 1.
6. The release and indemnity provided by me in this declaration is in addition to, and will not in any way1) Federation Internationale de Motocyclisme
limit the application of, the conditions of sale attaching to tickets, conditions of entry, conditions of2) Motorcycling Australia Ltd
credentials or any other applicable terms or conditions in respect of the Event.
3) Motorcycling South Australia
4) Mud N Tars MCC
7. A term of this release and indemnity will not apply where the term contravenes the law of the5)
relevant jurisdiction under which any legal action is legitimately taken however such terms are6)
severable and do not invalidate the remaining terms.
7) <Add Sponsor Here>
MEDICAL
8) St John Ambulance Australia
8. I declare that I am and must continue to be medically and physically fit and able to participate in the9) <Add Other Here>
Meeting. I will immediately notify MA in writing via my SCB of any change to my fitness and ability to10) All other persons involved in the organisation, conduct and promotion of the Event or construction or
participate. I understand and accept the Indemnitees will continue to rely upon this declaration as
location of the facilities used in connection with or otherwise related to the Event
evidence of my fitness and ability to participate.
11) Each of the respective officers, employees, servants, agents, sponsors, successors and assignees
9. I acknowledge and agree that if required, the Indemnitees (or any of them) may arrange medical or
of each of the above.
hospital treatment (including ambulance transportation) for me. I authorise such actions being taken
by the Indemnitees and agree to meet all costs associated with such action. I understand it isSCHEDULE 2:
compulsory for me to have ambulance insurance in some form and I accept responsibility for theSunday 2nd November 2014
cost of ambulance transportation, ambulance cover and further agree to maintain ambulance cover
SCHEDULE 3:
during the term of my license / membership.
Day Road, Victor Harbor
PRIVACY
2014 SA Dirt Track
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