1. Healthcare

2015 KTM PONY EXPRESS SERIES
Photo: Paul Grant
INCORPORATING the 2015 X-COUNTRY QUAD Series
(Quads race on a separate track - See Supplementary Regulations for details)
Rnd 1: QLD Moto Park – 110 Goan Road, off 3010 Beaudesert-Boonah Road, Coulson 4310 – 15 February
2015 – (Ray Ph. 07 5463 5015 0447 012 400)
Rnd 2: Roma & District MCC – Euthulla – Near Roma – 9 August 2015 – (Simon Ph. 0428 822 292)
Rnd 3: QLD Moto Park – 110 Goan Road, off 3010 Beaudesert-Boonah Road, Coulson 4310 – 30 August
2015 – (Ray Ph. 07 5463 5015 0447 012 400)
(One event Licences available on the day)
2015 KTM PONY
EXPRESS SERIES
SUPPLEMENTARY REGULATIONS
ENDURO – INTERCLUB – PONY EXPRESS
PARTICIPATING CLUBS:
RND
DATE
1
15/02/2015
2
9/08/2015
3
1.
1.1.
1.2.
1.3.
2.
2.1.
2.2.
30/08/2015
ROMA & DISTRICT MOTORCYCLE CLUB, TOOWOOMBA MOTORCYCLE CLUB, QLD QUAD RIDERS
ASSOCIATION, SUNSHINE COAST MOTORCYCLE CLUB
CLOSING
PROMOTER / VENUE
PERMIT NO
TRACK LIC NO
DATE
QLD MOTO PARK / WYARALONG – NEAR
BOONAH
6/02/2015
41878
MQ-215
GPS: 27°57'24.12"S, 152°44'58.57"E
ROMA & DISTRICT MCC / CLARICEVALE,
EUTHULLA – NEAR ROMA
31/07/2015
41879
VR1512
QLD MOTO PARK / WYARALONG – NEAR
BOONAH
21/08/2015
41880
MQ-215
GPS: 26°25'35.46"S, 148°47'18.76"E
GPS: 27°57'24.12"S, 152°44'58.57"E
RND
M.A. STEWARD
CLERK OF THE
COURSE
RACE
SECRETARY
INDIVIDUAL EVENT CONTACTS
1
Ralph Freeman
Ray Buchanan
Jacquie Beattie
Ray Buchanan 07 5463 5015
2
Le-Ette Williams
Lionel Young
Brett Miller
Simon Betts 0428 822 292
3
Ralph Freeman
Ray Buchanan
Jacquie Beattie
Ray Buchanan 07 5463 5015
ANNOUNCEMENT:
The Queensland Moto Park, hereafter called the PROMOTER will conduct Round 1 of the KTM Pony Express Series at QLD Moto Park,
110 Goan Road, off 3010 Beaudesert-Boonah Road, Coulson, on Sunday 15 February 2015.
The Roma and District Motorcycle Club, hereafter called the PROMOTER will conduct Round 2 of the KTM Pony Express Series at
Claricevale, Euthulla, off the Carnarvon Highway, near Roma, on Sunday 9 August 2015.
The Queensland Moto Park, hereafter called the PROMOTER will conduct Round 3 of the KTM Pony Express Series at QLD Moto Park,
110 Goan Road, off 3010 Beaudesert-Boonah Road, Coulson, on Sunday 30 August 2015.
JURISDICTION:
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 full financial members of the Participating Club (no discount or one day
memberships are allowed).
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.
3.2.
3.3
3.3.
3.4.
3.5.
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.
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 .
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).
4.
4.1.
4.2.
4.3.
INSURANCE:
5.
MEDICAL SERVICES:
National Personal Accident Scheme provides basic cover for death and permanent disability.
Ambulance Insurance is compulsory for licencees.
IT IS STRONGLY RECOMMENDED THAT COMPETITORS GIVE CONSIDERATION TO TAKING OUT WEEKLY BENEFITS
INSURANCE.
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 the conclusion of racing.
6.
6.1.
ENTRY FEE:
6.5.
7.
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.
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.
ENTRY PASSES: N/A
8.
CLASSES OF COMPETITION:
6.2.
6.3.
6.4.
6.4.
A
B
C
D
Pro (All Powers)
Expert (All Powers) Teams may consist of Expert or Clubman riders.
Masters (Over 35’s) Maximum one Expert per team.
Clubman Under 200cc 2 stroke and up to 250cc 4 stroke.
E
G
H
J
L
M
Clubman Over 200cc 2 stroke and over 250cc 4 stroke.
Ironman.
Vintage (Over 45’s Men and Over 35’s Ladies) Maximum one Expert per team.
Ladies
Juniors Under 200cc 2 stroke and up to 250cc 4 stroke. 13 – 15 years.
Juniors Under 85cc 2 stroke and up to 150cc 4 stroke. 12 -15 years. Small and Big Wheel.
N
O
Q
Juniors Under 85cc 2 stroke and up to 150 4 stroke. 9 -11 years. Small Wheel.
Junior Girls 9 – 15 years.
Juniors Under 65cc 7 – 11 years.
QUADS
1
2
3
4
5
Competition Quads - Up to 250cc 2 stroke and up to 400cc 4 stroke.
Competition Quads - Over 250cc 2 stroke and over 400cc 4 stroke.
Farm Quads - Under 400cc.
Farm Quads - Over 400cc.
Ladies - Any Quad.
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.
11.1.
ENTRIES TO CONSTITUTE A CLASS:
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.
12.1.
12.2.
RACE FORMAT BIKES:
All Bikes will race in the Pony Express format.
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.
12.2.
STARTS:
12.2.1 Rider “A” begins the race at a Le Mans start and only this rider may cause the bike to move forward from the start.
12.3.
12.4.
13.
13.1.
13.2.
13.3.
13.4.
13.5.
13.6.
14.
14.1.
14.2.
14.3.
14.4.
14.5.
14.6.
14.7.
14.8.
12.2.2. Another person may hold the machine on the start line.
12.2.3. Engines may be running while on the start line.
12.2.4. There is a separate start for each class in alphabetical order at 2 minute intervals between each class.
Teams will be required to change riders each lap.
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.
RACE FORMAT QUADS:
All Quads will race in a Cross County format. That is One rider – One Quad.
Race duration – All classes – 2 hours.
STARTS:
13.4.1. Le Mans Start, another person may hold the machine on the start line.
13.4.2. Only the rider may cause the Quad to move forward from the start.
13.4.3. Engines may be running while on the start line.
13.4.4. There is a separate start for each class in alphabetical order at 2 minute intervals between each class.
Dry brake type of fuelling system cannot be used.
Riders must dismount and engines must be stopped for refuelling.
The race will finish after the determined time has elapsed.
MACHINES AND RIDERS:
All machines entered must comply with the current GCR’s for Enduro Style Competition.
Multiple entry of the one Machine in the same Class of Competition is not permitted.
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.
Single riders may enter as Ironmen or as solo riders within the other classes.
15.
SOUND TESTING:
An effective muffler must be fitted, all machines may be subject to sound testing as per GCR’s 17.15.
16.
16.1.
RIDING NUMBERS:
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.
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.
Classes C and H to use CLUBMAN riding numbers.
Competitors without a QLD Enduro riding number will be allocated a number on the day by the club/Promoter at sign on.
It is the entrant’s responsibility to ensure that rider numbers are displayed correctly and easily discernable to scorers for the duration of
racing.
16.2.
16.3.
16.4.
16.5.
17.
16.1.
16.2.
16.3.
16.4.
16.5.
TRANSPONDERS:
Electronic timing will be utilised at these events and it is compulsory for all competitors.
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.
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.
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.
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.
18.
GRID POSITIONS: N/A
19.
19.1.
19.2.
19.3.
RIDERS BRIEFING:
A Riders Briefing will be held prior to the commencement of racing and ALL Competitors MUST attend the Riders Briefing.
RIDERS BRIEFING IS A NON SMOKING AREA.
Competitors under the age of 18 years MUST be accompanied by a parent/guardian.
20.
20.1.
DRUG AND OR ALCOHOL TESTING:
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.
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.
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.
20.2.
20.3.
21.
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.
22.
TIMETABLE:
BIKES
ALL CLASSES
SCRUTINEERING , SIGN ON AND LATE ENTRIES:
6:45 – 8:15AM
RIDERS BRIEFING:
8:15 – 8.30AM
VIEWING LAP – ALL CLASSES TO BEGIN (ON THEIR RESPECTIVE TRACK):
8.30 – 8:45AM
9:30AM
START OF RACING JUNIORS: (CLASS L STARTS)
START OF RACING SENIORS: (CLASS A STARTS)
10:00AM
NB: ALL OTHER CLASSES WILL THEN START AT 2 MINUTE INTERVALS BETWEEN EACH CLASS IN
ALPHABETICAL ORDER.
QUADS
ALL CLASSES
SCRUTINEERING , SIGN ON AND LATE ENTRIES:
10:00AM – 11:30AM
RIDERS BRIEFING:
VIEWING LAP (ALL CLASSES TO BEGIN – BEHIND AN OFFICIAL LEAD RIDER – WHO CAN NOT BE
OVERTAKEN):
START OF RACING: CLASS 1
NB: ALL OTHER CLASSES WILL THEN START AT 2 MINUTE INTERVALS BETWEEN EACH CLASS IN
NUMERICAL ORDER.
11:30AM – 11.45AM
12.30PM – 12:45PM
1:15PM
23.
22.1.
22.2.
22.3.
22.4.
CIRCUIT DESCRIPTION:
Natural bush terrain with marking by arrows and tape.
Lap Time: Approximately 25 – 35 minutes per lap for Seniors, including Ladies.
Juniors are on a separate track to Senior riders with a lap time being approximately 15 – 20 minutes.
Quads will race on the Junior track AFTER the Junior event is finished.
24.
23.1.
23.2.
ONE MEETING LICENCES:
Available at sign on. NB, ALL RIDERS ARE TO BE A MEMBER OF A PARTICIPATING CLUB
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.
FIRST TIME JUNIORS Who wish to take out a competition licence (including a one meeting licence) must first undertake a minimum of
five hours of motorcycle coaching – which will include a practical riding test/ assessment and a multiple choice theory test. Successful
completion of these two tests will form the rider’s competency to obtain a juniors competition licence. For further information please
contact Motorcycling Queensland at www.mqld.org.au or by phone: 07 3281 22 55
23.3.
25.
25.1.
25.2.
25.3.
25.4.
25.5.
26.
26.1.
26.2.
26.3.
26.4.
27.
27.1.
27.2.
27.3.
27.4.
27.5.
27.6.
27.7.
RACING:
The Winners in each senior class will be the riders who complete the most laps in five hours in the least time.
The winners in the Ladies and Junior Classes and will be the riders who complete the most number of laps in three hours in the least
time.
The winners in each Quad class will be the riders who complete the most number of laps in two hours in the least time.
If a series points tie can not 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.
The event may be shortened at the discretion of the Clerk of Course or the Steward on the day if the track conditions deteriorate.
FINISHING:
Pro and Experts – Minimum 50% of class winners laps and cross the finish line within one hour of the official class finish time.
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.
All Quad classes – Minimum 50% of class winners laps OR cross the finish line within one hour of the official class finish time.
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.
SPECIAL NOTES AND WARNINGS:
Dogs (other than Guide Dogs) are not permitted.
Presentations: On the day, after competition.
For team entries – If one partner is injured the remaining partner may compete once as an Ironman and series points will be allocated to
both partners as a team from the Ironman result.
Any queries or rule interpretations including the application of penalties, should be refered 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.
Camping is permissable at each round the night before the event (signage will be displayed on site).
Catering is usually available on the day at each round.
For further information about QLD MOTO PARK (QMP) visit www.qldmotopark.com.au
Round 1: QMP – QMP, 110 Goan Road, off 3010 Beaudesert-Boonah Road, Coulson
KPE – 1 & 3
Round 2: Roma & District MCC – Claricevale, Euthulla, near Roma
KPE - 2
2015 KTM PONY EXPRESS SERIES
ROUND 1 – QLD Moto Park – 15/02/2015
ROUND 2 – Roma & District MCC – 9/08/2015
ROUND 3 – QLD Moto Park – 30/08/2015
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) – Please make Cheques & Money Orders payable to the relevant Promoter. Which round are you entering? (Circle)
Round 1 Promoter: QLD Moto Park
Send Round 1 Entries to: Enduro Entries, 110 Goan Road, Coulson 4310, QLD 4310
Round 2 Promoter: Roma & District MCC
Send Round 2 Entries to: Enduro Entries, PO Box 189 Roma, QLD 4455
Round 3 Promoter: QLD Moto Park
Send Round 3 Entries to: Enduro Entries, 110 Goan Road, Coulson 4310, QLD 4310
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 / QUAD (Circle)
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):
CLASS of COMPETITION QUADS (Circle):
A
1
B
C
D
E
2
3
4
5
F
G
H
I
K
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
PROMOTER USE ONLY
LICENCES
“A”
PAID
“B”
BY CASH
BY CHEQUE
RIDER NUMBER
L
M
N
O
P
Q
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 2013 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
facility providers of MA / SCB permitted events, and generally to
1. I THE UNDERSIGNED (see below):
[Insert Name]
the Indemnitees.
reduce the risks to persons engaged in motorcycle sport; and
iii) It is reasonable for MA and my SCB to collect, store, use and disclose my
5. INDEMNITY AND RELEASE GIVEN TO ORGANISERS
Information in accordance with clause 11(a)(i) above and in the manner set
IN CONSIDERATION of the acceptance of me as a participant in the
HEREBY AGREE with Motorcycling Australia Limited (“MA”) that I am by
out in clause 11(b).
Meeting:
this agreement entitled to participate in the motorcycle activity/meeting
b) IN CONSIDERATION of my acceptance as an entrant in the Meeting
a) I AGREE TO INDEMNIFY AND KEEP INDEMNIFIED to the full
listed in Schedule 2 (hereinafter called "the Meeting" or the “Event”) at the
I consent and agree that MA and my SCB:
extent permitted by law the Indemnitees and each of them in the
venue listed at Schedule 3 (hereinafter called "the Venue") on the terms
i) may collect and store any of my Information, including obtain my
following manner:
and conditions set out in this document.
Information from third parties including my Carers;
i) that I participate in the meeting at my sole risk and responsibility;
2. DEFINITIONS In this declaration:
ii) may use any information collected in accordance with this clause for
ii)
that
I
accept
the
Venue
as
it
stands
with
all
or
any
defects
hidden
or
a) “Claim” means and includes any action, suit, proceeding, claim,
any purpose consistent with creating safer competition in motorcycle
exposed;
demand, damage, cost or expense however arising including but not
sport and events held by or in conjunction with MA, my SCB, or with
iii) that I indemnify and hold harmless the Indemnitees, their respective
limited to negligence but does not include a claim against a
an MA or SCB permit;
servants, agents, officials and competitors against any actions,
Motorcycling Organisation under any right expressly conferred by its
iii) may disclose my Information to third parties provided such disclosure is
costs, losses or claims which may be made by me or on my behalf
constitution or regulation;
reasonably intended to be used for the purpose of improving safety at
for or in respect of or arising out of my death or any injury loss or
b) “Indemnitees” means and includes the persons, organisations and
events held by or in conjunction with MA, or with an MA permit provided
damage
caused
to
me
or
my
equipment
whether
caused
by
bodies corporate whose names appear in Schedule 1.
any such information is held by MA or my SCB in accordance with the
negligence,
breach
of
contract
or
in
any
other
manner
whatsoever.
c) “MA” means Motorcycling Australia Limited;
MA Privacy Policy.
b)
I
AGREE
TO
RELEASE
to
the
full
extent
permitted
by
law
the
d) “State Controlling Body” (SCB) means a state or territory
c) I irrevocably authorise MA and my SCB and hereby appoint MA and my
Indemnitees and each of them from all liability to me for any claim,
motorcycling association affiliated as a member of MA;
SCB as my lawful attorneys to collect from my Carers, and I hereby direct
loss, damage, cost or expense (whether arising under statute, from
e) “Motorcycling Activities” means performing or participating in any
my Carers to provide to MA or my SCB upon request being made by MA
negligence, personal injury, psychological trauma, death, property
capacity in any authorised or recognised Motorcycling Organisation
or my SCB, any of my Information including but not limited to any
damage or infringement of third party rights or otherwise) that arises
event, meeting or activity;
information concerning any incident or event causing or contributing to or
as
a
result
of
any
act,
matter
or
thing
done,
permitted
or
omitted
to
f) “Motorcycling Organisation” means and includes MA, and the MA
resulting from any injury, illness or death to me, the details of any diagnosis
be
done
by
me
or
which
is
in
any
way
connected
with
my
presence
members (including the SCBs and affiliated clubs) and where the
and prognosis provided to me by my Carers (or any party with the
at
or
involvement
in
the
Event.
context so permits, their respective directors, officers, members,
knowledge of any of my Carers), and any other matter to the knowledge of
c) The release and indemnity provided by me in this declaration is in addition
servants or agents.
my Carers that might reasonably be considered to be requested by MA or
to, and will not in any way limit the application of, the conditions of sale
my SCB for the purpose of improving safety at MA and SCB events.
3. ACKNOWLEDGMENT OF RISKS, DANGERS & OBLIGATIONS
attaching to tickets, conditions of entry, conditions of credentials or any
I ACKNOWLEDGE that:
9. POLICIES AND REGULATIONS
other applicable terms or conditions in respect of the Event.
a) motorcycle sport is dangerous and that by engaging in the sport
d) A term of this release and indemnity will not apply where the term
a) I acknowledge, understand and agree that it is a condition of my
(whether as a competitor, recreational rider, coach, official or media)
contravenes the law of the relevant jurisdiction under which any legal
participation in the Event that I agree to be bound by, and subject to,
at the Meeting I take and am exposed to certain risks and dangers
action is legitimately taken however such terms are severable and do
the rules, regulations and jurisdiction of MA as amended from time to
and am under certain obligations as follows:
not invalidate the remaining terms.
time. Copies of all MA rules, policies and regulations are available
i) that I may be injured, physically or mentally, and may be killed;
by contacting the MA office.
6. MEDICAL
ii) that my machinery or equipment may be damaged, lost or destroyed;
b) All participants are bound by the MA anti doping policy and thus
I declare that I am and must continue to be medically and physically fit
iii) that competitors may ride dangerously or with a lack of skill;
understand they may be subject to drug testing. Testing conducted
and able to participate in the Meeting. I will immediately notify MA in
iv) that track or event conditions may be hazardous and may vary
by the Australian Sports Anti-Doping Authority (ASADA) is in
writing
via
my
SCB
of
any
change
to
my
fitness
and
ability
to
without warning or predictability;
accordance with the ASADA Act and the National Ant-Doping
participate.
I
understand
and
accept
the
Indemnitees
will
continue
to
v) that organisers, officials, landowners/track operators and any agents
Scheme. This involves the taking of a sample (any human biological
rely
upon
this
declaration
as
evidence
of
my
fitness
and
ability
to
or representatives of those in charge of meetings are frequently
fluid or tissue whether alive or otherwise, or any human breath) for
participate.
obliged to make decisions under pressure of time/or events;
the purpose of detecting the use of a Prohibited Drug or Doping
I acknowledge and agree that if required, the Indemnitees (or any of
vi) that any policy of insurance of or in respect of my life or physical or
Method. Any participant infringing MA’s policy or refusing a drug test
them) may arrange medical or hospital treatment (including ambulance
mental health may be voided;
may be disqualified or otherwise dealt with in accordance with the
transportation) for me. I authorise such actions being taken by the
vii) that there may be no or inadequate facilities for treatment or
terms of the anti-doping policy.
Indemnitees
and
agree
to
meet
all
costs
associated
with
such
action.
I
transport of me if I am injured;
understand
it
is
compulsory
for
me
to
have
ambulance
insurance
in
10.
RIGHT TO USE IMAGE
vii) that I have an obligation to myself and to others to act safely and
some form and I accept responsibility for the cost of ambulance
Right to Use Image: I acknowledge and consent ot Photographs and
within the rules and regulations of MA;
transportation, ambulance cover and further agree to maintain
electronic images (including, but not limited to, moving images)
b) the Indemnitees do not make any warranty that the services at the
ambulance cover during the term of my license / membership.
being taken of me during my participation in the Event. I
Meeting will be provided with due care and skill or that any materials
acknowledge and agree that such photographs and electronic
provided in connection with the services will be fit for the purpose for
7. PRIVACY
images are owned by (organisation) and it may use the photographs
which they are supplied;
I hereby consent to the collection of my personal information by the
and electronic images for promotional or other purposes without my
c) to the extent that any warranty is implied it is excluded to the full
Promoter/Event Organiser, MA and the SCB in connection with my
further consent being necessary. Further, I consent to (organisation)
extent permitted by law;
involvement at the Event and the use and disclosure of my personal
using my name, image, likeness and also my performance in the
d) have voluntarily read and understood this warning and accept and
information by Event Organiser, and MA to other agencies and officials
Event at any time, by any form of media, to promote (organisation) or
assume the inherent risks in participating in the Event.
associated with the Event for the purposes of conducting and managing
the Event.
the Event. I understand that I may gain access to my personal information
4. WARNING UNDER THE FAIR TRADING ACT 1999 (VIC)
SCHEDULE 1
held by contacting MA at 147 Montague St, South Melbourne, Victoria,
Under the provisions of the Fair Trading Act 1999 (Vic) several
3205. I understand that if I do not provide the personal information
1) Federation Internationale de Motocyclisme
conditions are implied into contracts for the supply of certain goods and
requested above that I may not be permitted to participate in the Event.
2) Motorcycling Australia Ltd
services. These conditions mean that the supplier named on this form
3) Motorcycling Qld
is required to ensure that the recreational services it supplies to you are:
8. PERSONAL HEALTH INFORMATION
4) QLD Moto Park (QMP) – Council of Mayors / Bruce Richardson
- rendered with due care and skill;
I hereby agree with MA and the SCB that in consideration for my
5) Roma & District MCC - AJ & MH Seaby, Shane Ferry, George Taber
- as fit for the purpose for which they are commonly bought as it is
participation in the Event that MA and the SCB may receive, collect, store
6) KTM Australia
reasonable to expect in the circumstances; and
and use personal health information about me in the manner set out
7) Event First Aid, Queensland Ambulance Service
- reasonably fit for any particular purpose or might reasonably be
below:
8) QESC
expected to achieve any result you have made known to the
a) I ACKNOWLEDGE that:
9) All other persons involved in the organisation, conduct and
supplier.
i) If I am injured, become ill or die at or following the Event the party
promotion of the Event or construction or location of the facilities
Under section 32N of the Fair Trading Act 1999, the supplier is entitled to
listed at Item 8 in Schedule 1 in addition to any hospital at which I
used in connection with or otherwise related to the Event
ask you to agree that these conditions do not apply to you. If you sign
am treated (together “my Carers”) will have health related
10) Each of the respective officers, employees, servants, agents,
this form, you will be agreeing that your rights to sue the supplier under
information about me intheir possession, power and control relating
sponsors, successors and assignees of each of the above.
the Fair Trading Act 1999 if you are killed or injured because the services
to me which is subject to obligations imposed by the Privacy Act
SCHEDULE 2:
were not rendered with due care and skill or they were not reasonably fit
(“my Information”) and the Privacy Act is intended to protect my
KTM Pony Express Series:
for their purpose, are excluded, restricted or modified in the way set out in
personal information;
15 February 2015, 9 August 2015, 30 August 2015.
this form. NOTE: The change to your rights, as set out in this form, does
ii) MA and my SCB wish to collect my Information for purposes that
not apply if your death or injury is due to gross negligence on the
SCHEDULE 3:
include their risk management programs, evaluating and improving
supplier's part. "Gross negligence" is defined in the Fair Trading
Rnds 1 & 3 QMP, near Boonah, Rnd 2 Claricevale, Euthulla, near Roma.
the safety of MA and SCB events and of the Meeting organisers and
(Recreational Services) Regulations 2004.
14. EXECUTION
SIGN
HERE
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 “A” NAME (PRINT): __________________________ _______ SIGNATURE: _____________________________ DATE: _____________________
RIDER “B” NAME (PRINT): _________________________ _______ SIGNATURE: _____________________________ DATE: _____________________
15. THIRD PARTY INDEMNITY WHERE PARTICIPANT IS UNDER 18 YEARS OF AGE
I/WE ________________________________________________________ being the parents or guardians of the person named in Clause 1 (hereinafter called "the entrant") HEREBY ACKNOWLEDGE:
a) I/we have read the whole of this document and understand it; b) I/we consent to the entrant participating in the Event; AND c)..I/we are aware of the risks, dangers and obligations set out in Clause 3 above; d)
I/we acknowledge that the entrant is bound by and subject to the rules and policies of MA, including, without limitation, the MA anti-doping policy.
16. IN CONSIDERATION of the entrant being accepted as a participant in the Meeting I/WE HEREBY INDEMNIFY AND RELEASE the Indemnitees in the same manner and to the same effect as if I/WE were the
entrant and agree to personally accept all terms and conditions and obligations set out in this declaration,
RIDER “A” PARENT/GUARDIAN: _______________________________________ SIGNATURE _____________________________________ DATE: __________________
RIDER “B” PARENT/GUARDIAN: _______________________________________ SIGNATURE _____________________________________ DATE: __________________