2016 WPCA Qualification Run-Off Package. Contents to Apply for entry into the 2016 Run-Off

Transcription

1 2016 WPCA Qualification Run-Off Package RUN OFF: Location TBD August 25th - 28th, 2016 Contents to Apply for entry into the 2016 Run-Off 1. Entry fee for run-off: $ (Certified Cheque, Cash and Credit Card Only) 2. Notarized Application 3. Current medical 4. Signed Consent & Release for Human Alcohol and Drug Testing and Animal Drug testing 5. Signed 2016 WPCA Rulebook Acknowledgement and Agreement 6. Signed Conditions of Participation Please return forms to: a) Race Secretary Trailer b) - tammy.kristiansen@wpca.com ENTRIES CLOSE: 5:00 PM Wednesday, August 10, 2016

2 2016 WPCA PRO TOUR Rules and Information GENERAL RULES & INFORMATION: Sanctioning procedures apply and must be completed and on file before entries close. A notarized application and entry fee of $1,500 must be on file before entries close on August 3rd, 2016 at 5:00PM. Current medical release and all other signed forms must be on file before competing in the run-off. All Run-Off Participants must be in good standing with the association they are currently members of. Any costs of the run-off over will be shared among all participants of the Qualification Run-Off. Membership fees do not apply unless you are successful qualifying for the tour. Initiation Fee: 20% of all canvas auction sales (for a wagon s canvas, advertising the first year) for ALL WPCA Pro Tour Venues. Minimum Initiation Fee is: $1, this fee can be deducted from the proceeds of the canvas auctions, except for that of the Calgary Stampede, which will be invoiced. WPCA Rules provide that: Those qualifying for Calgary Stampede, (through their membership in WPCA) will remit 10% of their winnings (to a Maximum of $1,000 + GST) to the WPCA. RUN OFF INFORMATION: The 2016 Qualification RUN OFF location is TBD. (August 25th through August 28th, 2016) General Manager, Tom Barrow Any communications to the WPCA (problems or questions) must be directed through Tom. Information regarding manure, garbage, washrooms etc. will be provided on site. Clean Up: Drivers that leave without cleaning up their barn and trailer sites will be billed for the cost of hiring someone else to do it. Entries: Contact Tammy WPCA office cell or tammy.kristiansen@wpca.com. Entry close time is Wednesday at 5:00PM, August 3rd, Point System: Dependant on number of entries. If there are 12 entries, the top time of the day receives 12 Points. The points are accumulated by the day only. No averages. If a driver is not ready when called to compete, or does not make it to the track = 0 Points If a driver receives a no time (wreck or run away before race) if on track = placing last in the day = 0 points For a tie in points = points are split If there is a tie in points at the end of 4 days, then an aggregate time shall apply. Driver Replacement (for medical reasons) during run off: Same as rules for Driver replacement from WPCA Rulebook Race Format: WPCA racing Rules apply. Penalties & fines apply. (Exceptions as noted in Section D 4 of WPCA Rulebook). ie: Wagon interference, practice turns out of order, wrong shirt colors etc. There will be 2 3 wagons per heat (depending on # of entrants) with NO Outriders Points are assigned for daily results based on entries Heats drawn by office 1 st night, Remaining heats are based on day times without penalties Drivers are to advise the office of the tarp name used for the race (this is needed for the announcer) *** NOTE *** No unauthorized use of equipment or vehicles are permitted on the track. WPCA TOUR QUALIFICATION: Top 30 Wagons from 2016 are automatically eligible to enter Only wagons from the Qualification Run Off are eligible to enter the 2017 WPCA Pro Tour (Based on the number of positions available) The order of eligibility for the 2017 tour will be determined by the final placing in the Run Off

3 2016 WPCA Run-Off Application Please send with remittance to: W.P.C.A NAME:_ ADDRESS: CITY/PROVINCE: POSTAL CODE: HOME PHONE: WORK PHONE: FAX: Address: Payment Method Cheque: Visa: Mastercard: Credit Card # Security Code Expires Name (printed) Signature: TOTAL AMOUNT ENCLOSED: $ Medical (Check one) Current from: 2016 WPCA Tour 2016 Calgary Stampede Attached with Entry Application Registrant's Name (Print): Registrant's Signature: Date: Signature of Notary: Notary Seal: Application & Entry Fee must be submitted by 5:00 PM Wednesday, August 3, 2016

4 CONSENT AND RELEASE ACKNOWLEDGMENT I understand that I have read the WPCA Alcohol and Drug Testing Policy, and the Animal Drug Testing Policy, understand their terms and agree to comply with the requirements of the policies. CONSENT I hereby give my voluntary consent for the representatives or designates of the WPCA to collect urine, saliva and breath samples from me at its discretion, subject to the terms of the Policy. I also give consent to the testing of the sample for drugs, alcohol and controlled substances, and to conduct any other tests necessary for the implementation and enforcement of the policies. AUTHORIZATION TO RELEASE INFORMATION I authorize the WPCA's approved laboratory to release all negative test results to the President of the WPCA and to the WPCA's appointed Medical Review Officer if the results are positive. I also agree that the Medical Review Officer may consult with my personal physician and any other health professional, for information as to whether the positive results are consistent with non-medical use of drugs. I authorize the Medical Review Officer to inform the President of the WPCA of his/her interpretation of the test results. Member s Name (Print) Member s Signature Witnessed by (Print) Witnessed by (Signature)

5 2016 WPCA Rulebook Acknowledgement and Agreement Acknowledgement I acknowledge that I have received the WPCA RuleBook dated May 2016 and have read the WPCA Codes of Care policy and Code of Conduct Policy, understand its requirements and recommendations and agree to comply with the requirements of the policies and make best efforts to comply with the recommendations. I understand that any infractions will be dealt with by the WPCA Board of Directors in accordance with the WPCA Rule Book. Member's Signature Member's Name (Print) Date Witness's Signature Witness's Name (Print) Date

6 1. CONDITIONS OF PARTICIPATION IN CONSIDERATION OF my being allowed to participate in the chuckwagon ride, I, the Participant, acknowledge and agree with the World Professional Chuckwagon Association (WPCA) that: A. I will abide by all the rules, regulations and directions (written or verbal) of the WPCA and its designated officials pertaining to the chuckwagon ride; B. I agree to receive, at my sole cost and expense, such medical treatment including transportation by ambulance, as the WPCA, its directors, officers, agents, representatives, contractors, subcontractors or employees may prescribe in the event that I sustain or am believed to have sustained, any injuries in connection with the chuckwagon ride. 2. RELEASE, WAIVER OF CLAIM, INDEMNITY AND ASSUMPTION OF RISK IN CONSIDERATION OF my being allowed to participate in the chuckwagon ride, I, the Participant, for myself, and for my personal representatives, heirs and next of kin, acknowledge and agree with the WPCA and its members, shareholders, employees, agents, directors, officers and volunteers (including without limitation all medical staff) and each of them and their respective heirs, successors and assignees ("the Releasees") that: A. I am aware that participating in the chuckwagon ride can be a dangerous activity involving MANY RISKS OF INJURY. B. I am freely and voluntarily assuming any and all dangers, risks and hazards arising through participation in, spectating or mere attendance at the chuckwagon ride and further acknowledge that I am doing so entirely at my own risk. C. the Releasees and each of them are not responsible for any loss, damage, personal injury or death I may suffer arising from or in connection with my participating in the chuckwagon ride or transportation to or from the chuckwagon ride or for any reason whatsoever, including without limitation, negligence on the part of the Releasees or any of them. D. the risks associated with the chuckwagon ride are increased when impaired and that I will not participate in the chuckwagon ride if I am impaired in any way. E. I, the Participant, hereby remise, release, discharge and waive, and further agree to indemnify and saves harmless, the Releasees and each of them from any and all liability, costs (including without limitation legal costs), claims, damages, demands, actions and causes of actions at law and/or equity arising from or as a result of any loss, damage, personal injury or death suffered by the me, as a result, directly or indirectly, of participating in the chuckwagon ride for any reason whatsoever, including without limitation, negligence or partial negligence on the part of the Releasees or any of them. F. I, the Participant, by signing this document, will be precluded from suing or otherwise claiming against the Releasees or any of them for any loss, damage, personal injury or death that may be sustained through my participation in the chuckwagon ride.

7 ACCEPTANCE OF THE ABOVE by me, the Participant, is evidenced by my signature and it is acknowledged that no representations, statements or inducements, whether written or oral, were made to me, except as set out in the foregoing written document. WARNING: By signing this document you give up certain legal rights, including your right to sue. Read the document carefully. If you do not understand the document, please consult your lawyer prior to signing. (Witness) (Signature of Participant) (Print Name) (Date) NOTE: If the Participant is under 18 years of age, a Parent or Guardian must sign below. IN CONSIDERATION OF the Participant being permitted to participate in the chuckwagon ride, I, being a parent or lawful guardian of the Participant, hereby consent to such participation by the Participant in the chuckwagon ride and related activities, or any other activities in which he/she may choose to participate, and acknowledge and agree to the terms hereof, including without limitation the indemnity in paragraph 2(E), on my own behalf as well as that of the Participant to the extent permitted by law. (Signature of Parent or Guardian) (Print Name) Address: Telephone: