QUEENSLAND APPLICATION FORM 31 July 6 August 2016 aussiemusclecarrun.com

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1 AUSSIE MUSCLE CAR RUN 1 QUEENSLAND APPLICATION FORM 31 July 6 August 2016 aussiemusclecarrun.com

2 2 LEUKAEMIA FOUNDATION The 60s and 70s provided an era of the most outstanding vehicle competition in the world. The cars that raced you could buy. It spanned an era of famous and fabulous drivers that became household names then, and remain so today. Moffat, Brock, Goss, Firth, Grice, Manton, Geoghan; the list goes on. It sparked an era of legendary Aussie Muscle Cars that are the most desirable to own in the country today The Falcon GT HO, Monaro, Torana, Charger and their many variations. It was also a period when Bathurst accepted various other makes and models allowing vehicles other than the great Aussie Muscle machines to compete Datsun 1600, Mini Cooper S, Alfa Romeo, Lotus, Cortinas and many more. The Leukaemia Foundation is offering owners of these great vehicles (replicas accepted) the opportunity to enjoy a seven day Aussie Muscle Car Run from Sunday 31 July to Saturday 6 August This run will take entrants on approximately 2125 kilometres of bitumen roads around a sweep of Queensland to enjoy the hospitality, scenery, mixing with like-minded enthusiasts and, of course, the sheer pleasure of the drive! It s not a competition event; it is a week-long cruise event and opportunity to show off your car to the wider community. Entrants will also have the opportunity to participate in various controlled motorsport events, including events at Ironbark Dragway and the Noosa Hill Climb! Your entrance fee of $1500 each includes: daily breakfast and dinner accommodation twin share (31 July 5 August) overnight security for the cars official entrant shirt car livery (stickers) back up mechanical support/facilities motor sport events (including CAMS and ANDRA licences) Pre and post event dinner The money raised will help fund life-saving blood cancer research and provide support for families impacted by blood cancer. This is an event that cannot be missed by any Aussie Muscle Car enthusiast that yearns for the glory days of Bathurst 1963 to For more information please visit aussiemusclecarrun.com or facebook/aussiemusclecarrun Alternatively our event organisers would love to hear from you: Cassandra Creed - Event Coordinator

3 3 Overview The Aussie Muscle Car Run, after a number of successful runs in South Australia, Western Australia and Victoria will now take to the open roads in Queensland in This motoring event will see approximately 60 people travelling in 30 muscle cars, in a leisurely paced motoring run. All proceeds raised from the Aussie Muscle Car Run will help ensure more people survive a blood cancer diagnosis and then go on to live a full life. AUSSIE MUSCLE CAR RUN The event in brief Open to cars manufactured during the period (replicas welcome) and includes various models of Ford, Holden and Chrysler see the website for all eligible cars aussiemusclecarrun.com Cars of special interest which fall outside the criteria will be considered by the Event Organisers. The Run incorporates dedicated controlled motorsport events including drags, slalom events, skid pans and the Noosa Hill Climb. Entrants to pay a registration fee per person, which includes six night s accommodation, breakfasts and dinners, overnight security for vehicles, support mechanics, car livery (stickers) motorsport events and entertainment along the way. Entrants must fundraise an additional $2,500 (minimum) per car entry by Monday 25 July 2016 The Aussie Muscle Car Run commences on Sunday 31 July and will conclude on Saturday 6 August 2016 A welcome home event and presentation night will be held on Saturday 6 August 2016 All proceeds will be directed to the Leukaemia Foundation. Entrant sponsorships and fundraising Individual entrants in this unique motoring event have the opportunity to seek sponsorship to offset all or part of the cost of taking part. This could be achieved in a number of ways: Develop a package for your team that includes sponsor stickers for your vehicle (in addition to the event sponsor stickers which we will provide as part of your entrant s kit) Arrange to have your car on display at your sponsor s business premises, or at local community events Prepare a media kit to highlight your sponsor in local newspapers and arrange interviews on radio stations Highlight your sponsor in club newsletters Wear T-shirts with prominent sponsor ID. Offer your sponsor, his/her staff and clients the opportunity to have a cruise in your vehicle Offer to take your sponsor and perhaps one or two of his/her clients on the event with yourself as the driver/host Run raffles at your club(s) and amongst friends and workmates Organise fundraising at BBQs and other social or community events Share the fundraising with your co-driver Some entrants may wish to cover all the costs themselves and enjoy the event as a selffunded muscle car cruising holiday. We hope that some of our suggestions help! For more ideas, call Event Coordinator Cassandra Creed or ccreed@leukaemia.org.au

4 4 LEUKAEMIA FOUNDATION Itinerary DAY 1 Sunday 31 July Runaway Bay to Warwick (237km) Tour of Muscle Car Museum Lunch & Dinner DAY 2 Monday 1 August Warwick to Roma (460km) Show n Shine and Night Drags Ironbark Raceway Breakfast & Dinner DAY 3 Tuesday 2 August Roma to Emerald (402km) Emerald Car Club Slalom and Show n Shine Breakfast, Lunch & Dinner DAY 4 Wednesday 3 August Emerald to Rockhampton (270km) Go Karting Breakfast & Dinner DAY 5 Thursday 4 August Rockhampton to Bundaberg (291km) Bundaberg Rum Tour Factory and Show n Shine Breakfast & Dinner DAY 6 Friday 5 August Bundaberg to Tewantin (252km) Show n Shine Noosa Lake Breakfast & Dinner DAY 7 Saturday 6 August Tewantin to Runaway Bay (213 km) Noosa Hill Climb event (Noosa Car Club) Breakfast & Dinner Total: 2,125km

5 5 Conditions of entry 1. The AMCR committee shall select those of the applicants who are to join the Run. The criteria for selection will be as determined by the AMCR committee. The AMCR committee shall not be required to give any reason for the non-selection of an applicant and no further correspondence will be entered into, following its decision. 2. All vehicles must be conventional two wheel drive vehicles with a maximum crew of two people unless special dispensation is granted by the Event Chairman. All vehicles must have a main driver (Captain) and co-driver. (Minimum of 2 adults per car) 3. All vehicles entered in the Run must have been built between 1963 and 1977, or must be a vehicle of special interest. 4. All vehicles must be models/makes of cars that are classified as a muscle car built between 1963 and 1977 inclusive. Other eligible vehicles are those who participated in Bathurst between 1963 and 1977 inclusive. EG: Mustang, Camaro, Corvette, American Charger, early model Holden, GT Falcon, GTS Monaro, Charger, Mini Cooper S etc. Please see the website for comprehensive list of all eligible vehicles. (Vehicles of special interest will be considered). 5. Vehicles in the Run can be a genuine or replica model/make. 6. All drivers in the Run must hold a full license (Not L or P plates), vehicles must be insured and roadworthy as prescribed by Queensland State Laws. All vehicles will be scrutineered to confirm eligibility. Each driver must be able to present a copy of current registration papers and a full driver s licence at any time. Motorcycles, buses, coaches, caravans, skateboards, motorised wheelbarrows etc are not allowed to participate. 7. The entrant's number, that is determined and advised by the AMCR organisers, must be fixed (unaltered) to the front doors of the vehicle. All cars must prominently display the event sponsor s stickers, which will be supplied by the organisers along with instructions of how/where to adhere to your vehicles and must be placed where AMCR organisers advise. Entrants must display stickers of the names of the main driver and co-driver on rear passenger windows which are also supplied by AMCR organisers. 8. Entrants taking part in the Run in any way must sign an indemnity form as supplied by AMCR organisers. 9. The Entrant indemnifies AMCR organisers against any penalty or liability the AMCR organisers may incur as a consequence or action of the Entrant. 10. Entrants that are participating in the motor sport events on the Run must have a fire extinguisher fitted inside the vehicle. Helmets must be worn when participating in any motor sport event by driver and co-driver. NOTE: There is a maximum of 1 person per car in each motor sport event. (Driver only) 11. In addition to $1500 (per person) registration fee, entrants must procure further contributions (including donations) of at least $2,500 per car. This must be banked Monday 25 July At all times entrants must abide by the rules of the road as prescribed by State (QLD) laws and statutes. 13. Entrants must observe all rules and regulations and vehicle specifications as issued by the AMCR organisers. 14. Entrants are not to operate bank accounts for the purpose of fundraising, using the name of Aussie Muscle Car Run or Rally, Muscle Run or Rally, Leukaemia Foundation Run or Rally or any of these combinations. 15. The AMCR organisers reserve the right to conduct random breath testing of drivers for blood alcohol and drug content throughout the event. 16. The AMCR organisers reserve the right to refuse any entrants, if they believe the car theme, decoration or sponsor does not portray the image required to be associated with the Leukaemia Foundation. 17. Motorsport is subject to change without notice by the AMCR organisers. 18. Should your vehicle break down on the open road the AMCR organisers will have your vehicle delivered to the nearest town at no charge. If the event support mechanics are unable to repair the vehicle and therefore the vehicle is unable to continue on the Run, it is then the responsibility of the vehicle s owner to have the vehicle transported to their desired destination. (At the participant s cost) 19. The AMCR organisers ruling on eligibility is final. Further conditions of entry may be drawn up by the organisers and will appear on: aussiemusclecarrun.com AUSSIE MUSCLE CAR RUN

6 6 LEUKAEMIA FOUNDATION Application for entry Please print clearly and fill in all sections. Please note that this form is 3 pages. Date of application: / / 201_ Team captain information Team name: Captain s full name: Do you have a preferred name or nickname? Date of birth: / / Residential address: Postal address: Mobile ph: Business ph: address: Polo shirt size (please circle): S M L XL 2XL 3XL 4XL 5XL Emergency contact name: Emergency contact ph: Co-driver information Co-driver s full name: Do you have a preferred name or nickname? Date of birth: / / Residential address: Postal address: Mobile ph: Business ph: address: Polo shirt size (please circle): S M L XL 2XL 3XL 4XL 5XL Emergency contact name: Emergency contact ph: Car details Please note vehicles must be models/makes of cars that participated in Bathurst from inclusive. This includes replica cars. Vehicles of special interest will also be considered. Vehicle make: Car registration no:

7 7 Car model and year: Is your vehicle running a standard/factory motor? YES / NO Has your vehicle s motor had any modifications? YES / NO Is your team interested in participating in motorsports events whilst on the Run? YES / NO Team motivation AUSSIE MUSCLE CAR RUN What is your motivation behind joining the Aussie Muscle Car Run? Why do you want to take part? (For example, love restoring muscle cars, you know someone who has had a blood cancer like leukaemia etc): Are you happy for us to use your story to help promote the Aussie Muscle Car Run? YES / NO Conditions of entry I have read and acknowledge the attached conditions of entry. I agree to observe these conditions and all subsequent amendments and additions. Failure to observe these conditions of entry may lead to cancellation of entry. Team captain name: Signature: Co-driver name: Signature: Registration fee $1,500 per person (inc. GST) (Total of $3000 registration fees for captain and co-driver) Please add: Pre-event accommodation Saturday 30 July Ramada Hope Island $185 (twin/double share, including breakfast) Post-event accommodation Sunday 6 August Ramada Hope Island $185 (twin/double share, including breakfast) Additional tickets to post event $50 per person number of tickets Please return this form together with your non-refundable registration fee to: Cassandra Creed Queensland Event Coordinator Aussie Muscle Car Run GPO BOX 9954 BRISBANE QLD 4001 Or scan and to: ccreed@leukaemia.org.au

8 8 LEUKAEMIA FOUNDATION Fundraising Entrants are also required to raise a minimum of $2,500 per car registered in donations to the Leukaemia Foundation of Australia and must ensure the funds raised are banked before Monday 25 July Payment Options I enclose my cheque for $ made out to the Leukaemia Foundation OR Please charge my credit card $ Visa / MasterCard / Amex (please circle one) Credit Card # / / / Exp. Date / CVV Name on card: Signature: Today s date: / / Your privacy is important to us and we need to collect this information about you to provide the products and services you are asking for. We have a privacy statement on our website which explains why we collect it and how we use it. You can go toleukaemia.org.au/privacy to view this statement.