SUPPLEMENTARY REGULATIONS. DATE: Sunday 30 th August Pederick Road, Neerabup

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TRACK LICENCE NO: 7180 PERMIT NO: SUPPLEMENTARY REGULATIONS DATE: Sunday 30 th August 2015 VENUE: EVENT CONTACT PINJAR PARK Pederick Road, Neerabup Kerry O Leary 0450 361 838 1

INDEMNITY MOTORCYCLE RACING IS DANGEROUS AND CAN RESULT IN INJURY TO COMPETITORS AND DAMAGE TO MACHINERY. These supplementary regulations and entry form are important documents, which affect your legal rights and obligations. Read these documents carefully and do not agree to terms and conditions of entry for this competition unless you are completely satisfied that you understand the contents and agree to be bound by them. 1. ANNOUNCEMENT & JURISDICTION The Wanneroo Junior Motocross Club Inc (WJMC), hereafter called the Promoter will conduct the meeting in accordance with the GENERAL COMPETITION RULES OF MOTORCYCLING AUSTRALIA (GCR S) (MOM s), these supplementary regulations and any additions or amendments approved by MWA. Entry is open for all competitors who hold a Junior National Licence with the exception of 50cc Demo (Non-Competitive) Riders. The track will close Midnight Sunday prior to the event. 2. OFFICIALS Officials are appointed with the approval of MWA. Control will be under the Clerk Of Course with the supervision from the Steward/s of the meeting who reserve the right to alter, postpone or cancel all or part of the event program if required, without notice. The Steward is appointed by MWA. The following officials will be overseeing the meeting: Steward MWA Appointed Clerk of Course Bradley Watson Race Secretary Kerry O Leary Machine Tony Gimenez Examiner 3. ELIGIBLE CLASSES AND EVENTS 3.1 CLASSES 50cc Demonstration (Non Competitive) 4 U9yrs 50cc Demonstration Quads (Non Competitive) 4 - U9 yrs 50cc Autos 7 U9yrs A,B,C GRADE 65cc 7 U12yrs A,B,C GRADE 85cc 2st std/150 4st std 9 U12yrs A,B,C GRADE 85cc 2st b/w/150 4st b/w 12 U16yrs A,B,C GRADE 100cc - 125cc 2 stroke 13 U16yrs A,B,C GRADE 128cc - 150cc 2 stroke / 200cc - 250cc 4 stroke 13 U16yrs A,B,C GRADE Under 19 s 16-U19 yrs A.B.C. Grade WAMX Championship Quad 60cc-90cc 2st/85cc-110cc 4st Limited 7-11 yrs WAMX Championship Quad 60cc-90cc 2st/85cc-125cc 4st Competition 8 U12 yrs WAMX Championship Quad 200cc 2st/250cc 4st 12-U16yrs AGE DIFFERENCE OF GREATER THAN (4) FOUR YEARS WILL BE PERMITTED. All grades subject to nomination. Grades may be combined according to entries received. 2

3.3 EVENTS 50cc Demonstration (4-u9) 4 laps 50cc Demonstration Quads (4-U9) 4 laps 50cc Autos (7-u9) 4 laps 65cc (7-u10) and 65cc (10-U12) 5 laps (Race together but scored separately) 85cc/150cc std (9-u12) 5 laps 3 Races Time permitting 85cc/150cc b/w (12-u16) 5 laps 100cc - 125cc 2 st (13-u16) 6 laps 128cc - 150cc 2 st / 200cc - 250cc 4 st (13-u16) 6 laps Under 19 s 6 laps WAMX Quad Championship Limited 7 min + 1 lap WAMX Quad Championship Competition 7 min + 1 lap WAMX Quad Championship Blasters 200cc 2st/250cc 4st 10 min + 1 lap MINIMUM/MAXIMUM RIDERS The maximum number of entries that will be accepted per class will be 40 riders for two wheeler classes and 20 riders for Quad classes. The minimum number of entries to constitute a class is 5 riders. Classes may be altered to suit entries received WAMX QUAD CHAMPIONSHIP 3 x 7min + 1 Lap motos for Quads Limited and Competition 3 x 10 min + 1 Lap motos for Quad Blasters 200cc 2st/250cc 4st MINIMUM/MAXIMUM RIDERS The maximum number of entries that will be accepted per class will be 20 riders for Quads. The minimum number of entries to constitute a class is 5 riders. Classes may be altered to suit entries received DETERMINATION OF FINAL NUMBERS: Final numbers to establish or constitute a class will be taken from the number of riders who are on the start line for the first moto taken from the transponder results. CHAMPIONSHIP SERIES Refer to the 2015 WAMX Junior State Championship Regulations at www.motorcyclinga.org.au for all information. Championship Awards will be presented at the end of the 2015 series at a special function and will be awarded 1 st, 2 nd, 3 rd in all Championship classes. Trophies will also be award to 1 st, 2 nd. 3 rd as well as competitors who have competed in a state championship class by WAMX at a separate function. Trophies will only be awarded if the competitor is in attendance at the function. 3.4 GRADED RACING The Junior Grading Committee may grade all riders and grading may be undertaken at this event. Riders will be notified in due course. 3.5 PLATE COLOURS AGE UNDER 9 9 - UNDER 12 12 UNDER 14 14 UNDER 16 PLATE COLOUR Blue Yellow Red Black NUMBER COLOUR White Black White Yellow Plate colours will apply to all capacity classes. Side plates must be the same colour as front plates. Riders must display a back number in contrasting colours at all times (refer GCR s). Riders must have had their: 1. 4 th birthday to compete on 50cc demonstration machines 2. 7 th birthday to compete on 50cc Auto machines. 3. 7 th birthday to compete on 65cc machines. 4. 7 th birthday to compete on 60cc-90cc 2st/85cc-110cc 4st Limited Quad machines. 5. 8 th birthday to compete on 60cc-90cc 2st/85cc-125cc 4st Competition Quad machines. 6. 9 th birthday to compete on 85cc/150cc 4st standard wheel machines. 7. 12 th birthday to compete on 85cc/150cc 4st big wheel machines. 8. 12 th birthday to compete on 200cc 2st/250cc 4st Quad machines. 9. 13 th birthday to compete on 125cc/ 150cc 2st and 250cc 4st machines. 3

4. ENTRY FEES Entries are now open and will close Sunday 16 th August. In the case of postponement or abandonment of the meeting, all or any part of the entry fee may be retained by the WJMC, if such retention is approved by MWA. Only entries received through Register Now entry form and accompanied by the correct fee will be accepted. Refunds will be given to riders not able to attend the meeting due to injury/medical reasons only. Notice of 48 hours will need to be given in writing and emailed to the Race Secretary with a medical certificate. $5.00 Admin fee will be charged. Entry fee - 1 st family member $70.00 per + Transponder Hire or admin fee 2 nd family member $55.00 + Transponder Hire or admin fee 3 rd and subsequent family member Free + Transponder hire or admin fee 50cc demo $20.00 per rider (no transponder needed) Extra class $30.00 per class + Transponder Hire or admin fee Payment and entries through Register Now only. Receipts will be emailed to you from Register Now. Extra machine will be allowed but the machine must go through machine examination in the time specified. The rider will be asked to identify their main race bike and spare bike and they will be marked accordingly. A change of machine shall only be permitted if written notification is in the hands of the Clerk of Course 10 minutes prior to the race in which the substitution is to be made and further the replacement machine must have been passed at machine examination and be of the same capacity. Sponsors names will be accepted, sponsors will be shown next to a riders name in a programme at the promoter s discretion. Due to space restrictions some sponsors may not be listed. 5. TRANSPONDERS Transponders will be compulsory at this meeting, except for Demo riders. Transponders can be purchased through My Laps, or hired for $15. A $5 admin fee will apply for those supplying their own transponder. It is compulsory to have purchased and fitted a transponder bracket prior to this meeting. Transponder brackets are available for purchase for $15 from the Transponder Operator at the meeting or from MWA. You must supply your own cable ties. Conditions: When transponder is transferred to the competitor, it is the competitor s responsibility or any repairs or replacement cost of the transmitter if lost or damaged. It is the competitor s responsibility to ensure the transponder is mounted correctly, and securely to prevent damage from fouling other components on the machine. It is the competitor s responsibility 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 areas. Competitors WILL be fined $50 for not returning transponders on the day. Transponders must be returned to the designated person as advised at the riders briefing. For transponders not returned on the same day, or returned to the designated person, in addition to the $50 fee, the hirer is responsible for the transponder until it arrives back at the MWA office. This includes whilst in transit with Australia Post and by Courier. No excuse will be entertained for non-delivery. It is recommended transponders be hand delivered. The transponders must be fitted for all practice sessions. NOTE: The onus is on guardian/rider to ensure transponders are on machine prior to each event; Transponders are to be collected from the undercover area in front of canteen once the bike has been Machine Examined. It is the rider s responsibility to collect and return transponders. 5. MEDICAL SERVICES Medic Aid WA personnel will be in attendance. It is a condition of entry that First Aid MUST be accepted wherever deemed necessary by the attending first aides. The Clerk of Course has the right to refuse further racing of a rider if first aid requirements are not adhered to. 4

5.1 INJURIES MEDICAL CERTIFICATES. Any rider transported via Ambulance or private vehicle will require a medical certificate stating they are fit to participate in Motorcycle Sport. The Steward will collect information from the injury reports and relay this to the MWA office where it will be recorded that you require a certificate before you can compete in any further events. This information will be mailed out to all clubs and event promoters. 5.2 AMBULANCE COVER All riders are reminded that ambulance cover is compulsory as a condition of your licence. Cover must be maintained for the duration of your licence. 6. MACHINE EXAMINATION Machine Examining: 6:00am to 7.15am sharp with riders brief at 7.30am. All riders to be signed on by a parent before proceeding to scrutineering. Signed in riders will be given a wrist band once licence and log book checked. All competitors must present themselves with their MA Licence, Log Book & Full Riding attire for inspection. Machine identification number(s) on bike and rider as per GCR s. Riders must have Helmets on their head by the time they reach the machine examiner. Any competitor presented without these requirements will be rejected. ALL MACHINES MUST CONFORM TO THE MANUAL OF MOTORCYCLE SPORT. An MWA decal must be affixed to the front number plate. Eligibility checks can take place at any time during the meeting. Machines which suffer accident damage in practice or race sessions must be re-examined before participating again. 6.1 In addition to supervising the pulling down and measuring of machines after official protests have been received by the Clerk of Course in accordance with the GCRs, the Steward can order that any machine be measured and if this occurs the a Measurer will supervise a team member to pull down any machine that has taken part in the event. Failure to comply with this regulation will result in this matter being referred to the Clerk of Course for further action. 6.2 Machines will not be sealed for later checking after the event. All machines that are to be pulled down and measured will take place at the circuit before the machine is released by the Clerk of Course. A member of the rider s team must be available at all times to carry out the dismantling the engine under the control of the Measurer. Failure to comply with this regulation will result in this matter being referred to the Clerk of Course for further action. 6.3 Noise testing as per GCR 15.19. 7. RACE CONDITIONS 7.1 PRACTICE Practice will commence no later than 7:45am on the day for all classes. Minimum three (3) laps, time permitting. 7.2 START METHOD Self-penalising drop gates. Clutch start. 1. 15 second board displayed to all riders for full 15 seconds. 2. At the end of 15 sec a 5 sec board will be displayed. 3. The gate will drop between 5 and 10 seconds after the 5-sec board is shown. Riders to be in start gates for the next race as soon as practical. Dead motors in the starting area. 7.3 GATE POSITIONS Gate positions will be drawn by ballot by the rider on the day for the 1 st race only eg peg # 1 equals gate #1. Gate position will then be determined for the following races by your previous race placement. DNF riders will have last gate pick in order of DNF. Only authorised officials will be permitted on the starting line and only 1 assistant per rider is permitted on the start line.. 7.4 FINISHING A one-lap board will be displayed to the riders indicating when one lap remains. The checked flag will be displayed to signal the race is finished. A competitor finishes and qualifies for inclusion in the results if the competitor; a) Completes not less than 75% of the race distance; and b) Is shown the chequered flag on crossing the finish line. 5

7.5 PROTESTS All protests shall be in writing and accompanied by the relevant fee as per the GCR s (MoMS). A protest flag will be placed at the start of the pit return. The right to protest lies only with the rider, who should indicate prior to leaving the circuit that they wish to lodge an official protest by use of the purple protest flag and must wait there until a race official documents the protest and not enter into discussion with anyone else until the Clerk of Course or Steward is present. 8. EVENT SCHEDULE It is compulsory that all riders are in attendance at the Riders Brief along with one parent/guardian. 5.30am Pits open 6.00am to 7:15am Sign in & Scrutineering 7.30am Riders Brief 7:45am Practice Trophy presentation to follow 30min after last event. PRACTICE 7:45AM - first lap will be under yellow flag 50cc Demo 50cc Demo Quads 85cc/150cc std (9-u12) 128cc - 150cc 2st /200cc - 250cc 4st (13-u16) 50cc Auto (7-u9) WAMX Quad Limited 100cc -125cc 2st (13-u16) 65cc (7-u12) WAMX Quad Competition 85cc/150cc b/w (12-u16) WAMX Quad Blasters Under 19 s (16-U19) RACE FORMAT subject to change on the day 1. 50cc demo 4 laps 2. 50cc demo quads 4 laps 3. 85cc/150cc std A,B,C 4 laps 4. 128cc - 150cc 2st / 200cc -250cc 4st ABC 6 laps 5. 50cc Auto A,B,C 4 laps 6. WAMX Quad Limited 7 min + 1 lap 7. 100-125cc 2st A,B,C 6 laps 8. 65cc ABC 4 laps 9. WAMX Quad Competition 7 min + 1 lap 10. 85cc/150cc b/w A,B,C 5 laps 11. WAMX Quad Blasters 10min + 1 lap 12. Under 19 s 6 laps 9. AWARDS Trophies will be awarded in all classes based on entries received. 1 st, 2 nd, and 3 rd for A, B and C grade in each class will be awarded where five (5) or more entries received. If there are less than 5, then the classes may be combined with the approval of the Steward. When 2 classes are combined (due to low number of entries) prizes are awarded at the discretion of the promoter. For the overall winner of each class, regardless of grade there will be a $200 gift voucher from KTM Australia, Quad classes are ineligible for the gift vouchers as this is a WAMX State Championship Round. 50cc demo competitors ALL receive a participation award, all to be identical. 10. PARENT PARTICIPATION Riders who intend to practice or participate must be accompanied by a parent or guardian, who may be required for flag marshal duties if called upon to do so. The Steward/s of the meeting reserves the right to withdraw any rider if the parent or nominated person refuses to carry out such duties without showing just cause. 10.1 FLAG MARSHALL DUTIES Parents or guardians who are required to do flag duties must sign on at machine examination. If you do not sign on, your rider will be excluded from practice and competition unless just cause can be proven to the Clerk of Course. There will be two flag shifts, am and pm. (Flag changeover will be listed in program). NO FLAG MARSHAL NO RIDING ALL Flag Marshalls must attend the Flag Marshalls Briefing at the scrutineering shed located in the pit area at 7:30am and Shift 1 will need to be in position at their allocated flag points immediately following the Riders Briefing. 6

ALL FLAG MARSHALLS MUST REMAIN AT THEIR FLAG POINT UNTIL REPLACED BY THE NEXT SHIFT, OR UNTIL THE FINAL RACE HAS BEEN COMPLETED, IN THE CASE OF THE LAST SHIFT. FAILURE TO BE ON TIME WILL RESULT IN YOUR CHILD BEING EXCLUDED FROM THE REMAINDER OF THE EVENT. Demo class parents will be required to sign on to assist when their child is on the track. All Flag Marshalls must meet at the designated meeting place to be accounted for before proceeding to their marshalling positions. In the case where a marshalling duty is being shared by more than one person. All marshall s must sign on and ensure that they are wearing a reflective safety vest before proceeding out onto the track. 11. GENERAL RULES 12. FACILITIES 11.1 No alcoholic beverages allowed in pits or racing circuit. 11.2 Open pits will run during this event, machines may be ridden from the pitting areas at slow walking pace, via the marked area, however once they are within the pit area they must walk their bikes to the starting area. Machines should be pushed to and from vehicles and in and around the pits. Engine may be running to assist. 11.3 Dogs will not be permitted (except guide dogs). 11.7 Enclosed footwear must be worn in the pits and on the circuit at all times. 11.8 No pit bikes / bicycles / scooters 11.9 This is a licenced event NO BYO alcohol. 11.10 No Smoking is permitted at this event. Full Canteen and Bar facilities available 13. ANTI-DOPING POLICY All competitors and officials are advised that drug testing may take place in accordance with MA s Anti-Doping Policy and Drugs and Alcohol Safety Policy, Refer to GCR 11 for details. 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 prize money may be delayed at Motorcycling WA s discretion until the results of the tests are known. 14. ALCOHOL TESTING All competitors and officials are advised that random breath-testing may take place during the competition in accordance with the Motorcycling Australia Drug and Alcohol Safety Policy. 15. CODE OF CONDUCT All competitors, officials and parents are reminded of MA s Code of Conduct contained within MA s Member Protection Regulations, found at www.ma.org.au, which is a guide to appropriate behavior at all motorcycle race meetings. This Code of Conduct applies to this Meeting and will be enforced. 16. NO HASSLE POLICY Any rider or entrant or person associated with the rider or entrant shall conduct themselves in an orderly manner. A rider shall be responsible for his own conduct and for that of any person with whom he is associated. Anyone who abuses or threatens verbally or physically any official or any other person present at the event shall be deemed to be in Breach of this rule. The No Hassle Policy applies to the Race Secretary and other volunteers of the Promoter and subsequent to the event. A No Tolerance approach will be applied for any breach in this regard, with Exclusion as the penalty. Penalties: will be imposed by the steward for a breach of this rule on the day i.e. * Reprimand or warning * Fine * Exclusion from the meeting All breaches will be reported to M.W.A. for possible further action. 17. RIGHT TO USE IMAGE It is a condition of entry that consent is given by the entrant/rider and/or parent/guardian for all photographs and electronic images(including moving images) that may be taken during the event by or on behalf of the Promoter, or with permission of the Promoter. All such images are the property of the Promoter and will only be used in accordance with the Motorcycling Australia Member Protection Policy. 18. ADDITIONAL INFORMATION ENQUIRIES Kerry O Leary Ph: 0450 361 838 Email: wjmcracesecretary@hotmail.com 7

PARTICIPATE DECLARATION CONTRACT TO PARTICIPATE KTM KID OF THE SAND 2015 I HEREBY AGREE with Motorcycling Australia Limited ( MA ) that I am by this agreement entitled to participate in the motorcycle activity/meeting listed in Schedule 2 (hereinafter called "the Meeting" or the Event ) at the venue listed at Schedule 3 (hereinafter called "the Venue") on the terms and conditions set out in this document. DEFINITIONS 2. In this declaration: a) Claim means and includes any action, suit, proceeding, claim, demand, damage, cost or expense however arising including but not limited to negligence but does not include a claim against a Motorcycling Organisation under any right expressly conferred by its constitution or regulation; b) Indemnitees means and includes the persons, organisations and bodies corporate whose names appear in Schedule 1. c) MA means Motorcycling Australia Limited; d) State Controlling Body (SCB) means a state or territory motorcycling association affiliated as a member of MA; e) Motorcycling Activities means performing or participating in any capacity in any authorised or recognised Motorcycling Organisation event, meeting or activity; f) Motorcycling Organisation means and includes MA, and the MA members (including the SCBs and affiliated clubs) and where the context so permits, their respective directors, officers, members, servants or agents. ACKNOWLEDGMENT OF RISKS, DANGERS & OBLIGATIONS 3. I ACKNOWLEDGE that: 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 and dangers and am under certain obligations as follows: 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; iii) that competitors may ride dangerously or with a lack of skill; iv) that track or event conditions may be hazardous and may vary without warning or predictability; v) that organisers, officials, landowners/track operators and any agents or representatives of those in charge of meetings are frequently obliged to make decisions under pressure of time/or events; vi) that any policy of insurance of or in respect of my life or physical or mental health may be voided; vii) that there may be no or inadequate facilities for treatment or transport of me if I am injured; vii) that I have an obligation to myself and to others to act safely and within the rules and regulations of MA; 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 purpose for which they are supplied; c) to the extent that any warranty is implied it is excluded to the full extent permitted by law; d) have voluntarily read and understood this warning and accept and assume the inherent risks in participating in the Event. WARNING UNDER THE FAIR TRADING ACT 1999 (VIC) 4. Under the provisions of the Fair Trading Act 1999 (Vic) several conditions are implied into contracts for the supply of certain goods and services. These conditions mean that the supplier named on this form is required to ensure that the recreational services it supplies to you are: - 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 circumstances; and - reasonably fit for any particular purpose or might reasonably be expected to achieve any result you have made known to the supplier. 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 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, restricted or modified in the way set out in this form. 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 (Recreational Services) Regulations 2004. For the purposes of the clause 3, the Supplier shall mean and include the Indemnitees. INDEMNITY AND RELEASE GIVEN TO ORGANISERS 5. IN CONSIDERATION of the acceptance of me as a participant in the Meeting: a) I AGREE TO INDEMNIFY AND KEEP INDEMNIFIED to the full extent permitted by law the Indemnitees and each of them in the following manner: i) that I participate in the meeting at my sole risk and responsibility; ii) that I accept the Venue as it stands with all or any defects hidden or exposed; iii) that I indemnify and hold harmless the Indemnitees, their respective servants, agents, officials and 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 my equipment whether caused by negligence, breach of contract or in any other manner whatsoever. b) I AGREE TO RELEASE to the full extent permitted by law the Indemnitees and each of them from all 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 third 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. 6. The release and indemnity provided by me in this declaration is in addition to, and will not in any way limit the application of, the conditions of sale attaching to tickets, conditions of entry, conditions of credentials or any other applicable terms or conditions in respect of the Event. 7. A term of this release and indemnity will not apply where the term contravenes the law of the relevant jurisdiction under which any legal action is legitimately taken however such terms are severable and do not invalidate the remaining terms. MEDICAL 8. I declare that I am and must continue to be medically and physically fit and able to participate in the Meeting. I will immediately notify MA in writing via my SCB of any change to my fitness and ability to participate. I understand and accept the Indemnitees will continue to rely upon this declaration as evidence of my fitness and ability to participate. 9. I acknowledge and agree that if required, the Indemnitees (or any of them) may arrange medical or 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 is compulsory for me to have ambulance insurance in some form and I accept responsibility for the cost of ambulance transportation, ambulance cover and further agree to maintain ambulance cover during the term of my license / membership. PRIVACY 10. I hereby consent to the collection of my personal information by the Wanneroo Junior Motocross Club, MA and the SCB in connection with my involvement at the Event and the use and disclosure of my personal information by Wanneroo Junior Motocross Club 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 The Wanneroo Junior Motocross Club by contacting The Wanneroo Motocross Club at PO Box 178, Wanneroo WA 6056 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. PERSONAL HEALTH INFORMATION 11. 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 set out below: 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 addition to any hospital at which I am treated (together my Carers ) will have health related information about me in their possession, power and control relating to me which is subject to obligations imposed by the Privacy Act ( my Information ) and the Privacy Act is intended to protect my personal information; ii) 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 and facility providers of MA / SCB permitted events, and generally to 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 Information in accordance with clause 11(a)(i) above and in the manner set out in clause 11(b). b) IN CONSIDERATION of my acceptance as an entrant in the Meeting I consent and agree that MA and my SCB: i) may collect and store any of my Information, including obtain my Information from third parties including my Carers; 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 SCB, or with an MA or SCB permit; iii) 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 permit provided any such information is held by MA or my SCB in accordance with the MA Privacy Policy. c) I irrevocably authorise MA and my SCB and hereby appoint MA and my SCB as my lawful attorneys to collect from my Carers, and I hereby direct my Carers to provide to MA or my SCB upon request being made by MA or my SCB, any of my Information including but not limited to any information concerning any incident or event causing or contributing to or resulting from any injury, illness or death to me, the details of any diagnosis and prognosis provided to me by my Carers (or any party with the knowledge of any of my Carers), and any other matter to the knowledge of my Carers that might reasonably be considered to be requested by MA or my SCB for the purpose of improving safety at MA and SCB events. POLICIES AND REGULATIONS 12. I acknowledge, understand and agree that it is a condition of my participation in the Event that I agree to be bound by, and subject to, the rules, regulations and jurisdiction of MA as amended from time to time. Copies of all MA rules, policies and regulations are available by contacting the MA office. 13. All participants are bound by the MA anti doping policy and thus understand they may be subject to drug testing. Testing conducted by the Australian Sports Anti-Doping Authority (ASADA) is in accordance with the ASADA Act and the National Ant-Doping Scheme. This involves the taking of a 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 policy or refusing a drug test may be disqualified or otherwise dealt with in accordance with the terms of the anti-doping policy. EXECUTION 14. BY SIGNING I STATE THAT I HAVE READ AND UNDERSTOOD THIS DECLARATION (INCLUDING THE WARNING, INDEMNITY AND RELEASE) AND AGREE TO THE TERMS AND CONDITIONS AS STATED. THIRD PARTY INDEMNITY WHERE PARTICIPANT IS UNDER 18 YEARS OF AGE 15. I/WE being the parents or guardians of the person named on the reverse (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, SCHEDULE 1. 1) Federation Internationale de Motocyclisme 2) Motorcycling Australia Ltd 3) Motorcycling Western Australia 4) The Wanneroo Junior Motocross Club 5) KTM Australia 6) City of Wanneroo 7) Medic Aid WA 8) All other persons involved in the organisation, conduct and promotion of the Event or construction or location of the facilities used in connection with or otherwise related to the Event 9) Each of the respective officers, employees, servants, agents, sponsors, successors and assignees of each of the above. SCHEDULE 2: 30 th August 2015 SCHEDULE 3: Pinjar Park, Pederick Road, Wanneroo