KTM PONY EXPRESS SERIES

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KTM PONY EXPRESS SERIES Round 1 Hosted by Hinterland Enduro Junior Development Club Inc Duingal Rd Wallaville, QLD 4671 GPS -25 5 43 S 152 0 37 E Saturday June 23 rd

KTM PONY EXPRESS SERIES SUPPLEMENTARY REGULATIONS ENDURO PONY EXPRESS OPEN EVENT ALL CLUBS and RIDERS WELCOME RND DATE PROMOTER / VENUE 1 23 RD June 2018 Hinterland Enduro Junior Development Club Inc CLOSING DATE 21 ST June 11 pm PERMIT NO 51820 TRACK LIC NO VR1877 VR1878 RND M.A. STEWARD CLERK OF THE COURSE RACE SECRETARY INDIVIDUAL EVENT CONTACTS 1 Allan Gadsby Frank Kraan Andrew Davis Dave Thompson 0428 260 168 Debbie Douglas 0417 198 006 1. ANNOUNCEMENT: 1.1. Hinterland Enduro Junior Development Club Inc, hereafter called the PROMOTER will conduct Round 1 of the KTM Pony Express Series at Duingal Rd Wallaville Qld 4671 on Saturday 23 rd June, 2018. 1.2. Round 2 TBA 1.3. Round 3 Gladstone 11 th August 2. JURISDICTION: 2.1. 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 financial members of the Participating Club. 2.2. 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. Entries open forthwith and will be accepted ONLINE at: www.queenslandenduro.com.au 3.2. 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. THERE IS NO EFTPOS FACILITY ON SITE. 3.3. A separate online nomination or entry form and participant declaration must be completed for each round. 3.4. ONLY ENTRIES RECEIVED ON THE OFFICIAL ENTRY FORM (or electronic nomination) THAT IS ACCOMPANIED BY THE CORRECT FEE WILL BE ACCEPTED. 3.5. 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. 3.6. 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. INSURANCE: 4.1. National Personal Accident Scheme provides basic cover for death and permanent disability. 4.2. Ambulance Insurance is compulsory for licensees. 4.3. IT IS STRONGLY RECOMMENDED THAT COMPETITORS GIVE CONSIDERATION TO TAKING OUT WEEKLY BENEFITS INSURANCE. 5. MEDICAL SERVICES: 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 15 minutes after the conclusion of racing. 6. ENTRY FEE: 6.1. Entries INCLUDING THE CORRECT 6.2. One Round 6.3. - Seniors - $100 including transponder hire and timing expenses. - Juniors - $80 including transponder hire and timing expenses. 6.4. Entries Combined Rounds (KTM PONY & X COUNTRY - Seniors - $180 including transponder hire and timing expenses. - Juniors - $140 including transponder hire and timing expenses. 6.5. THOSE RIDING BOTH THE PONY EXPRESS & X COUNTRY (SAME WEEKEND) WILL INCUR ONLY ONE TRANPONDER HIRE FEE and if required ONE, ONE EVENT LICENCE FEE FOR THIS WEEKEND ($75) 6.6. Riders with their own transponders pay $15 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. 6.4. Payment by Cash, Cheque or Money Order only on the day. ANY FEES FOR DISHONOURED CHEQUES WILL BE THE RESPONSIBILITY OF THE ENTRANT. 6.5. Cheques and Money Orders are to be made payable to the relevant Promoter for the round being entered. 7. ENTRY PASSES: N/A 8. CLASSES OF COMPETITION: A Pro (All Powers) B Expert (All Powers) Teams may consist of Expert or Clubman riders. C Veteran (Over 35 s). D Clubman Under 200cc 2 stroke and up to 250cc 4 stroke. E Clubman Over 200cc 2 stroke and over 250cc 4 stroke. G Ironman. H Master (Over 45 s Men and Ladies). I L Ladies. Juniors Under 200cc 2 stroke and up to 250cc 4 stroke. 13 15 years. M Juniors Under 85cc 2 stroke and up to 150cc 4 stroke. 12-15 years. Small and Big Wheel. N Juniors Under 85cc 2 stroke and up to 150 4 stroke. 9-11 years. Small Wheel. O Junior Girls 9 15 years. Q Juniors Under 65cc 7 11 years.

9. AWARDS AND PRIZEMONEY: 9.1. Trophies will be awarded to the first 3 placegetters in all Senior classes and the first 4 placegetters in Junior classes. 9.2. Prizemoney is NOT paid for this series. 10. GST: N/A as no prizemoney is paid. 11. ENTRIES TO CONSTITUTE A CLASS: 11.1. 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. RACE FORMAT BIKES: 12.1. All Bikes will race in the Pony Express format. 12.2. 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. 12.3. Race Duration (unless deemed unsafe, the Promoter may call the race). - Juniors 3 hours - Seniors 4 hours 12.4. STARTS: 12.4.1 Rider A begins the race at a Le Mans start and only this rider may cause the bike to move forward from the start. 12.4.2 Another person may hold the machine on the start line. 12.4.3 Engines may be running while on the start line. 12.4.4 There is a separate start for each class in alphabetical order at 2 minute intervals between each class. 12.5. Teams will be required to change riders each lap. 12.6. If a team member is injured (medical report required), then the remaining rider may continue but the injured rider may take no further part in the race. 12.7. 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. 13. MACHINES AND RIDERS: 13.1. All machines entered must comply with the current GCR s for Enduro Style Competition. 13.2. Any Enduro, Motocross or Trail motorcycle may be used, registration is unnecessary. 13.3. Change of machine during competition is not permitted. 13.4. All A Grade Motocross riders are automatically PROs, and B Grade are EXPERTs. 13.5. If a team enters two different capacity machines, they will be entered in the larger capacity class. 13.6. Helmets are mandatory and all persons (including officials) using a Bike, Trike or Quad at any Event must be wearing a properly secured Helmet. 13.7. Single riders may enter as Ironmen or as solo riders within the other classes. 13.8. ATTENTION RIDERS Please be made aware because of the new Bio-security rules for farms it will be a requirement that all bikes and vehicles be clean when they arrive at the race venue so as not to transfer weed type seeds between properties. We are generally not talking about dust but clumps of mud that may carry seeds and noxious weeds. For us to continue to run endure events especially on private properties we need to adhere to this rule and abide by the property owners wishes. A wash down area will be available for those who may require it to enter THANK YOU FOR YOUR UNDERSTANDING AND COMPLIANCE 14. SOUND TESTING: An effective muffler must be fitted; all machines may be subject to sound testing as per GCR s 17.15. 15. RIDING NUMBERS: 15.1. 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. 15.2. All bikes MUST have race numbers on front plate and side plates (2) with an A for rider A, and a B for rider B 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.

15.3. Competitors without a QLD Enduro riding number will be allocated a number on the day by the club/promoter at sign on. 15.4. It is the entrant s responsibility to ensure that rider numbers are displayed correctly and easily discernible to the scorers for the duration of racing. 16. TRANSPONDERS: 16.1. Electronic timing will be utilised and it is compulsory for all competitors. 16.2. 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. 16.3. 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. 16.4. 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. 16.5. 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. 17 GRID POSITIONS: N/A 18. RIDERS BRIEFING: 18.1. A Riders Briefing will be held prior to the commencement of racing and ALL Competitors MUST attend the Riders Briefing. 18.2. RIDERS BRIEFING IS A NON SMOKING AREA. 18.3. Competitors under the age of 18 years MUST be accompanied by a parent/guardian. 19. DRUG AND OR ALCOHOL TESTING: 19.1. 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. 19.2. 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. 19.3. 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. 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. Abusive behaviour will not be tolerated by anybody, especially out on the track to your fellow sweep officials and volunteers. 21. TIMETABLE: Round 1 SATURDAY SCRUTINEERING, SIGN ON and LATE ENTRIES RIDERS BRIEFING: VIEWING LAP START OF RACING 7:00AM 9.30AM 10.00AM 11.00AM NB: ALL CLASSES WILL THEN START AT 2 MINUTE INTERVALS BETWEEN EACH CLASS IN ALPHABETICAL ORDER. 22. CIRCUIT DESCRIPTION: 22.1. Natural bush terrain with marking by arrows and tape. 22.2. Lap Time: Approximately 25 35 minutes per lap for Seniors, including Ladies. 22.3. Juniors are on a separate track to Senior riders with a lap time being approximately 15 25 minutes 65cc on slightly adjusted track to larger bikes. 22.4. Some man-made objects 23 PITS 23.1. Every bike must use an approved environmental as per MOMS 14.14.11.1 J (Page 169) 23.2. EACH RIDER MUST Supply a minimum 1KG Powder Fire Extinguisher at their refuelling area.

24. ONE MEETING LICENCES: 24.1. Available at sign on $75. NB, ALL RIDERS ARE TO BE A MEMBER OF Motorcycling Queensland Affiliated Club 24.2. For those riders needing a Club membership you may join the Hinterland Enduro Junior Development club via Ridernet or buy a one off weekend membership for $10 24.3. 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. 24.4. FIRST TIME JUNIORS Junior participants who want to participate in a meeting by taking out a One Meeting Competition Licence must have completed Kick Start and have been issued with a Log Book from relevant MA state controlling body. Further information is available at http://www.mqld.org.au/enus/riders/kickstartjuniorcoaching.aspx. For further information, please contact Motorcycling Queensland at www.mqld.org.au or by phone: 07 3281 22 55 25. RACING: 25.1. The Winners in each senior class will be the riders who complete the most laps in four hours in the least time. 25.2. The winners in the Junior Classes and will be the riders who complete the most number of laps in three hours in the least time. 25.3. If a series points tie cannot 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. 25.4. The event may be shortened at the discretion of the Clerk of Course or the Steward on the day if the track conditions deteriorate. 26. FINISHING: 26.1. Pro and Experts Minimum 50% of class winners laps and cross the finish line within one hour of the official class finish time. 26.2. Veterans, 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. 26.3. 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. 27. SPECIAL NOTES AND WARNINGS: 27.1. Dogs (other than Guide Dogs) are not permitted. 27.2. Presentations: On the day, after competition. 27.3. For team entries If one partner is injured the remaining partner may compete once as a Solo entry and series points will be allocated to both partners as a team from the result. 27.4. Any queries or rule interpretations including the application of penalties, should be referred 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. 27.5. Camping is permissible at each round the night before the event (signage will be displayed on site). 27.6. Catering is available from Saturday morning till Sunday lunch 27.7. Please bring you own drinking water, there is no running water on site. 27.8. No Fires 27.9. No Helmet mounted Go Pros. Body and Bike mounted will be at the discretion of the Chief Scrutineer 27.10. Closed in foot wear MUST be worn at Scrutineering (NO THONGS) 27.11. JUNIOR Competitors MUST wear Body Armor 27.12. Please remove all of your rubbish, there is no facility for disposal 27.13. Toilets, NO showers.

Duingal Rd Wallaville, QLD 4671 GPS -25 5 43 S 152 0 37 E Saturday June 23 rd Round 2: To Be Advised Round 3: Gladstone 11 th August

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 $180 for Seniors and $140 for Juniors for 2 Days, or $100 for Seniors and $80 for Juniors for 1 Day (Existing transponder owners pay $15 less) Please make Cheques & Money Orders payable to the relevant Promoter. Which round are you entering? (Circle) Round 1 Promoter: Hinterland Enduro Junior Development Club Inc Round 2 Promoter: To Be Advised Round 3 Promoter: Curtis Coast Trail Riders 2018 KTM PONY EXPRESS SERIES ROUND 1 Hinterland Enduro Jnr Development Club Inc ROUND 2 To Be Advised ROUND 3 Curtis Coast Trail Riders Club 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 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): A B C D E G H I L M N O Q 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 PAID BY CASH BY CHEQUE LICENCES A B RIDER NUMBER

CONTRACT TO PARTICIPATE IN THE 2018 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. 5. INDEMNITY AND RELEASE GIVEN TO ORGANISERS iii) It is reasonable for MA and my SCB to collect, store, use 1. I THE UNDERSIGNED (see below): [Insert Name] 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 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. 2. DEFINITIONS 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. 3. ACKNOWLEDGMENT OF RISKS, DANGERS & OBLIGATIONS 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. 4. WARNING UNDER THE FAIR TRADING ACT 1999 (VIC) 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. PARTICIPANT DECLARATION ( Part 2 of 2) 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. c) 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. d) 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. 6. MEDICAL 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. 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. 7. PRIVACY I hereby consent to the collection of my personal information by the Promoter/Event Organiser, MA and the SCB in connection with my involvement at the Event and the use and disclosure of my personal information by Event Organiser, 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 contacting 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. 8. PERSONAL HEALTH INFORMATION 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 Motorcycling Queensland PO Box 2072, North Ipswich Q 4305 Ph:07 3281 2255 Fax:07 3812 27 42 Email: info@mqld.org.au Web: www.mqld.org.au 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. 9. POLICIES AND REGULATIONS a) 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. b) 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. 10. RIGHT TO USE IMAGE Right to Use Image: I acknowledge and consent ot Photographs and electronic images (including, but not limited to, moving images) being taken of me during my participation in the Event. I acknowledge and agree that such photographs and electronic images are owned by (organisation) and it may use the photographs and electronic images for promotional or other purposes without my further consent being necessary. Further, I consent to (organisation) using my name, image, likeness and also my performance in the Event at any time, by any form of media, to promote (organisation) or the Event. SCHEDULE 1 1) Federation Internationale de Motocyclisme 2) Motorcycling Australia Ltd 3) Motorcycling Qld 4) Hinterland Enduro Junior Development Club Inc 5) Hinterland Enduro Junior Development Club Inc 6) Peter Greensill, G & J & P McLennan 7) KTM 8) QESC 9) 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 10) Each of the respective officers, employees, servants, agents, sponsors, successors and assignees of each of the above. SCHEDULE 2: KTM Pony Express Series Rd 1 23 rd June 2018 SCHEDULE 3: Rnd 1 Duingal Rd Wallaville Qld 4671 6am SIGN HERE EXECUTION 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 NAME (PRINT): SIGNATURE: DATE: 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 antidoping 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 PARENT/GUARDIAN: SIGNATURE DATE: