This event is an ID Point round for Crackerjacks, Dynamite, Zone Dev. Squads Transponder event Transponders are available if you don't own one Registration 9.30 – 11.30 Racing Starts 12.30 M/Wheelers & Sprocket $15 Awards for all Age & Cruisers $20 1st $50 2nd $30 3rd $20 $5 4th to 8th with 9 or more in class Pro Open Men $25 Prize Pool $500 Pro Open Ladies $25 Prize Pool $500 Gates Block Format 10.00 to 12.00 Sprockets 10.00 - 10.15 8 to 10 yrs 10.15 - 10.35 11 to 13 yrs 10.35 - 10.55 14+ Over 10.55 - 11.15 Cruisers 11.15 - 11.35 Pro Men and Pro Ladies 8 metre start hill 11.35 - 12.00 Rules & Condition of Entry ARA Rules are being run 13.1a,13.2a,13.4c, 80,81. Pre Entries close on Tuesday 7th April Bank details Westpac Bank Account Name BMX STH QLD BSB 034640 Account No 427278 All other details on the nomination page. Year of Birth 3 registered riders constitute a class Gender Equity Applies Random Scrutineering 3 Motos and Finals No Smoking No Alcohol No Pets Allowed For more info contact Sam 0432079627 or Kayelene 3812 2494 Please note:- Pro Men & Pro Ladies the 8 metre start hill will be used for this event. Pro Men be aware the Pro Straight will be used at this event. Please note Sprockets and Mini Wheelers are Pre Nom all other nominations are on the day if you prefer to pre nominate to cut down on the line up on the day use the form and follow the instructions over page. Any MW & Sprockets who nominates on the day an award will have to be arranged for pick up at the next open day. Approved: 05/03/20015 Southern Zone ROD Assistant Gordon Boyd Pre Nominated Event For Mini Wheelers and Sprockets If you prefer to Pre nominate other classes use the form below Nominations close 7th April Please make Cheques/Money Orders payable BMX Sth Qld and send to 26 Katie Way, Raceview, QLD, 4305 Or Direct Deposit, Westpac Bank Account name BMX STH QLD BSB 034640 Account number 427278 Reference Name and Licence Number. Please e-mail a copy of your receipt and entry form to kmewd@optusnet.com.au First Name Surname D.O.B Your Transponder Number Class Plate Number Licence Number Fee $ Class code:- Please be aware there is no novice classes for this event. 20” Classes MW, U5B, U5G, 5B, 5G. 6B, 6G, 7B, 7G 8G, 8X, 9G, 9X, 10G, 10X, 11G, 11X,12G, 12X, 13G, 13X, 14G, 14X, 15G, 15X, 16G, 16X, 17G. 17X, 18G, .18X, 19-24L, 19-24M, 2529L 25-29M, 30-34L, 30-34M, 35-39L, 35-39M, 40-44L, 40-44M, 45-45L, 45-49M, 50+L, 50+M. Cruiser Classes:8-10FCR, 8-10MCR, 11-12FCR, 11-12MCR, 13-14FCR, 13-14MCR, 15-16FCR, 15-16MCR, 17-18FCR, 17-18MCR. 19-24FCR, 19-24MCR, 25-29FCR, 25-29MCR, 30-34FCR, 30-34MCR, 35-39FCR, 35-39MCR, 40-44FCR, 40-44MCR, 45-49FCR, 45-49MCR, 50+FCR 50+MCR PM pro men PL pro ladies Club…………………..........................Phone Number………………………………… Transponder Disclaimer I, the undersigned, for myself and for my heirs, personal representatives and assigns, do hereby release and forever discharge the controlling bodies, organizers, officials, members property owners, employees and any other person, firm or corporation charged with responsibility or liability, from all or any claims, demands, damages, costs and expenses, loss of service and any other actions arising from any act or occurrence and particularly on account of ALL PERSONAL INJURY, DISABILITY, PROPERTY DAMAGE OR LOSS OF ANY KIND that I may hereafter sustain as a result of participation in any event, as a competitor official or spectator conducted by any club or organization affiliated with the official controlling bodies of BMX in Queensland. I fully understand the nature of the activities to be conducted and acknowledge the hazards of the said activities. I voluntarily assume the risk of injury to my person, property and the property of others. In the event of any injury I hereby give my consent for proper medical treatment to be administered. By signing this document you, and those in your company, agree to comply with and be bound by the Code of Behaviour as it relates to riders, parents, spectators and officials. I agree to allow the site first aid officers to release any relevant information to BMX Queensland in the event I require first aid attention, this information being for insurance purposes. I am aware that any photographs, still or moving, that may be taken during the event may be published and used for publicity and promotional purposes by BMX QLD Inc. Where the race organiser provides/hires transponders for electronic lap timing, it is the rider’s responsibility to ensure that the transponder is correctly fitted to their bike. Transponders must be returned to Registration at the conclusion of the event and failure to do so will incur a cost to the rider of $155 plus cost. Parent or Guardian Signature……………………………………………………………….. Approved: 05/03/2015 Southern Zone ROD Assistant Gordon Boyd
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