Central Queensland Blokart Club
Regatta
Cape Hillsborough National Park
September 2009
________________________________________________________________________
ENTRY FORM
Print and Complete and send to:
Via Post: Via E-mail:
Central Queensland Blokart Club Attention: David Moore
429 Marian-Hampden Rd
drcabinet@optusnet.com.auMarian QLD 4753 Club site:
https://cqbc.forumotion.net/forum.htm The CQBC Regatta will be held 11th – 13th September 2009 on the foreshore of Cape Hillsborough Nature Resort, Queensland. Friday 11th will be a social sail, with racing on Saturday 12th and Sunday 13th .Saturday briefing will be at 8.00am, Sunday briefing at 8.30 am. Racing to be held soon after briefings.
Blokarters from Queensland and interstate will compete in Production or Performance categories for the title of:
Champion
2009 CQBC Regatta
First Name: _____________________ Surname: _______________________
Gender: Male / Female Adult / Child
(Please circle)
Postal Address: ___________________ Land Phone: _______________________
___________________ Mobile: _______________________
___________________ E-mail: _______________________
Club: ___________________ Division: _______________________
(Division = Lightweight up to 65kg; Middleweight 65-80kg; Heavyweight 80-95kg; Supers 95kg +)
Category: _____________________ (Production or Performance)
Note: Competitors may only enter one division & category. BAI rules apply.
Entry Fee:
Competition entry fees have been kept low as this is a welcoming event. For non club members (e.g. not a current member of Central Queensland Blokart Club or affiliated clubs) the event fee will include insurance coverage for this event. Registration is due two weeks prior to the event - Saturday 29th August 2009.
Catering:
As there is limited catering on location, CQBC will transport in and prepare ham / chicken salad rolls for lunch and the barbeque dinner. Pre-ordering your meals with entry is essential as limited extras will be available. Alternatively, participants attending may choose to cater for themselves or purchase from the resort kiosk. Opening hours of the kiosk are 10.00am until 2.00pm for hot food, shop hours (drinks and snacks) 8.00am- 6.00pm; a limited range of items is on offer.
Regulations:
Racing will be held in accordance with IBRA and ABA regulations with specific application of wearing helmets, seat belts, closed-in shoes and no drug or alcohol consumption when racing.
More Information:
For further information, please contact Dave or Ruth on (07) 4954 3465 / 0413 009 242 or Darren and Debbie on (07) 4952 1889 / 0439 775 595.
If you are interested in volunteering for scoring or meal preparation, we would love to hear from you! Please call!
ENTRY DETAILS
Classification Cost Per Person Quantity Sub-Total Cost
Blokart Club Member $10-00 x =$
After 29th August $20-00 x =$
Non-Club Member $20-00 x =$
After 29th August $30-00 x =$
CQBC Caps $15.00 x =$
CQBC Polo Shirts $40.00 x =$
Shirts must be pre-ordered with size COST =$
CATERING
Saturday – Lunch Rolls $4-00ea x =$
Saturday – BBQ Dinner $10-00pp x =$
Sunday – Lunch Rolls $4-00ea x =$
COST =$
TOTAL COST =$
CQBC annual membership available: Single $30.00 / Family $50.00
Notes:
Food will be available for pre-ordered meals only. Soft-drinks will be available on the beach. Friday and Sunday evening meals – if you would like these meals organised, please notify the appropriate person so cost and location can be arranged.
Payment Details:
Cheque: Direct Credit:
Please make payable to: Wide Bay Australia Ltd
Central Queensland Blokart Club BSB# - 656 400
And send to: A/C# - 105 200 689
429 Marian Hampden Road
Marian QLD 4753
Release and Indemnity
Central Queensland Blokart Club will take all reasonable steps to safeguard every competitor in the Central Queensland Blokart 100 Regatta.
In consideration of your permitting registration of this child/ren or yourself to participate in the above Blokart sailing activities, the participant/s do hereby release Central Queensland Blokart Club and all affiliated and/or associated organisations, together with their representatives, members or agents, of and from any and all demands of any kind or nature whatsoever, arising out of or in any way related to any participation in activities such as and including personal injury or death which may be suffered or incurred as a result of participating in such activities, whether or not caused by the negligence or wrongful acts of such persons or any agents or members of the Central Queensland Blokart Club. The participant/s further agree to indemnify and hold harmless each of them of and from any and all claims, demands, or actions of any kind or nature whatsoever arising out of any injury or damages incurred by the registered participant.
Signed: _____________________
Date: _____________________
Emailed entries are to be signed by the participant (or Legal Parent / Caregiver) at registration.