WA State Competition
18th – 19th October 2014, Murrayfield WA
Entry Form
CONTESTANT INFORMATIONName: / Phone:
Organisation: / Fax:
Address: / Mobile:
State:
City: / Post Code:
Email:
ARN License Number: / Licence Type:
AAC Membership Number: / FAI Membership Number:
Competition Level: / A/C Registration: VH- / A/C Type:
AIRCRAFT OWNER INFORMATION
If the owner is the same as the pilot, write “as above” in the space below
Name: / Phone:
Organisation: / Fax:
Address: / Mobile:
State:
City: / Post Code:
Email:
INSURANCE DETAILS
Minimum Public Liability Insurance must be $5M or greater and specifically waivered for aerobatic competition
Company: / Policy Number:
Public Liability Insurance Amount: / Aerobatic Waiver: / Yes / No
- The undersigned hereby applies for entry in the West AustralianState Competitionat Murrayfield, October 18-19th 2014.
- I agree to pay the entry fee for the Contest via EFT prior to the competition.
- I understand that entries close one week before the competition start date. I agree that late entries may only be accepted at the discretion of the Contest Director.
- I agree to adhere to the AAC Contest Regulations or any other rules which shall, for the time being, be applicable; whether in addition to or in substitution thereof. I further waive any right to protest based on errors, conflicts or changes embodied in these AAC Contest Regulations and the requirements for the safe and orderly conduct of the WACAAC (West Australian Chapter - Australian Aerobatic Club) Contest.
- I certify that I will accept the decisions of the Contest Officials as final and I specifically waive all rights to pursue a review of any such decision by action through the Courts of Australia or elsewhere.
- I, the undersigned, in making application for entry in the WACAAC Contest, understand that this application will not become an entry until it is accepted by the Contest Director. Entry fee is to be returned, in the event entry is not accepted.
- I hereby agree to attend all Pilots briefings as scheduled and familiarise myself and abide by the AAC Contest Regulations. I also agree that all matters not covered in such Regulations shall be subject to the decision of Contest Officials.
- I further agree, if I am the pilot of any aeroplane in any event of the WACAAC, to submit, if required to do so, to a physical examination by the Physician appointed by the said Contest Officials for the purpose of determining my physical fitness to participate in the event.
- It is further agreed that any announcements, notices or decisions sent to me or my representatives shall be deemed properly addressed if directed in accordance with the address given above.
- I agree that the WACAAC retains all rights to the sale of still or motion pictures, video and audio tapes of my participation in this Contest. In addition all broadcasting (radio & television) rights are retained by the WACAAC.
- I expressly acknowledge and agree that it is an essential condition of my participation that:-
- I accept the entire risk of injury to or any loss or damage suffered by myself, my agents or representatives, resulting directly or indirectly from my participation, even if the same is caused by the negligence of the Club, its agents, or servants.
- I accept full responsibility and liability for all or any injury or damage to persons or property caused by myself, my agents, or servants or representatives arising from my participation or in any way referrable to, or arising from, the operation, maintenance or storage of any aeroplane or equipment either during the Contest or any prior or subsequent period during which I may use the airport or related facilities.
- I acknowledge that the WACAAC has no control over, or responsibility for, any flight or flight-related activity of any contestant and I hereby agree for myself and my executors and administrators to indemnify and to keep indemnified the WACAAC and Officials, sponsors, affiliates and underwriters and all personnel engaged in connection with the said Contest in respect of any such action claim or liability.
- The WACAAC makes no guarantee that any contestant or visiting pilot or crew will receive complimentary or reduced rates on gas, oil, service, meals, hotel etc. purchased at the Contest venue or any stop on route to, during or returning from the WACAAC Contest and assumes no responsibility for any of the above expenses.
- The WACAAC reserves the right to alter both the venue and date of the Contest at any time without prior notice.
PILOT CONTESTANT SIGNATURE
By signing here, I confirm that I agree to the terms and conditions above
Name: / Date:
Signature:
AIRCRAFT OWNER SIGNATURE
By signing here, I confirm that I agree to the use of my aircraft by the pilot named within for the purposed described above. I further confirm the insurance policy details noted above are correct and will be in-force during the time of the competition.
On behalf of: / Date:
Authorised Signature
•Pilots who are competing at Unlimited, Advanced and Intermediate levels are reminded they must have completed the Judges Home Study Course and be prepared to judge at this competition to be eligible to compete.
•For competitors intending to fly a free sequence, a checked copy of the Free Sequence must be provided to the Contest Secretaryone week prior to the start of the contest to allow time for entry of data into the computer.
•Please send completed entry forms to the Contest Secretary