Round 3 of the 2016 ARB Off Road Racing Series

Round 3 of the 2016 ARB Off Road Racing Series

Round 3 of the 2016 South Australian Off Road Championship

23-25 September 2016

2016MEDIA APPLICATION

CAMS ACCREDITATIONNO:
NAME: / PHONE B/H:
ORGANISATION: / PHONE A/H:
ADDRESS: / MOB:
TOWN: / FAX:
STATE:P/CODE:
EMAIL:
WEBSITE:
EMERGENCY CONTACT – NAME: / RELATIONSHIP: / PHONE:

Access to Teagle’s Quarry Precinct – 23rd, 24th, 25th September 2016 (CAMS Accreditation required)

Escorted Forest Access – Sunday 25thSeptember 2016(CAMS Accreditation required, limited availability)

IMPORTANT NOTES FOR ALL MEDIA:

• Must attend a Media Briefing (at Event Headquarters on Friday 7:00pm & Saturday 9:30am)
• Media will be issued with a MSBC Media Vest which MUST be worn at all times.
• Must produce relevant insurance.
• Photographers to consider placing an advert in the Official program to advertise their products.

PLEASE SUBMIT MEDIA APPLICATION BY FRIDAY 16TH SEPTEMBER 2016 TO:

Millicent Sand Buggy Club – Pines Enduro – Email:

OFFICE USE ONLY:
APPROVED / DECLINED
Signed………………………………………………… Date…………………………………………………
Millicent Sand Buggy Club / Pines Enduro Committee

DISCLAIMER

EXCLUSION OF LIABILITY, RELEASE AND ASSUMPTION OF RISK

MEDIA ACCREDITATION

In exchange for being able to attend or participate at the Teagle Excavations ARB Pines Enduro, (and as a condition of this Accreditation), I agree:

* to release Confederation of Australian Motor Sport Ltd ("CAMS") and Australian Motor Sport Commission Ltd, promoters, sponsor organisations, land owners and lessees, organisers of the event, their respective servants, officials, representatives and agents (collectively, the "Associated Entities") from all liability for my death, personal injury (including burns), psychological trauma, loss or damage (including property damage) ("harm") howsoever arising from my participation in or attendance at the event, except to the extent prohibited by law;

* that CAMS and the Associated Entities do not make any warranty, implied or express, that the event services 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; and

* to attend or participate in the event at my own risk.

I acknowledge that:

* the risks associated with attending or participating in the event include the risk that I may suffer harm as a result of:

* motor vehicles (or parts of them) colliding with other motor vehicles, persons or property;

* acts of violence and other harmful acts (whether intentional or inadvertent) committed by persons attending or participating in the event; and

* the failure or unsuitability of facilities (including grand-stands, fences and guard rails) to ensure the safety of persons or property at the event.

* motor sport is dangerous and that accidents causing harm can and do happen and may happen to me.

I accept the conditions of, and acknowledge the risks arising from, attending or participating in event and being provided with the event services by CAMS and the Associated Entities.

I understand that this disclaimer is not intended to exclude any valid claim I may have under the CAMS Personal Insurance Scheme.

PRINT NAME:______

SIGNED: ______DATE: ______

______

2016TEAGLE EXCAVATIONS ARB PINES ENDURO

Millicent Sand Buggy Club, PO Box 487, Millicent SA 5280 – Email:

Event Secretary: Angela Oldaker Phone: 0418 843 305 fax: 08 8725 6829

Assistant Clerk Course: Shane Heemskerk Phone: 0417 252 121

Media contact on day of event: Phil Hately Phone:0417 879 644