Saturday Afternoon Public Sprints

Queensland Raceways

Phone: (07) 5461-9100Fax: (07) 5461-9111

Post: PO Box 100, Amberley, QLD 4306 Email:

Lotus Club Qld Inc – Lakeside DTC Timed Laps – Sunday 5th August 2018.

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Queensland Raceways

Phone: (07) 5461-9100Fax: (07) 5461-9111

Post: PO Box 100, Amberley, QLD 4306 Email:

Note: Entries close Friday 3rd August 2018.

Owner:

Postal Address:

Driver:

Postal Address:

Car Club: Mbr No:

Civil Lic No:Comp Lic No:

Ph (H):(Mob):

Email Address:

Make Of Car:Model:Year:

Color: Capacity:cc Cyls:

Category: ...N/A...Class: …N/A…

Entry Fee Payment Details:

Please make payment by bank transfer to Lotus Club Queensland Inc bank account.

Account Name: Lotus Club Queensland Inc

BSB: 633-000Account No: 119108751Reference: “DTC & Your Name”

Emergency Contacts:

#1 …………………………………....….….Ph…………………

#2 ………………………………….…….…Ph…………………

Owner’s & Driver’s Declarations:

Warning of Risks

I acknowledge and agree motorsport is dangerous and recognise that accidents can and will happen.

I also accept and agree as a condition of entry that the Promoters, and any ancillary parties, officials, representatives or agents shallNOT be under any liability for my death, or any bodily injury, loss or damage to my property which may be sustained or incurred by me as a result of my participation in or being present at the event.

I advisethat I will not undertake any activities unless I consider the Track to be in a safe condition for the Activity. By using the Track I indicate my acceptance of the Track’s condition. If an act or occurrence in which I am involved or observe reduces the safety of the Track I will immediately notify Promoter and warn other track users of the danger and/or increased risk.

Should any incident occur because of my failure to observe an official’s directive from which a successful claim is made under any insurance policy relating to the Track and an excess premium or deductible is charged by the insurer of the Track I will pay in full the excess or deductible under such insurance policy except to the extent that it is paid by a third party.

I understand & acceptQR Management has the right to terminate my participation in the event at any time for any reason it sees fit at the time.

I declare that I agree to abide by the conditions on the back of this form, have read and understood these warnings, and accept all the inherent risks and danger in the event and the activities surrounding the event.

……………………….…………… ….…………………...…….……...

Driver Signature Owner Signature

Owners Statement:

I, being the responsible owner of the car described herein certify that the vehicle meets the event’s requirement and meets or exceeds safety requirements. I certify that the answers on this form are correct in every particular.

………………………………….…………….……………

Owner’s Signature (1) Date

………………………………………….…….……………

Owner’s Signature (2) Date

Parent/Guardian Consent:

I,………………………………………………of…………………… ……….……

…………………………………………………………am the parent/ guardianof the above-named minor. Ihave read this document and understand its contents, including the exclusion of liability and assumption of risk, and have explained the contents to the minor. I consent to the minor attending/participating in the event at his/her own risk.

……………………………………………………………….. ……………..

Parent or Guardian’s Signature Date

Competitors and Crew

The ONLY acceptable blood/alcohol reading is 0.00!

QR’s Officials may test you at any time.

Any positive BAC reading is immediate exclusion from the rest of the event.

Consumption of alcohol or the use of any substance capable of impairing skill & good judgement may only be consumed within the designated areas. Consumption or use by ANY competitor, crew, official, or support person is strictly prohibited before & during an Activity.

QR Management has the right to expel any person from the event & the Venue that they consider to be acting in a manner which endangers or impacts on other peoples’ enjoyment of the event activities or causes a complaint to be brought to QR management via the officials.

Clothing for drivers and crew must be appropriate for the motorsport Activity being undertaken. This means at least enclosed footwear with full coverage from ankle to wrist to neck for drivers and any crew working on the vehicle.

Racing Drivers must wear FIA approved apparel for all race activities & competition. Helmets must meet or surpass the AS1698 requirements. Roll over protections systems must meet the standards of the category/activity the car participates in.

Westhold transmitters must be fitted to all RACING vehicles. Transmitters are available from the Chief Timekeeper up to 30 minutes prior to the start of Qualifying for the fee of $20 per event.

Officials are volunteers giving their time so you can enjoy your sport and shall be treated with due respect. Official’s directions must be followed promptly, with full compliance and in good grace. Any driver or crew that has a problem with a direction from an Official

shall carry out that direction immediately and then raise the issue with QR Management for its consideration.

Vehicles must be driven SLOWLY at all times and in ALL AREAS until they are actually competing or participating in an event. This means MAX SPEED IN PIT LANE IS 10 KPH up to the exit line and IN ALL OTHER AREAS. Drivers exceeding these limits should expect to be at least cautioned or not permitted to start in one or runs and potentially be expelled from the Venue.

Nobody under the age of 14 is permitted inside the General Pit Lane area without close adult supervision. Children 5 or under MUST be carried at all times. Children may be excluded from Pit Lane at the direction of an official.

Safety Scrutineers require the car to be properly prepared for the event. This includes steering and brakes, especially pads and fluid and all safety equipment especially seats & restraints shall be in excellent condition. Race apparel must be in excellent condition.

Fire extinguishers, when fitted to a road car, must be secured in the passenger side foot well within reach of the driver with quick release fittings capable of holding the extinguisher in place at 40G.

All loose items must be removed from the vehicle prior to leaving pit lane especially drink bottles and items dangling off rear vision mirrors.

Drivers must hold a Civil Licence and/or a Competition Licence issued by a recognized organisation that is appropriate to the level of the Activity being undertaken. Non-RACERS licence holders will be asked to contribute to the RACERS Accident Insurance.

No animals are permitted into the Venue during an event unless they are part of the event and have written permission from the management to be on the premises.

The closing time for entries is the latest time an entry can be received and processed at the QR Ipswich office and is noted on the front of this form. Entries may be faxed to 07 5461 9111 or posted to PO Box 100, Amberley, Qld 4306.

Credits or Refunds of 100% can be granted at any time prior to the closing date shown on the front of this form. No credit or refund is available if you have commenced any of the activities for which you have been accepted.

At Lakeside, you must not attempt to retrieve your trailer or commence loading up until end of day unless you have specific permission from the Clerk of Course.

QR runs events with three “whole of track” safety conditions. They are “Caution; Clampdown & Cancel” you must understand & accept your responsibilities under each of these conditions before you enter the track.

QR’s overarching objective is to bring fun to recreational motorsport at the lowest possible price to our customers – we seek your support to achieve this by asking you to help us look after our Venues, facilities and equipment.

I/we AGREE to abide by the above:

………………………..…………… ….…………………....…….……...

Driver Signature Owner Signature

PLEASE HAVE A GREAT EVENT!

The QR Crew

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