NON-COMPETITION EVENT REPORT FORM

Motorcycling Victoria PO Box 3 Broadford, VIC, 3658 Phone: 03 5784 2827 info@motorcyclingvic.com.au www.motorcyclingvic.com.au
NON-COMPETITION EVENT REPORT FORM
IMPORTANT: This report must be filled out completely with all forms attached and returned to Motorcycling Victoria within 5 days of the meeting.
Event Title/ Type*
Event Type
Organiser/Promoter*
Date of event*

DayMonthYear
Date
Permit No*
Venue*
Please tick the appropriate boxes*

Practice Day ($8.50 per rider)Come & Try DayCoaching DayRecreational Trail RideRPA ($15 per rider)
Name of Nominated Official / Coach/ Manager*
Telephone Number*
Licence Number
Number of participants*
levy due*
Officials
Name/s of any rider/s and/or official/s injured or disciplinary
Injury/ Discipline Form Completed Y/N:
Please upload any relevant documents:

p
Cancelof
PLEASE NOTE: Any injury report forms should be forwarded through to MV with this form within 5 days of the event.
Should be Empty: