MQ - COACHING REPORT

MOTORCYCLING QUEENSLAND
COACHING REPORT
SE 214, 150 CAXTON ST MILTON, QLD, 4064
Ph: (07) 3281 2255 admin@mqld.org.au

IMPORTANT: This report must be received by Motorcycling Queensland within 14 days of the event.
NAME OF COACH*
LICENCE NUMBER*
EMAIL ADDRESS*
example@example.com
TRACK LOCATION*
PERMIT NO*
DATE*

DayMonthYear
Date
START TIME (24hr time format)*

Hour Minutes
FINISH TIME (24hrs time format)*

Hour Minutes Minutes
Activity*
PARTICIPANTS:
Junior Male
Junior Female
Senior Male
Senior Female
TOTAL NUMBERS*
No. One Event Recreation Licence Sold via triplicate books
INDEMNITY FORM
DID ALL VOLUNTEERS & RIDERS SIGN THE INDEMNITY FORM?*

YesNo
IS THE SCHEDULE COMPLETE ON THE INDEMNITY FORM?*

YesNo
INJURIES
WERE THERE ANY INJURIES?*

YesNo
If Yes, How many MAJOR injuries where there?
If Yes, How many MINOR injuries where there?
COVID SAFE COMPLIANCE
I confirm this event was run in compliance with current Covid Safe Conditions and Restrictions.*

YesNo
ADDITIONAL COMMENTS
Please supply any additional comments regarding the event.
NAME OF FIRST AID PROVIDER
NAME OF FIRST AID PROVIDER:*
FILE UPLOAD
Indemnity Files Upload *

Cancelof
Injury Reports Upload

Cancelof
One Event Licence Upload

Cancelof
MOTORCYCLING QUEENSLAND - COACHING REPORT

Version 1 - 13/02/2022 P a g e | 1
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COACHING REPORT