• Your Information

  • Format: 0000 000 000.
  • Date Of Birth*
     / /
  • Bike Information

  • Event

  • Event Licence Agreement*
  • IMPORTANT ONE EVENT LICENCE INFORMATION

    Prior to the event you must purchase a OneEvent Licence via: Ridernet.

    Please ensure you bring proof of purchase with you on the day.

    Should you not be able to provide proof of purchase, you will be unable to participate on the day and no refunds will be provided. 

  • COACHING INDEMNITY FORM

  • WARNING! THIS IS AN IMPORTANT DOCUMENT, WHICH AFFECTS YOUR LEGAL RIGHTS AND OBLIGATIONS. READ IT CAREFULLY AND DO NOT SIGN IT UNLESS YOU ARE SATISFIED YOU UNDERSTAND IT.

    1.CONTRACT TO PARTICIPATE IN MOTORCYCLE SPORTING EVENT AND/OR ACTIVITY
    I hereby agree with the persons, organizations and bodies corporate whose names appear in the Schedule 1 (hereafter collectively called “the organizer”) that I am by this agreement entitled to participate in the motorcycle activity / meeting listed in Schedule 2 (hereinafter called “the meeting”) at the venue listed in Schedule 3 (hereinafter called “the venue”) on the terms and conditions set out in this document.

    2.ACKNOWLEDGEMENT OF RISKS, DANGERS AND OBLIGATIONS
    I acknowledge that motorcycling sport is dangerous and that by engaging in the sport and participating in this meeting I take and am exposed to certain risks and dangers and am under certain obligations as follows;

    1. That I may be injured, physically or mentally, and may be killed;
    2. That my machinery or equipment may be damaged, lost or destroyed;
    3. That other riders may ride dangerously or with lack of skill;
    4. That track or event conditions may be hazardous and may vary without warning or predictability;
    5. That organisers, officials, landowners/track operators and any agents or representatives of those in charge of meetings are frequently obliged to make decisions under pressure of time and/or events;
    6. That any policy of insurance of or in respect of my life or physical or mental health may be avoided;
    7. That there may be no or inadequate facilities for treatment or transport of me if I am injured;
    8. That I have an obligation to myself and to others to compete safely and within the rules of this meeting

    3.INDEMNITY GIVEN TO ORGANISERS
    In consideration of the acceptance of me as an entrant in this meeting I AGREE TO INDEMNIFY the organisers and each of them in the following manner;

    1. That I participate in this meeting at my sole risk and responsibility;
    2. That I accept the venue as it stands with all or any defects hidden or exposed;
    3. That I indemnify and hold harmless the organisers, their respective servants, agents or officials against any actions or claims which may be made by me or on my behalf or by other parties for or in respect of or arising out of my death or any injury loss or damage caused to me or to my machinery or equipment whether caused by negligence, breach of contract or in any other manner whatsoever.
    4. Right to Use Image: I acknowledge and consent to photographs and electronic images (including, but not limited to, moving images) being taken of me during my participation in the Event. I acknowledge and agree that such photographs and electronic images are owned by Moss Institute and it may use the photographs and electronic images for promotional or other purposes without my further consent being necessary. 

    4.MEDICAL
    I declare that I am medically and physically fit and able to participate in Motorcycling Activities.

    I acknowledge and agree that if required, the Motorcycling Organisations (or any of them) may arrange medical or hospital treatment (including ambulance transportation) for me. I authorise such actions being taken by the Motorcycling Organisations and agree to meet all costs associated with such action. Should I receive medical advice or treatment during a Motorcycling Activity, including at the Medical Centre, I hereby consent to the relevant information being disclosed to the relevant Motorcycling Organisations (including without limitation the Chief Medical Officer) and to ensure my ongoing care and in the interest of public safety at the Motorcycling Activity. I understand that I may gain access to my medical information held by Motorcycling Organisations, by contacting my SCB.

    5.SCHEDULES

    Schedule 1

    1. Federation Internationale Motorcycliste
    2. Motorcycling Australia Ltd
    3. Motorcycling: Queensland, New South Wales, Victoria, Western Australia, Tasmania, South Australia, Northern territory.

    Schedule 2

    1. Moss Institute Coaching school Schedule

    Schedule 3

    1. Owner/Renter of land on which the event is being held.

    WARNING! THIS IS AN IMPORTANT DOCUMENT WHICH AFFECTS YOUR LEGAL RIGHTS AND OBLIGATIONS. READ IT CAREFULLY AND DO NOT SIGN IT UNLESS YOU ARE SATISFIED YOU UNDERSTAND IT. 

  • Payment

  • REFUND AGREEMENT*
    Please note paid entries are non-refundable unless a medical certificate is produced at least 14 days before the school. In which case a credit will be issued. Schools maybe postponed due to weather postponement date will be offered or a credit voucher.

    If you are unable to attend any school entered due to a COVID BORDER CLOSURE preventing you attending, a credit voucher will be issued.

  • Payment Method
  • Direct Deposit (NOTE NEW BANK DETAILS)
    Name - Gregory & Rona Moss
    Bank - National Australia Bank
    BSB - 082 356
    Account Number - 735 322 334

    Banking details will be sent to you in booking confirmation email. Please do not email us requesting this information unless your booking confirmation does not include this information. 


    NOTE: Bookings will not be held until payment has been received. If payment is not received within 48 hours your entry will be discarded. 


    You must reference transfer with riders surname and location of school eg. Smith - Oakdale and fax or post transfer confirmation with entry form.

  • Voucher Payments
    If after you have applied your voucher payment and there is an outstanding amount (shown below), this will need to be paid manually via PayPal or Direct Deposit after submitting the form.

    Payments via PayPal: Please log into your PayPal account and use the "send money" feature to send the balance to our PayPal account using email address: mossy@mossyonline.com.au 

    Payment via Direct Deposit: Please use bank account details as shown below: 
    Name - Gregory & Rona Moss
    Bank - National Australia Bank
    BSB - 082 356
    Account Number - 735 322 334

     

  • Credit Card / PayPal Payments
    3% Credit Card Fee will be Applied - VISA or MasterCard Only

  • Total Payable

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