RECREATIONAL EVENT REPORT

RECREATIONAL EVENT REPORT
Venue
Event Name
Promoter
Date

MonthDayYear
Date
Permit No
Start Time
Finish Time
First Aid Provider
Recreational supervisor name (Responsible person for RPA)
Total Number of participants SNR & JNR
Number of One Event Recreational Licence sold via triplicate books
Did the track pass inspection at the commencement of event?
Did all riders/officials/volunteer sign on and view the indemnity form?
Did the event go to plan? (If no, please list in additional comments)
Have you completed the event in RiderNet?
Were there any injuries?
How many minor injuries were there
How many minor injuries were there requiring transport to hospital, detail in additional comments please.
Additional Comments
THIS REPORT IS CONFIRMED BY THE SIGNATURE OF THE EVENT SENIOR OFFICIAL:
Name
Date

MonthDayYear
Date
MA Licence No
Signature
Time
THE CONTROLLING BODY OF MOTORCYCLE SPORT IN AUSTRALIA AFFILIATED TO FEDERATION INTERNATIONALE MOTORCYCLISME (F.I.M)
Should be Empty: