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Personal Details

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Emergency Contact Details

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Organisation Details

Medical Conditions

Do you have any pre-existing medical conditions which might affect your ability to take part, or be relevant if treatment is needed?

Terms & Conditions

It is not compulsory to be a member of AusCycling or Bicycle Network (or similar organisation) to participate in this event, but we recommend that you hold bicycle insurance and personal injury cover for this event.

Please read the details below which will be a condition of your participation as a rider in this event. Please then sign and date this form to confirm your agreement.

Participation Conditions

I intend to ride in the event known as Hutchies 2025 Challenge Ride, which you are organising and running, at the Nundah Criterium Track, Brisbane on 30 November 2025 (the Event).

In participating in this Event, I acknowledge and agree as follows:

  1. There are inherent risks associated with cycling in the Event which may result in personal injury or death.
  2.  I fully accept and agree to bear these
  3.  To the full extent permitted by law, I release, discharge and indemnify Hutchinson Builders Pty Ltd ACN 679 581 063, AEIOU Foundation ABN 19 135 897 255 and Icon Cancer Foundation ABN 77 050 408 878, its officers, members, representatives and agents (the Indemnified Persons) from any and all liability for any personal injury, mental anguish, loss or damage of any kind suffered by me, however caused, arising out of my participation in the Event, including without limitation, where caused by any acts or omissions or negligence of the Indemnified Persons. 
  4. In my judgment I have sufficient fitness, competence and experience to participate safely in the Event and to the best of my knowledge I am not suffering from any injury or physical or health condition that prevent and/or render me unfit to participate in the Event. 
  5. If there are changes to my health, fitness, or ability to participate, I will immediately notify you in writing and I will not ride or participate in any way that may affect my health or fitness.

     Declaration:

     I declare that I have read and understand the above and accept full responsibility for my own safety. I waive any claim I may have against Indemnified Persons as stated above.

    I agree to the above Terms & Conditions *

    Disclaimer

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    AEIOU was established in 2005 to provide best practice early intervention for children aged between 2 and 6 with an autism diagnosis.

    AEIOU Foundation

    We acknowledge people use different words to talk about autism, and each person will have a way of talking about themselves or people they care for that they like best. At AEIOU we use a combination of person-first and identify-first language. We do this based on the feedback of our parent community in a 2023 study. AEIOU is neurodiversity affirming and supports each child’s unique strengths, abilities and personal goals.

    © 2024 AEIOU Foundation.

    Registered Charity CH1818  |  PO Box 107, SPRING HILL QLD 4004 | Ph: (07) 3320 7500  Privacy Policy

    Donations of $2 or more to the AEIOU Foundation (CH1818) are tax deductible in Australia.
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