AEIOU Foundation : Register

Personal Details

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Emergency Contact Details

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First Name *

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Organisation Details

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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?

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Terms & Conditions

Agree to indemnity

I acknowledge and agree that I will be participating in the Event voluntarily and at my own risk. I agree that my participation in the Event and any activity associated with it, including training activities, involves me riding on public roads used by other traffic and I am aware of the inherent risks in that activity and in riding bicycles in general.

I further acknowledge and agree that participating in the Event may result in a real risk of serious personal injury or even death from various causes including but not limited to over-exertion, dehydration, and accidents with other participants, pedestrians, animals, vehicles or other road users. These risks cannot be eliminated completely, despite the care and precautions taken by Hutchinson, as event organiser and, AEIOU Foundation and Icon Foundation as charity beneficiaries, in relation to the Event. I will take all reasonable measures to protect myself from the risks of participation and to use reasonable endeavours not to expose others to such risks.

I confirm to Hutchinson’s that I fully understand the risk involved in my participation in the Event, and that I am willingly and voluntarily participating in the Event. For this reason, I warrant that I have taken out all necessary insurance and have sought other protections that I have thought and deem necessary and appropriate to compensate me for any loss, personal injury, illness or death that I may suffer as a result of or in the course of the Event. This includes payment and/or reimbursement of any medical/surgical expenses incurred by me. I consent to receive such medical treatment that may be deemed advisable in the event of my personal injury, accident and/or illness during training or while attending the Event.

I confirm to Hutchinson’s that in my judgment I have sufficient fitness, competence and experience to participate safely in the Event and related activities, and that to the best of my knowledge I am not suffering from a condition that would prevent and/or render me unfit to participate in the Event. I will immediately notify the Hutchinson in writing of any change to my fitness and ability to participate, and if such change renders me unfit to participate in the Event, I will withdraw from the Event and any related training activities. I understand and accept that the Event Management will continue to rely upon this declaration as evidence of my fitness and ability to participate.

I agree to comply with all traffic and road laws, all directions issued by law enforcement authorities, and all reasonable and lawful instructions given by Hutchinsons and any staff or officials representing Hutchinsons, AEIOU Foundation and Icon Foundation at the Event. Without limiting the foregoing, I agree that:

(a) While riding a bicycle, I must wear an Australian standard cycling helmet at all times during the Event.

(b) I will not ride at night, or in hazardous weather conditions causing reduced visibility, unless the bicycle, or I, display:

(i) a flashing or steady white light that is clearly visible for at least 200 metres from the front of the bicycle; and

(ii) a flashing or steady red light that is clearly visible for at least 200 metres from the rear of the bicycle;

(iii) a red reflector that is clearly visible for at least 50 metres from the rear of the bicycle when light is projected onto it by a vehicle’s headlight on low-beam; and

(iv) other reflective clothing or items as Hutchinson staff or officials consider necessary.

(c) I will ride in a safe and responsible manner during the Event and use common sense at all times.

(d) I will exercise caution on all public roads and other thoroughfares and ride defensively and courteously.

I confirm that I am responsible for all property that I bring with me on the Event and understand that Hutchinsons, AEIOU Foundation and Icon Foundation and any staff or officials representing any of these organisations at the Event do not accept responsibility for any loss or damage to this property for any reason.

I undertake to be a financial member of Bicycle Network, Bicycle QLD or AusCycling with an appropriate personal insurance policy at all times during the training program and the Event.

I agree to comply with all the commitments made by me in the Rider Sign-on Form and the rules and directions of Event officials and their servants and/or agents. In particular, I undertake to comply with any direction given or sanction imposed by any staff or officials representing Hutchinsons, AEIOU Foundation and Icon Foundation at or before the Event, including to withdraw from the Event or from any part of it.

I grant the Hutchinsons, its sponsors and its charity partners involved in the Event a royalty free right in perpetuity, to use and allow the use of my name, image and likeness in broadcasts, webcast, social media communications, media press materials, promotional materials and otherwise in connection with the Event and similar events conducted from time to time by Hutchinsons, AEIOU Foundation and Icon Foundation.

I acknowledge and agree that participating in the Event involves significant risk of physical harm and it is inherently dangerous. I will participate in the Event at my own risk. I hereby:

(a) release and discharge Hutchinsons, AEIOU Foundation, Icon Foundation, the Event Organising Committee, Event Manager, Training Coach, Event Sponsors and each of their affiliates and their respective directors, officers, agents, employees, members and volunteers, and any person or body directly or indirectly associated with the Event , and I waive any right or entitlement I have or, but for this document, would have had, or which may accrue, in respect of all and any claims, demands or proceedings arising out of or in connection with my participation in the Event including (without limitation) where such claims, demands or proceedings are caused by their negligence, breach of duty, breach of care or other fault or responsibility, and I indemnify them and will keep them indemnified against all liability for all personal injury, loss or damage or death arising out of or in connection with my participation in the Event. This release and indemnity continues forever and binds my heirs, successors, executors, administrators, personal representatives and assigns;

(b) indemnify and hold harmless Hutchinsons, AEIOU Foundation, Icon Foundation, the Event Organising Committee, Event Manager, Training Coach, Event Sponsors and each of their affiliates and their respective directors, officers, agents, employees, members and volunteers, and any person or body directly or indirectly associated with the Event from any and all claims actions, suits, demands, losses and other liabilities made by me, my heirs or assigns arising from any loss or damage to my property, or any personal injury, illness or death that may be sustained by me, my heirs or assigns (including the aggravation or acceleration of such personal injury, illness or death), howsoever caused while participating in the Event; and

(c) agree that I have read this Indemnity and fully understand these terms, and that I understand that I am waiving substantial rights, including my right to sue Hutchinsons, AEIOU Foundation, Icon Foundation, the Event Organising Committee, Event Manager, Training Coach, Event Sponsors and each of their affiliates and their respective directors, officers, agents, employees, members and volunteers, and any person or body directly or indirectly associated with the Event, and I am agreeing to this Indemnity freely and voluntarily.

I acknowledge and agree that under no circumstances shall Hutchinsons, AEIOU Foundation, Icon Foundation, the Event Organising Committee, Event Manager, Training Coach, Event Sponsors and each of their affiliates and their respective directors, officers, agents, employees, members and volunteers, and any person or body directly or indirectly associated with the Event be liable to me (or any person through me) in contract, tort (including negligence) or otherwise for any loss of business, revenue or profits, charity funds, anticipated savings or wasted expenditure, or any indirect or consequential loss or damage whatsoever (notwithstanding that such loss was within the contemplation of the parties) arising out of my participation in the Event.

I acknowledge and agree that if circumstances dictate (including as a result of extreme conditions, outbreak of disease, and governmental restrictions or requirements), the Hutchinsons, AEIOU Foundation, Icon Foundation or the Event Organising Committee may cancel, curtail, change, postpone or reschedule the Event, and I release and discharge Hutchinsons, AEIOU Foundation, Icon Foundation, the Event Organising Committee, Event Manager, Training Coach, Event Sponsors and each of their affiliates and their respective directors, officers, agents, employees, members and volunteers, and any person or body directly or indirectly associated them, arising from such cancellation, curtailment, change, postponement or rescheduling, even if as a result I am unable to participate.

I agree to the above Terms & Conditions *

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