Entry form

irdmanrally
15.3 To indemnify the Council from and against any and all actions, suits, claims, demands and costs of
whatever kind or nature whatsoever, foreseen or unforeseen, obvious, inherent, known or unknown,
and however arising which may be brought or made or claimed against the Council, and which is or
are in any way directly or indirectly connected with or which arise out of the whole or any part of my
participation in the Rally and any negligent acts, errors or omission on my behalf.
15.4 That if I suffer harm, the Council may at my cost arrange medical treatment and emergency
evacuation service, as deemed essential for my safety.
General
16. That in entering into this Agreement,
16.1 I am not relying on any oral, written or visual representations or statements made by the
Council or any other inducement or coercion to participate in the Rally. That this Agreement
is governed in all respects by, and interpreted in accordance with, the law of Victoria
17. And I declare that;
17.1 I am medically able, properly trained and physically capable of entering and competing in the
Rally
17.2 I am over the age of 18 years
17.3 I am able to swim at least 20 metres unassisted
17.4 I agree to comply with the Design Rules attached to this Agreement
Signature of Applicant
Date
Printed Name of Signatory
Signature of Witness
Date
Printed Name of Witness
2009
Birdman Rally
Entry Form
9