Saturday September 5 2009

Stephanie Keays Architect

Quadtech Professional Services

Toowoomba Bug

Travel Medicine Alliance

i-RIDE

SCANLAN - Printing Excellence

Betros Brothers

864 4GR

The Chronicle

Southern Cross Automotive

Brammers Architects

Fitzy's on church

Gladstone Hotel

Fly V Australia

Mount Franklin - Drink Positive

To Register and/or Donate

  • Riders are encouraged to donate $25 to the Toowoomba Hospital Foundation.
  • It is expected that Riders in this event are familiar with group rides and have participated in similar rides organized by cycling clubs / shops and similar groups (I-Ride, Bikeline, Murray Greys etc).
  • The event is not suitable for novice or beginner cyclists/riders.
  • The Event involves riding on public roads used by other traffic and thousands of other cyclists in close proximity.
  • The Event is not a race and roads used will not be closed to traffic. Road rules apply.
  • You must ride in a safe, responsible and courteous manner and use common sense at all times.
  • The Event will be held outdoors and WILL NOT proceed in poor weather.
  • You must be of sufficient riding competence and have your bike in sound mechanical condition.
  • Children under 16 at the time of The Event must be accompanied by an adult.
  • Persons under 18 require consent to participate.
To register online fill in the fields below. To register by mail click here (PDF 284kb)

Make cheques payable to Toowoomba Hospital Foundation

Post to:
Long Socks for Kids
PO Box 2640
Toowoomba 4350

Form for Online Entry
• = Required Fields
Captcha Image
Please go to the Toowoomba Hospital Foundation Donation page now and make your donation,
once you have received your invoice please enter the number in the box below

Risk Acknowledgement

PARTICIPATION BY MINOR - PERMISSION / WAIVER FORM

I acknowledge that I have read and understood the terms and conditions of participation in the event.

I am aware and agree that on road cycling is a dangerous recreational activity. It has inherent risks as a result of which personal injury [and sometimes death] is common.

Release of liability
In consideration of the child [name] being allowed to participate in the event and by signing this permission/waiver form, I expressly warrant that the child named herein is capable of withstanding both the physical and mental demands of the event. I also expressly assume all risks of the child participating in the event, whether such risks are known or unknown to me at this time. I further release the organisers and/or promoters of the event, their office bearers, directors, employees, volunteers and agents from any claim that my child may have or that I may have against them as a result of injury incurred during the course of participation of the event. This release of liability shall include [without limitation] any claims of negligence or tortious act or omission, breach of duty, breach of contract or breach of statutory duty on the party of the promoters and organisers, their office bearers, directors, employees, volunteers and agents. This release of liability is also intended to cover all claims that members of the child's or my family or estate, heirs, representatives, successors or assigns may have against the organisers and/or promoters, their office bearers, directors, employees, volunteers and agents.

I further agree to indemnify and hold harmless the organisers and/or promoters, their office bearers, directors, employees, volunteers and agents from any and all claims arising from my child's participation in the event.

I represent that I am the parent/guardian of [name], who is under the age of 18 years. I have read the above permission/waiver form and am fully familiar with the contents thereof. I give permission for the child named herein to participate in the event. In consideration for allowing the participation of the child in the event, I hereby consent to the permission/waiver form, including the release of liability above, on behalf of the child and agree that this permission/waiver form shall be binding upon me, my family, heirs, legal representatives, successors and assigns.

 

PARTICIPATION BY ADULT - PERMISSION / WAIVER FORM

I am aware and agree that on road cycling is a dangerous recreational activity. It has inherent risks as a result of which personal injury [and sometimes death] is common. In consideration of being allowed to participate I acknowledge and agree that I have undertaken the activity freely, voluntarily and absolutely at my own risk and with a full appreciation of the nature and extent of all risks involved in the activity.

I am also aware that it is a condition of entry to the Long Socks for Kids Ride ["event"] that the organisers and/or promoters of the event, their officer bearers, directors, employees, volunteers and agents are absolved from all liability howsoever caused to me or any dependent for personal injury or death suffered by me or any dependent arising in any way whatsoever from the event and I agree, to the full extent permitted by law, to waive all legal rights of action against and fully release and forever discharge the organisers and/or promoters for loss, damages, injury or death howsoever arising out of or in relation to the participation in the event including without limitation, liability for negligent or tortious act or omission, breach of duty, breach of contract or breach of statutory duty on the part of the organisers and promoters, their office bearers, directors, employees, volunteers and agents.

I acknowledge and agree that this waiver shall bind me, my family or estate, heirs, representatives, successors and assigns.

Under 18 18+
 

Toowoomba Hospital Foundation

ITC Publications

Mr Rental - Keeping Life Simple

WIN Television

Sportstar Screenprinting Toowoomba

Payne's Meat Store

Bikeline Cycling Perfection

Bridge Street Cycles - Pink Racing

Toowoomba Podiatry Clinic

Toowoomba Landscape Supplies

Pacific Seeds

Toowoomba City Realty

USQ Works - Health & Recreation

Hooper Accountants

Muffin Break - Clifford Gardens

Zarraffa's Coffee

South Queensland Law

Austbrokers HCI

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