DIRTBIKE

10TH KOWEN

FOREST RIDE

ENTRIES NOW

OPEN!

The annual Kowen Forest Ride is on

again and this year the event celebrates

its 10th anniversary. With two days of

epic riding just outside the nation’s

capital, Kowen is a must for any serious

or not-so-serious trailrider.

We’ve made it even easier for you to

enter. All you have to do is tear out these

two pages, fill 'em in and post them to

DSMRA Kowen Entries. PO Box 1069,

Belconnen, ACT 2616 or email them to

[email protected].

xxxxxx xxxxxx xxxxx
xxxxxx xxxxxx xxxxxx xxxxxx
xxxxxx xxxxxx xxxxx
xxxxxx xxxxxx

DON'T

MISS

OUT!

38 | APRIL 2016 http://www.adbmag.com.au

THE GOOD OIL | KOWEN ENTRY FORM

Thisform must accompany your completed entryform.

Please ensure that this form is signed and

witnessed before submitting

To: DualSports Motorcycle Riders Association http://dsmra.asn.au

I_____________________________________________________wish to participate in an outdoor recreational activity program

operated byDSMRA ACT.

Iunderstand that some of the activities in which I may participate:

• will be physically and emotionally demanding;


• may involve a significant risk ofphysical harm; and


• mayhave to be cancelled,postponed or rescheduled due to weather conditions

Myparticipationinanyactivityis voluntaryand not compulsory.

Iunderstandcertain inherent risksexistintheactivitiesinwhich I will be participating. Although the organisation anditsinstructors

will provide me with appropriate directions and will endeavour to minimise my exposure to the risk of harm, these inherent risksare

beyond the control ofthe DualSports Motorcycle Riders Association, its volunteers and staffand cannot be avoided by the exercise of

reasonable care and skill. Inherent risks include changes in weather conditions and difficulties in obtainingemergency medical

assistance. For example, some activities will take place in remote settings, hours from the nearest medical services.

Iam aware that there are some risks that are common to manyor all of the activities in which I mayparticipate, such as the riskof

harmcaused by varying weather conditions, by uneven or changing terrain and by nativeflora andfauna. However, some activities in

which I may participate carry with them risks of harm that are particular to that activity, such as but not limited to the following risk:

·losingcontrol of bike and collidingwith obstacles such as

trees, rocks or other cyclists;

·failingto negotiate obstacles includingdifficult terrain;

·beingrequired to carry bike due to nature or condition of

terrain;

·fallingfrom bike, possibly at speed;

·becoming lost;

·beingexposed to the elementsfor longperiods oftime;

·beinginjured in an area not readily accessible for

emergency services;

·strained muscle ligaments and cartilages;

·death;

·broken or dislocated bones orjoints;

·insect bites and/or animal / reptile bites;

·sunburn and/or ultraviolet radiation damage to skin and/or

eyes;

·dirt, sand, dust or other foreign material entering eyes or

skinirritations; and

·injury causedby burns, cuts and/or abrasions.

Iauthorise the Dual Sports Motorcycle Riders Association to arrange medical treatment and emergency evacuation services on my

behalfand at my cost, in the event ofmy injury or illness, as it deems necessary. I understand that the DualSports Motorcycle Riders

Association, its volunteers and staff will endeavour to keep personal items safe but that they accept no responsibility for the

safekeeping of those items.

Partxx xxxx xxxxxxxicipant Namexxxx Participant Signature

Participantxxx xxxxxxx xxxxxx Licence No

Witness Name WitnessSignature

EmergencyContact Name EmergencyContact Phone

Please list any known medical conditions below eg. Diabetes,Epilepsy, allergiesetc.