Download pdf - Mining Games Rego Form

7/30/2019 Mining Games Rego Form

1/10

REGISTRATION FORMRULES AND REGULATIONS

Saturday 26TH October, 201312PM TO 5PMDrummond Park

Linsley Street, Cobar

THE MINING gamesFor the festival of the miners ghost


2/10

MINING GAMES, DRUMMOND PARK,FESTIVAL OF THE MINERS GHOST

RACE INSTRUCTIONS

Each team will complete the 3 races as one team.

Childrens Races- 6-10 years old and 10 to 15 years old

Find the Gems- Teams will use sieves to find the most gems usingsieves to find the gems in the sand. A time limit will be set, the teamwith the most gems wins!

Fill the wheelbarrow- a relay game where teams fill small buckets with

sand and carry to a wheelbarrow and fill to the line. The first team tofill the wheelbarrow wins!

Protective Personal Equipment (PPE) races- A relay race whereteams need to dress in the PPE gear (Goggles, white chemical suit,dust mask, hard hat, ear muff, gloves) run around a cone and returnpassing on PPE to the next participant in the team. The first team tohave all members complete the race, are the winners.

Adults Races- 16 and over

Flip the Truck Tyre- The team members will work together to flip (notroll) the truck tyre to the designated area and return. The first team tocross the line will be the winners.

Fill the wheelbarrow- a relay games where teams need to fill awheelbarrow four times with sand and carry to a designated area todump on a tarp. The first team to complete four full wheelbarrows isthe winner.

Protective Personal Equipment (PPE) races- A relay race whereteams need to dress in the PPE gear (Goggles, white chemical suit,dust mask, hard hat, ear muff, gloves, gumboots) run around a coneand return passing on PPE to the next participant in the team. Whenthe first team to have all members complete the race they are thewinners.

There will also be a sausage eating competition. One team member fromeach team is nominated by their team to compete in the challenge, where a

separate prize and trophy will be given. Forms will be handed out on the day.


3/10


ENTRY FORM

PLEASE PRINT CLEARLY IN BLOCK LETTERS

Team Name:(organisation / group / business)

Address:

Contact Name:

Contact Phone:

Email:

ONLY 12 TEAMS WILL BE ALLOWED FOR EACH AGE CLASS,

12 TEAMS FOR 6-10 YEARS OLD12TEAMS FOR 10-15 YEARS OLD

12 TEAMS FOR ADULT TEAMS

SO FIRST IN, BEST DRESSED

PLEASE RETURN THIS FORM

TO:

Cobar Shire Council36 Linsley StreetCobar NSW 2835

RETURN BY FRIDAY 11TH OCTOBER, 2013


4/10


PARTICIPANTS AGREEMENT & LIABILITY WAIVER,RELEASE & INDEMNITY

This section must be signed by all participants. For participants under16, a parent or guardian must sign.

I agree to participate in this event on the following basis:

1. I acknowledge that participation in the Mining Games 2013 involves serious risk.

2. I understand that I should not participate in this event unless I am physically ableand that I do not suffer from any medical or physical condition that may, through

my participation in this event, endanger my own life or safety, or the life or safetyof any other person.

3. By participating, I accept all risks associated from my participation, which couldresult in loss of life, temporary or permanent injury. Accordingly, I release allpeople associated with the conduct of the event from, all injury, loss or damagearising out of or connected with my participation in this event. For clarification, thepeople released include (but are not limited to) Cobar Shire Council, organisers,promoters, sponsors, managers, and all their respective directors, officers,employees, agents, contractors and volunteers including event medical,paramedical and rescue personnel. This release continues forever and binds my

heirs, executors, personal representatives and assigns.

4. I consent to receiving any medical treatment that event organisers deemnecessary during or at the event.

5. I consent to event organisers using my name, image and likeness before, duringor reporting after the event, for event promotional broadcasting or reportingpurposes in any media.

6. I am responsible for my own safety. Safety precautions undertaken by organisersand their employees or representatives (such as course supervision, race safety

briefings, equipment checks, attendance by rescue personnel) are a service to meand other participants but are not a guarantee of safety.

7. I am fully responsible for the security of my personal possessions at the event.

8. My registration is not transferable to other people.

PARTICIPANTS AGREEMENT & LIABILITY WAIVER,RELEASE & INDEMNITY


5/10


The team leader is required to have all his/her team members read and signthis form, which must be handed into race organisers by th e 11

thOctober,

two w eeksbefore race time advertised at the latest.

1 Name in Full (Print):

Signature:


Signature:


Signature:


Signature:


Signature:


Signature:


6/10


FOR PARTICIPANTS UNDER THE AGE OF 16

A parent or guardian must complete this consent form.

CHILD ONE- PARENTAL CONSENT FORM

Full Name: __________________________________________________

Date of Birth: _________________________________________________

Declaration by Parent/Guardian of participant shown above:

I agree to the following for myself and on behalf of my child. I indemnify andwill keep indemnified all people associated with the conduct of the event onthe terms referred in this booklet.

Parent/Guardian Signature:_________________ Date: _____________


CHILD TWO- PARENTAL CONSENT FORM

Full Name: __________________________________________________

Date of Birth: _________________________________________________





7/10



CHILD THREE-PARENTAL CONSENT FORM

Full Name: __________________________________________________

Date of Birth: _________________________________________________





CHILD FOUR-PARENTAL CONSENT FORM

Full Name: __________________________________________________

Date of Birth: _________________________________________________





8/10



CHILD FIVE- PARENTAL CONSENT FORM

Full Name: __________________________________________________

Date of Birth: _________________________________________________





CHILD SIX- PARENTAL CONSENT FORM

Full Name: __________________________________________________

Date of Birth: _________________________________________________





9/10


RULES FOR ALL PARTICIPANTS

1. A Team must consist of 6 children less than 16 years of age for Childrenraces, and 4 Adults for Adult races.

2. Competitors under 16 years of age must have parental consent.3. All competitors participating in adult events must be over the age of 16.4. All competitors participating in junior events must be over the age of 6.5. All participants must read and sign the enclosed indemnity form.6. Race officials must be obeyed at all times.

7. Shoes are highly recommended.


10/10


FOR MORE INFORMATIONContact race organiser on

Melissa 0424 420 780