SKU: imperial-100-challenge.
Category: .

Imperial 100 Challenge

$100.00 $90.00 Inc GST

Entrant Details

If under 18, parent/guardian details are required.

Emergency Contact Details

Disclaimer

I understand that participation in the 2021 Ipswich 100 Bike Ride involves riding on public roads used by other traffic and I am aware of the hazards involved.  In my judgment I/My Child/My Family has sufficient confidence and experience to participate in this ride.  I shall ensure that I/my child/my family will abide by the rules governing use of the roads and follow any directions given to me by any Ipswich 100 event personnel. I hereby release and exempt and indemnify the organisers, sponsors and other persons and organisations involved in any of the 2021 Ipswich 100 events from all actions, proceedings, demands and costs, expense and claims whatsoever made or taken by any persons arising out of my/Family’s participation in the 2021 Ipswich 100. I accept the organisers reserve the right to refuse entry to the event and to change the published route or details from that described, without notice. I consent to the publication and or use in any form of media whatsoever of my name, image, voice, statements or otherwise, before, during or after the event whether for advertising, promotion or otherwise, without payment or compensation.

I acknowledge that competitive sport involves real risk of serious injury or even death from various causes including; dehydration, physical stress and health failure; equipment failure; accidents with other competitors, spectators or road users; drowning, inherent race course risks; weather conditions and other causes.

I understand that I should not compete in this event unless I have trained appropriately and my physical condition has been verified by a medical practitioner as being of a high personal health standard to injure the expected stresses caused by competitive sport. I acknowledge that the leading cause (more than 90%) of non-traumatic sudden death of athletes is related to a pre-existing cardiac abnormality.

I consent to receiving all forms of medical treatment onsite at an event or in a medical facility and including ambulance transportation that the event organizers think desirable during or after the event.

I understand that compulsory insurance cover affected for participants in this event may not cover me for any or all injury, loss or damage sustained by me.

By competing, I accept all risks necessarily flowing from my participation which could result in loss of life or permanent injury. Accordingly, I release all persons or corporations associated directly or indirectly with the conduct of the event from all claims demands and proceedings arising out of my participation and I hereby indemnify them against all liability (including liability for their negligence and the negligence of others) for all injury, loss of damage arising out of or connected with my participation in this event. This release shall extend to and include Ipswich Hospital Foundation and Moggill Mount Crosby Lions.

Refunds are only given in the event of a total event cancellation.  If for unforeseen reasons at the time of registration, the event is cancelled the organisers will automatically refund all registrations, minus the ticketing fee.  If you are unable to take part on the day, registered riders can transfer their registration to another rider only or forfeit their registration fee.  Notification transferring your 2021 registration must be sent to the Ipswich 100 organising committee in writing. Please use the ‘contact us’ page on the website 14 days prior to the event.

I am fully responsible for the security of my personal possessions at the event including my bike and other valuable items within the race course and event operational area. Ipswich Hospital Foundation and Moggill Mount Crosby Lions will not be liable for replacement of any personal possessions at any time or in any location.

I agree to abide by all race rules and directions issued by the Peak sporting bodies in the State of registration, and in the State in which the event occurs and the National Sporting Organisation and the event organisers.

Receipt of payment from participant registrations will be taken as acceptance of these terms and conditions

ADDITIONAL NOTES

  • No refunds are given – please choose your event carefully.
  • An additional charge of $10 per person will apply for registrations made on the day of the event.
  • Children under the age of 16 years of age must carry a signed consent form with them and ride with a responsible adult.  Printable from is available on the Ipswich 100 website.
  • All team members to register separately.
  • Online registrations will remain open until 3pm Saturday 13th March.
  • Your credit card will be charged by the Ipswich Hospital Foundation. Should this be queried and the Ipswich Hospital Foundation face chargeback costs, your registration will be cancelled.
  • Ipswich Hospital Foundation is not the organiser of the event and is not liable for the event.
  • If necessary to cancel the event due to poor weather notification will appear on the Ipswich 100 website and facebook page.
  • I acknowledge that I have selected to receive the Ipswich Hospital Foundation email newsletter and event updates electronically and I can unsubscribe at any time.
  • If you have any COVID-19 symptoms (for example but not limited to: sore throat, shortness of breath, fever, fatigue) you will be refused entry to the event.