APPLICATION FOR AFFILIATION 2019 - 2020 COMPETING AFFILIATE · 2019. 3. 12. · APPLICATION FOR...

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APPLICATION FOR AFFILIATION 2019 - 2020 COMPETING AFFILIATE 2019 - 2020 Affiliation year - 1 st January 2019 to 30 th June 2020 2020 - 2021 Affiliation Year - 1 st July 2019 to 30 th June 2020 CHRISTIAN NAME/s: ____________________________________________ SURNAME:________________________________ ADDRESS: _____________________________________________________________________________________________ CITY/TOWN: _____________________________________________________ STATE: ___________ POST CODE: ____________ PROPERTY IDENTIFICATION (PIC) CODE: ________________________ EMAIL ADDRESS: ______________________________________________________ GENDER (please circle) F M HOME PHONE: ( _____ ) ____________________ FAX: ( _____ ) ___________________ MOBILE: _______________________ DATE OF BIRTH: _____ / _____ / _____ NICK NAME (if commonly used): __________________________________ RELEASE OF CONTACT DETAILS: If accepted as an Affiliate of Cow Sports Australia (CSA) I give consent for my contact information being released to other Competing Affiliates, Event Promoters and/or CSA Partners/Sponsors (please circle): Y N PLEASE NOTE: if no selection is made, CSA is authorised to release contact information. CONTACT IN CASE OF EMERGENCY: _______________________________________ PHONE NUMBER: ( _____ ) _______________ HAVE YOU BEEN INVESTIGATED/FOUND GUILTY OF CONDUCT UNBECOMING WITH ANY OTHER EQUINE ENTITY (please circle) Y N IF YES PLEASE PROVIDE DETAILS: ___________________________________________________________________________ AFFILIATION TYPE (Please tick) Competing Senior (minimum age 18 years and maximum age 80 years) $80.00 Competing Junior (minimum age is 5 years and maximum age 18years) $50.00 Single Event Senior (minimum age 18 years and maximum age 80 years) $50.00 Single Event Junior (minimum age is 5 years and maximum age 18years) $35.00 PLEASE NOTE: 1. Cow Sports Australia (CSA) expressly reserves in its absolute discretion, the right to refuse any Application for Affiliation without explanation. 2. Application for Affiliation/Renewal will only be considered on receipt of the Application For Affiliation Form fully completed, the New Affiliate Information Form fully completed if first time affiliation, both signed as required, the Risk Warning and Waiver duly signed and all returned with full payment deposited to the CSA nominated bank account. 3. Competing Affiliation fees do not include Personal Accident insurance. CSA urges all Competing Affiliates to take out Personal Accident insurance independently. 4. Competing Affiliation fees do not include Ambulance cover. Cow Sports Australia strongly urges all Competing Affiliates to take out Ambulance cover. 5. Cow Sports Australia (CSA) is not currently registered for GST. COW SPORTS AUSTRALIA PO Box 15 Kootingal NSW 2352 P: 0412 048 679 E: [email protected] W: www.cowsportsaustralia.com.au ABN: 63 711 505 857 Banking Details: BSB: 932 000 Account Number: 748645 Account Name: Cow Sports Australia Bank: Regional Australia Bank USE YOUR SURNAME AND THE WORD AFFILIATION AS THE REFERENCE OFFICE USE ONLY Date Received / / Date Processed / / Affiliation # © Copyright 2018 – 2019 Cow Sports Australia Form Effective Date 2 nd October 2018

Transcript of APPLICATION FOR AFFILIATION 2019 - 2020 COMPETING AFFILIATE · 2019. 3. 12. · APPLICATION FOR...

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APPLICATION FOR AFFILIATION 2019 - 2020 COMPETING AFFILIATE

2019 - 2020 Affiliation year - 1st January 2019 to 30th June 2020 2020 - 2021 Affiliation Year - 1st July 2019 to 30th June 2020

CHRISTIAN NAME/s: ____________________________________________ SURNAME:________________________________

ADDRESS: _____________________________________________________________________________________________

CITY/TOWN: _____________________________________________________ STATE: ___________ POST CODE: ____________

PROPERTY IDENTIFICATION (PIC) CODE: ________________________

EMAIL ADDRESS: ______________________________________________________ GENDER (please circle) F M

HOME PHONE: ( _____ ) ____________________ FAX: ( _____ ) ___________________ MOBILE: _______________________

DATE OF BIRTH: _____ / _____ / _____ NICK NAME (if commonly used): __________________________________

RELEASE OF CONTACT DETAILS: If accepted as an Affiliate of Cow Sports Australia (CSA) I give consent for my contact information being released to other Competing Affiliates, Event Promoters and/or CSA Partners/Sponsors (please circle): Y N PLEASE NOTE: if no selection is made, CSA is authorised to release contact information.

CONTACT IN CASE OF EMERGENCY: _______________________________________ PHONE NUMBER: ( _____ ) _______________

HAVE YOU BEEN INVESTIGATED/FOUND GUILTY OF CONDUCT UNBECOMING WITH ANY OTHER EQUINE ENTITY (please circle) Y N

IF YES PLEASE PROVIDE DETAILS: ___________________________________________________________________________

AFFILIATION TYPE (Please tick) ✔

Competing Senior (minimum age 18 years and maximum age 80 years) $80.00 Competing Junior (minimum age is 5 years and maximum age 18years) $50.00 Single Event Senior (minimum age 18 years and maximum age 80 years) $50.00 Single Event Junior (minimum age is 5 years and maximum age 18years) $35.00

PLEASE NOTE: 1. Cow Sports Australia (CSA) expressly reserves in its absolute discretion, the right to refuse any Application for Affiliation without explanation. 2. Application for Affiliation/Renewal will only be considered on receipt of the Application For Affiliation Form fully completed, the New Affiliate Information Form fully

completed if first time affiliation, both signed as required, the Risk Warning and Waiver duly signed and all returned with full payment deposited to the CSA nominated bank account.

3. Competing Affiliation fees do not include Personal Accident insurance. CSA urges all Competing Affiliates to take out Personal Accident insurance independently. 4. Competing Affiliation fees do not include Ambulance cover. Cow Sports Australia strongly urges all Competing Affiliates to take out Ambulance cover. 5. Cow Sports Australia (CSA) is not currently registered for GST.

COW SPORTS AUSTRALIA PO Box 15 Kootingal NSW 2352 P: 0412 048 679 E: [email protected] W: www.cowsportsaustralia.com.au ABN: 63 711 505 857 Banking Details: BSB: 932 000 Account Number: 748645 Account Name: Cow Sports Australia Bank: Regional Australia Bank

USE YOUR SURNAME AND THE WORD AFFILIATION AS THE REFERENCE

OFFICE USE ONLY

Date Received / / Date Processed / / Affiliation # © Copyright 2018 – 2019 Cow Sports Australia Form Effective Date 2nd October 2018

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RISKWARNINGANDWAIVERRiskwarningandacknowledgementYourparticipationintherecreationalactivitiessuppliedbyCowSportsAustralia(CSA)oranyofitsaffiliatedeventpromotersmayinvolverisk.Therisksinvolvedmayresultinpersonalinjuryincludingdeath.Priortoundertakinganysuchrecreationalactivity,youshouldensureyouareawareofalloftherisksinvolved,includingthoserisksassociatedwithanyhealthconditionyoumayhave.

Bysigningbelow,youacknowledge,agree,andunderstandthatparticipationintherecreationalservicesprovidedbyCSAoranyofitsaffiliatedeventpromotersmayinvolverisk.Youagreeandundertakeanysuchriskvoluntarilyandatyourownrisk.Youalsoacknowledgethattheriskwarningaboveconstitutesa'riskwarning'inaccordancewithrelevantlegislation,includingtheCivilLiabilityAct2002(NSW)andtheCivilLiabilityAct2002(WA).

WaiverItispossibleforasupplierofrecreationalservicesorrecreationalactivitiestoaskyoutoagreethatstatutoryguaranteesundertheAustralianConsumerLaw(whichisSchedule2totheCompetitionandConsumerAct2010(Cth))donotapplytoyou(orapersonforwhomoronwhosebehalfyouareacquiringtheservices).Ifyousignthisform,youwillbeagreeingthatyourrights(ortherightsofapersonforwhomoronwhosebehalfyouareacquiringtheservices)tosuethesupplierinrelationtorecreationalservicesorrecreationalactivitiesthatyouundertakebecausetheservicesorrecreationalactivitiesprovidedwerenotinaccordancewiththeguaranteesareexcluded,restrictedormodifiedassetoutbelow.

ForrecreationalservicesorrecreationalactivitiestowhichtheAustralianConsumerLaw(Commonwealth),(NewSouthWales)and(WesternAustralia)appliesBysigningthis form,youagreethatthe liabilityofCSAoranyof itsaffiliatedeventpromoters inrelationtorecreationalservices (asthattermisdefinedintheCompetitionandConsumerAct2010(Cth)andtheAustralianConsumerLaw)andrecreationalactivities(asthattermisdefinedintheCivilLiabilityAct2002(NSW)andtheCivilLiabilityAct2002(WA))forany:

a. death;b. physicalormentalinjury(includingtheaggravation,accelerationorrecurrenceofsuchaninjury);c. thecontraction,aggravationoraccelerationofadisease;d. thecomingintoexistence,theaggravation,accelerationorrecurrenceofanyothercondition,circumstance,occurrence,activity,form

ofbehaviour,courseofconductorstateofaffairs:i. thatisormaybeharmfulordisadvantageoustoyouorthecommunity;ii. thatmayresultinharmordisadvantagetoyouorthecommunity,

that may be suffered by you (or a person for whom or on whose behalf you are acquiring the services) resulting from the supply ofrecreationalservicesorrecreationalactivitiesisexcluded.

ForrecreationalservicestowhichtheAustralianConsumerLaw(NorthernTerritory)appliesBysigningthisform,youagreethattheliabilityofCSAoranyofitsaffiliatedeventpromotersforanydeathorpersonalinjury(asdefinedintheConsumerAffairsandFairTradingAct(NT))thatmaybesufferedbyyou(orapersonfromwhomoronwhosebehalfyouareacquiringtheservices)resultingfromthesupplyofrecreationalservicesisexcluded.

ForrecreationalservicestowhichtheAustralianConsumerLaw(SouthAustralia)applies

YourrightsUnder sections 60 and 61 of the Australian Consumer Law (SA), if a person in trade or commerce supplies youwith services (includingrecreationalservices),thereis–

a. astatutoryguaranteethatthoseserviceswillberenderedwithduecareandskill;andb. a statutory guarantee that those services, and anyproduct resulting from those services,will be reasonably fit for thepurpose for

whichtheservicesarebeingacquired(aslongasthatpurposeismadeknowntothesupplier);andc. astatutoryguaranteethatthoseservices,andanyproductresultingfromthoseservices,willbeofsuchanature,andquality,stateor

condition,thattheymightreasonablybeexpectedtoachievetheresultthattheconsumerwishestoachieve(aslongasthatwishismadeknowntothesupplierorapersonwithwhomnegotiationshavebeenconductedinrelationtotheacquisitionoftheservices).

Excluding,restrictingormodifyingyourrightsUndersection42oftheFairTradingAct1987(SA),thesupplierofrecreationalservicesisentitledtoaskyoutoagreetoexclude,restrictormodifyhisorher liability for anypersonal injury sufferedby youor anotherperson forwhomoronwhosebehalf youareacquiring theservices (a third party consumer). Ifyousign this form,youwillbeagreeing toexclude, restrictormodify thesupplier's liabilitywith theresultthatcompensationmaynotbepayableifyouorthethirdpartyconsumersufferpersonalinjury2.

ImportantYoudonothavetoagreetoexclude,restrictormodifyyourrightsbysigningthisform.

Thesuppliermayrefusetoprovideyouwiththeservicesifyoudonotagreetoexclude,restrictormodifyyourrightsbysigningthisform.

Evenifyousignthisform,youmaystillhavefurtherlegalrightsagainstthesupplier.

Achildundertheageof18cannotlegallyagreetoexclude,restrictormodifyhisorherrights.Aparentorguardianofachildwhoacquiresrecreationalservicesforthechildcannotlegallyagreetoexclude,restrictormodifythechild'srights.

Agreementtoexclude,restrictormodifyyourrightsIagreethattheliabilityofCowSportsAustralia(CSA),itsproprietororanyofitsaffiliatedeventpromotersoranyoftheirvolunteersforanypersonalinjurythatmayresultfromthesupplyoftherecreationalservicesthatmaybesufferedbyme(orapersonforwhomoronwhosebehalfIamacquiringtheservices)isexcluded.

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DefinitionsRecreationalservicesareservicesthatconsistofparticipationin—

• asportingactivityorsimilarleisure-timepursuit;or

• any other activity that involves a significant degree of physical exertion or risk and is undertaken for the purposes of recreation,enjoymentorleisure.

Personalinjuryisbodilyinjuryandincludesmentalandnervousshockanddeath.

FurtherinformationFurtherinformationaboutyourrightscanbefoundatwww.ocba.sa.gov.au

ForrecreationalactivitiestowhichtheAustralianConsumerLaw(Victoria)appliesUnder the Australian Consumer Law (Victoria), several statutory guarantees apply to the supply of certain goods and services. Theseguaranteesmeanthatthesuppliernamedonthisform,CowSportsAustraliaoranyofitsaffiliatedeventpromoters,isrequiredtoensurethattherecreationalservicesitsuppliestoyou—

a. arerenderedwithduecareandskill;andb. arereasonablyfitforanypurposewhichyou,eitherexpresslyorbyimplication,makeknowntothesupplier;andc. mightreasonablybeexpectedtoachieveanyresultyouhavemadeknowntothesupplier.

Undersection32NoftheFairTradingAct1999,thesupplierisentitledtoaskyoutoagreethatthesestatutoryguaranteesdonotapplytoyou.Ifyousignthisform,youwillbeagreeingthatyourrightstosuethesupplierundertheFairTradingAct1999ifyouarekilledorinjuredbecausetheservicesprovidedwerenotinaccordancewiththeseguarantees,areexcluded,restrictedormodifiedinthewaysetoutinthisform.

NOTE:Thechangetoyourrights,assetoutinthisform,doesnotapplyifyourdeathorinjuryisduetogrossnegligenceonthesupplier'spart.GrossnegligenceisdefinedintheFairTrading(RecreationalServices)Regulations2004.

ExclusionofrightsundertheAustralianConsumerLaw(Victoria)Bysigningbelow,IagreethattheliabilityofCowSportsAustraliaoranyofitsaffiliatedeventpromotersforanydeathorpersonalinjury(asdefinedintheFairTradingAct1999)thatmaybesufferedbyme(orapersonfromwhomoronwhosebehalfIamacquiringtheservices)resultingfromthesupplyofrecreationalservicesisexcluded.

Yourobligationsasaparticipant

Further,bysigningbelow,Iagree;

a. shouldI/weasaparticipant/sbeinvolvedinanaccident,becomeillorotherwiserequiremedicaltreatmentorcare,thesupplieroritsaffiliatedeventpromotersortheirstaffmay,intheirabsolutediscretion,obtainmedicaltreatmentfortheparticipant/sandthatastheparticipant/sI/wemustpayallexpensesincurredinobtainingmedicaltreatmentorcare.

b. I/wewillnotconsumealcoholand/ordrugsprohibitedbylawbeforeorwhileparticipatingandthatI/wewillnotattempttoparticipateinanyevent/activitywhileundertheinfluenceofalcohol,drugsprohibitedbylaworanyprescriptiondrugsthatmayaffectmy/ourabilitytoparticipate.

c. anyparticipantundertheageofeighteenyearsundermycontrolasaparent/legalguardianwillbesuitablymountedinlinewiththeminor/child’sexperienceandabilityandthatsuitableequipmentingoodrepairwillbeusedatalltimes.

DeclarationandSignature

Ihavereadcarefullyandunderstandthisriskwarningandwaiverofliabilityandsignitfreelyandvoluntarilywithoutinducementofanykind.

Signature:___________________________________________________Date:______/______/______

Signatureofwitness:____________________________________________NameofWitness:__________________________________________

Addressofwitness:___________________________________________________________PostCode:____________

Forparticipantsunderage18

ThisistocertifythatI,asaparent/guardianwithlegalresponsibilityfortheParticipant,acknowledge,understandandacceptalloftheaboveandconsenttohis/herreleaseasprovidedabove.IreleaseandagreetoindemnifyandholdharmlesstheProviderfromanyandallliabilitiesarisingfrommyminorchild’sinvolvementorparticipationintherecreationalservices,evenifarisingfromthenegligenceoftheProvider.

SignatureofParent/Guardian:___________________________________________________Date:______/______/______

Signatureofwitness:__________________________________________NameofWitness:_________________________________________

Addressofwitness:___________________________________________________________PostCode:__________

©Copyright2018–2019CowSportsAustralia

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CODEOFCONDUCTThisCodeofConductasaconditionofaffiliationappliesto;• AllCowSportsAustraliaCompetingAffiliates,theirfamily,friendsandguests• AllCowSportsAustraliaAffiliatedEventPromoters,theirfamily,friendsandguestsandto;• ALLofficials,theirfamily,friendsandguests• ALLspectatorsasaconditionofentry,whereverpractical,theirfamilyandfriendsinregardtotheirconductandbehaviourinanywayrelatingtoeventsandactivitiesaffiliated/conductedbyCowSportsAustralia.

Ø Beapositiverolemodeltoothers.

Ø Contributetoasafesportingenvironmentandrespectfulculturewhichisacceptingofindividualdifferencesandbehaveaccordinglybyrespectingtherights,dignityandworthofallpeopleinvolvedinCowsSportsAustraliaeventsandactivitiesregardlessofgender,ability,sexualorientation,age,culturalbackgroundorreligion.

Ø Showconcernandcautiontowardsotherswhomaybesickorinjured.

Ø Refrainfromanyformofharassment,bullying,abuse,violence,intimidationorvilificationofothers,includingviatheuseofsocialmedia.

Ø Condemntheuseofviolenceorabuseinanyform,whetheritisbyothercompetitors,officials,volunteersandspectators.

Ø Befair,considerate,honestandactappropriatelyinalldealings.

Ø Beprofessionalin,andacceptresponsibilityfor,youractions.

Ø Demonstrateahighdegreeofindividualresponsibilityespeciallywhendealingwithpersonsundertheageof18years,asyourwordsandactionsareanexample.

Ø RefrainfromanybehaviourthatmaybringCowSportsAustralia,itsCompetingAffiliates,itsAffiliatedEventPromotersorthesportsand/oractivitiesthatCowSportsAustraliaadministersintodisrepute.

Ø BeawareofandabidebyanyLaws,CodesofConductorRulesinrelationtothewelfareofhorsesandcattleusedwhileparticipatinginCowSportsAustraliaaffiliatedeventsandactivities.

Ø BeAwareof,andcomplywithCowSportsAustraliarules,regulations,standardsandpoliciesasamendedfromtimetotime.

Ø Respectthespiritofanyrulesorguidelineswithoutlimitation,whichgovernthesportsadministered,conductedand/oraffiliatedbyCowSportsAustraliainaspiritoffairplay,andbehaveaccordingly.

Ø Donotconsumeorbeaffectedbyalcoholorothersubstancessuchthatitimpairsyourjudgementand/orthesafetyofyourselfandothersinattemptingtoparticipate.

Ø Donotconsume,takeorbeaffectedbyillicitsubstancesbeforeorduringanyCowSportsAustraliaaffiliatedeventoractivity.

Ø Notengageinconductthatis(inCowSportsAustralia’sreasonableopinionandabsolutediscretion)unethical,unbecomingorlikelytocauseharmtothereputationofCowSportsAustralia,itsCompetingAffiliates.AffiliatedeventPromotersorthesportsofCowPenning,CowYardingorCowSorting.

Ø ComplywithallrelevantAustralianlaws(FederalandState)includinganti-discrimination,occupationalhealthandsafetyandchildprotectionlaws.

Ø Understandtheconsequences(assetoutintheCowSportsAustraliaRuleBook)ifyoubreachCowSportsAustraliarules,regulations,standards,codes,policesandguidelines.

©Copyright2018–2019CowSportsAustralia

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