1. Participant Registration Details

Question Title

* 1. Contact Details

Question Title

* 2. Event Details

PARTICIPANT NUMBERS
Personal Accident Cover is Compulsory for all riders and workers participating at any NRCA affiliates nominated event or activity where public liability has been provided by NRCA. 

Question Title

* 3. Confirmed (Actual) Competitors/Workers/Officials 

Question Title

* 4. NRCA Affiliation Fee @ $55 per event
*This fee only applies to MAIN events & does not apply to schools/clinics

JUDGES SHEETS
Include all Judges sheets (events) or Rider Name Register (schools, jackpots, clinics)

Question Title

* 5. Judges Sheets/Rider Name Register will be supplied by:

Question Title

* 6. To Upload scanned Judges Sheets/Riders Register CHOOSE FILE below

PDF, JPG, JPEG file types only.
Choose File
INJURY REPORTS
A report must be lodged for all incident occurrences at the event

Question Title

* 7. Were any injuries recorded at your event?

Question Title

* 8. If YES, please confirm how these forms will be supplied:

Question Title

* 9. To Upload scanned Injury Reports CHOOSE FILE below

PDF, JPEG, JPG file types only.
Choose File
RELEASE & WAIVER FORMS
Completed waivers must be submitted to our office with your event reconciliations as part of the terms and conditions of the policy

Question Title

* 10. Release and Waiver forms will be supplied by:

Question Title

* 11. To Upload scanned Waivers CHOOSE FILE below

PDF, JPEG, JPG file types only.
Choose File
COVIDSafe ATTENDANCE REGISTER
A copy of your completed COVICSafe Attendance register containing details of all participants, attendees and workers who attended your event/practice session must be submitted to our office

Question Title

* 12. COVIDSafe Attendance Register will be supplied by:

Question Title

* 13. To Upload scanned COVIDSafe Attendance Register CHOOSE FILE below

PDF, JPG, JPEG file types only.
Choose File
Page1 / 1
 
100% of survey complete.

T