Membership Forms OMCC Annual Membership Application 1. About you 2. Family 3. Indemnity 1 4. Indemnity 2 5. Indemnity 3 6. Payment Spam protection, skip this field Disclaimer: (optional) WARNING THIS IS AN IMPORTANT DOCUMENT IT EFFECTS YOUR LEGAL RIGHTS AND OBLIGATIONS. READ IT CAREFULLY AND DO NOT AGREE UNLESS YOU ARE SATISFIED YOU UNDERSTAND IT. Your Details Email address First Name Last Name Phone Number Address e.g. 1 Simpsons Road, Clayton South, VIC, 3169 Emergency Contact Emergency Phone OMCC Membership Number (e.g. 123) (optional) (For existing members only) Membership Category Metro Melbourne Inc Mornington Peninsula | $200 per year Non-Metro Melbourne | $100 per year Metro Melbourne Supervisor Discount | $150 per year | not available to new members Life Member | No Charge For period 5th May 2023 – 28th Feb 2024. See https://oakleichmcc.com/ for full details Dependents & Family Members Details (if applicable) First Name (Family Member 1) (optional) Last Name (Family Member 1) (optional) First Name (Family Member 2) (optional) Last Name (Family Member 2) (optional) First Name (Family Member 3) (optional) Last Name (Family Member 3) (optional) Indemnity 1 of 3 CONTRACT TO PARTICIPATE IN PRACTICE ACTIVITY UNDER LIMITED SUPERVISION AT OAKLEIGH MOTORCYCLE CLUB GROUNDS. I hereby agree with Oakleigh Motorcycle Club Inc. (here in after called the club) that I am by this agreement entitled to the use of club grounds and facilities for the purposes of the MOTORCYCLE RIDING PRACTICE that is non competitive in nature and for the purposes therefore of improvement of skills and fitness under the terms and conditions set out in this document.I also agree to adhere to those rules of safety and conduct as the Oakleigh Motor Cycle Club requires whilst within their jurisdiction or upon their grounds Do You Agree? Choose Yes Indemnity 2 of 3 ACKNOWLEDGEMENT OF RISKS, DANGERS AND OBLIGATIONS I acknowledge that motorcycle sport is dangerous and that by engaging in the sport and participating in the activity I am exposed to certain risks and dangers and am under certain obligations as follows: a) that I may be injured, physically or mentally, and may be killed;b) that my machinery or equipment may be damaged, lost or destroyed;c) that other riders may ride dangerously or with lack of skill;d) that track or course conditions may be hazardous and may vary without warning or predictability;e) that the club, officials, landowners/track operators and any agents or representatives of those in charge of activities are frequently obliged to make decisions under pressure of time or events;f) that any policy of insurance or in respect of my life or mental health may be voided;g) that there may be no or inadequate facilities for treatment or transport of me if I am injured;h) that I have an obligation to myself and to others to participate safely and withing the rules CONTRACT TO PARTICIPATE IN PRACTICE ACTIVITY UNDER LIMITED SUPERVISION AT OAKLEIGH MOTORCYCLE CLUB GROUNDS. I hereby agree with Oakleigh Motorcycle Club Inc. (here in after called the club) that I am by this agreement entitled to the use of club grounds and facilities for the purposes of the MOTORCYCLE RIDING PRACTICE that is non competitive in nature and for the purposes therefore of improvement of skills and fitness under the terms and conditions set out in this document.I also agree to adhere to those rules of safety and conduct as the Oakleigh Motor Cycle Club requires whilst within their jurisdiction or upon their grounds Do You Agree? Choose Yes Indemnity 3 of 3 INDEMNITY GIVEN TO THE CLUB AND/OR THEIR OFFICIALS AND MEMBERS In consideration of the acceptance of me as a participant in the riding activity I AGREE: a) that I participate in the activity at my sole risk and responsibility;b) that I accept the venue as it stands with all or any defect hidden or exposed;c) that I indemnify and hold harmless the club, the land owner, their respective servants, agents or officials against any actions or claims which may be made by me or on my behalf or by other parties for or in respect of or arising out of death or any injury loss or damage caused by me or to my machinery or equipment whether caused by negligence, breach of contract, or in any other manner whatsoever.d) I hereby acknowledge, as a parent (or guardian) of the persons(s) named below that: (i) I have read the whole of the document and understand it;(ii) I consent to the named person(s) participating in the activity ; AND (iii) I am aware of the risks, dangers and obligations set out above. In consideration of the person(s) being accepted as a participant (or Participants) in the activity I hereby indemnify the club in the same manner and to the same effect as if I were the participant(s) Do You Agree? Choose Yes Payment $ Card number Australian Dollars (AUD) Save draft