Coffs Coast Dragon Boat Club
Sports and Community Dragon Boat Regatta
Sunday 17th September 2017
Entry Form
Community/Corporate/School teams
Venue Details: Alma Doepel Park, Cnr River and George Streets, Mylestom
Distance: 200 metres
Entry fees: $30.00 (adults) and $15.00 (juniors) per person
Note: all fees inclusive of gst and insurance
Category Definitions:
Drummers and sweeps will be provided for all crews
Community Mixed Crews-Minimum 16 to a maximum of 20 paddlers + 4 reserves
-Maximum of 10 male paddlers
-DBNSW (or other State association) registered members cannot paddle for a corporate/community team unless they workfor them or are otherwise associated with them. (maximum of 4 such paddlers& indicate on Crew List)
-All paddlers must be >12 years at of the 1st January 2017
School/Junior Crews Minimum of 16 to maximum of 20 paddlers + 4 reserves
Any gender. All paddlers must be >12 years at of the 1st January 2017
Two training sessions including a compulsory safety sessionwill be provided from Sunday 6th August 2017to all community/school crews. Training sessions will be allocated by the organisers on a first come first served basis.The Participant Declaration (pages 6 to 8) is to be handed in when registering for the first training session.
Entries close 5pm, Wednesday, 23rd August, 2017
Contact Details:
Name: Adrienne Farago (Community Crew Coordinator)
Ph: 0419 352 393Email:
**** A DBNSW Accredited Regatta ****
Please only fill in this page once per team
Entry Form - Community/School teams
CoffsCoast Dragon Boat Club
Sports and Community Dragon Boat Regatta
Sunday 17thSeptember 2017
Please tick which categories you will be entering: (if more than one enter the number (eg: 2)
Please tick box in front of category
Community/Corporate / Schools/JuniorsNote (1): if entering more than one team per category, please indicate what the different team names are so they can be recorded as such for the race draw.
Team name (be creative!):Team Manager:
Mobile contact:
Email address:
Conditions of entry:
abide by the AusDBF race rules and requirements of the events organisers whose decision in all matters relating thereto and to the suitability and eligibility of
applicants is final and binding,
. every crew member is to be covered by personal accident insurance offered by DBNSW Inc or its equivalent. ($5.00+gst per person)
. waiver any claim on the event organisers which may otherwise arise from personal injury or death and damage arising from or caused by participation in the competition,
. reimburse the event organisers for any damages or losses caused by the entrant to equipment provided by the event organisers,
. utilise only equipment and fittings provided or required by the event organisers
-. every member of the paddling team must be able to swim 50 metres or otherwise they will be required to wear a PFD
. any protests must be lodged in writing and accompanied by $50 cash protest fee within 15 minutes of completion of the protested race. The protest fee is only refundable if the protest is successful.
I certify that each member of the team understands and undertakes to be bound by the conditions of entry,
Signed: ______Date: ______
Entries close: 5pm, Wednesday, 23rd August, 2017
Entry form: please submit completed entry form (this page only), to Coffs Coast Dragon Boat Club by:
scanning and emailing to ; or
posting to PO Box 2141 Mylestom NSW 2454
Payment: Cheque - payable to Coffs Coast Dragon Boat Club; or
EFT - Bananacoast Community Credit Union
Account name: Coffs Coast Dragon Boat Club
BSB: 533 000
Account number: 190258 (S11 for BCU account holders only)
Reference: Your team name
Note: Entry fees must be paid and in the CCDBC bank account by COB Thursday 14th September. If an invoice and/or receipt is required please let us know.
Crew lists (page 3) must be handed in to registration prior to 7:30am on the morning of the regatta, but if possible scanned and emailed by Thursday 14th.
ATTACHMENT 1 CREW LIST FORM
Sports and Community Dragon Boat Regatta
Sunday 17th September 2017.
Crew List- Community
PLEASE TYPE OR WRITE CLEARLY
All information must be provided, or crew lists will NOT be accepted
Team Name: ...... ………………………......
Team manager's name:…………………………………………………………………......
Team manager's signature: ……………………………………………......
(1)I certify that all the information provided on this Crew Listis correct.
(2)I understand and have read and agree to abide by the AusDBF Race Rules
Note: A separate crew list must be handed in for each team entered
Please write names BY SURNAME IN ALPHABETICAL ORDER (full first name, no initials)
No / Name(Surname, then First name) / Marshall: Tick for Heats checked / Marshall: Tick for Finals checked
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Record details above for each Crew Member participating.If paddler is a Registered/sports paddler, please include their Club name
This list must be handed in at Registration, 7:30am on Sunday, 17th September, but preferably scanned and emailed by Thurs 14th
ATTACHMENT 2 - Briefing notes – Community/Schools
CoffsCoast Dragon Boat Club
Sports and Community Dragon Boat Regatta
Sunday 17thSeptember 2017
Arrival and Set up: Registration Times: / 7.00am – arrive and set upown marquee7:30am – registration at the Official’s tent
Team Captains’ Briefing / 7:45am
Racing commences
Location: / 8:30am
Alma Doepel Park, cnr River and George Streets, Mylestom
Free parking at southern end of reserve.
Site Facilities: / On site coffee van and food vans. Local cafe/takeaway shop nearby. On site toilet facilities. Bring shade marquees, chairs.
Race Schedule: / Draft will be distributed afterWednesday, 6th September 2017 and final available beforeSunday, 17th September 2017
Race Distances: / 200 metre sprint races
Boats: / 4 champion boats
Paddles: / Paddles will be provided
Team Composition & Rules of Racing: / Refer to the following website for AusDBF Competition Regulations and Rules of Racing and NSW By-laws:
Safety: / 1. (1) This regatta is a DBNSW sanctioned event and Coffs Coast Dragon Boat Club will appoint a Regatta Safety Officer to advise the Chief Race Official on all matters relating to the safety of participants, officials, spectators and others present at the venue. The name of the Regatta Safety Officer will be advised at the Team Captains' briefing at the commencement of racing. Adherence to safety-related instructions from either the Regatta Safety Officer or the Chief Race Official is mandatory
(1)(2) Nothing in (1) above:
- -removes the responsibility for Clubs to do all in their power to ensure the safety of participants, officials, spectators and others present at the venue - safety is everyone's responsibility; and
-affects the right of Clubs and Sweeps to adopt a more risk averse approach to specific situations, nor does it affect the responsibilities of the sweep for the safety of his or her crew.
Qualifying for Finals:
Trophies: / Points are allocated on placings in heat results and added together to form finals qualifications. If more than 4 teams qualify, the times of teams on equal points will be added to identify the 4 fastest qualifying teams.
1st place will receive medals.
Sweeps/Steerers: / Accredited sweeps/steerers will be supplied for all community/corporate/school teams.
Clean-up: / All teams are requested to clean up their area at the end of the day.
Security: / Teams are responsible for the security of their valuables. BE WARY.
First Aid: / SES will provide water safety and St Johns will be provide First Aid
Shoes:
Weather Conditions: / Shoes must be worn down to the water’s edge. Shoes on the boat itself are optional.
Coffs Coast Dragon Boat Club in conjunction with DBNSW reserves the right to postpone or cancel the event due to what they consider to be unsafe or detrimental weather conditions. Depending upon weather forecast a decision will be made on the morning of the event. Clubs will be contacted if inclement weather prevents the running of the regatta.
Closest Hospital: / Coffs Harbour Health Campus, Pacific Highway, Coffs Harbour South Ph 6656 7000 (approximately 22 kilometres north of venue).
Alcohol:
Behaviour:
General: / Alcohol is not to be consumed during the regatta and should not be brought to the regatta. If a regatta participant is found to be consuming alcohol during the event, their entire team will be disqualified.
The steerer/sweep is the designated master of the boat. Inappropriate behaviour will not be tolerated. Any teams disobeying the rules or a sweep's commands may be disqualified. Safety is paramount in dragon boating.
We look forward to welcoming back previous community/corporate/school teams to our regatta and also hope any new teams attending enjoy our impressive office!
If you have any enquiries please feel free to contact us.
Dragon Boats NSW Inc.
(Incorporated under the Associations Incorporation Act, 2009)
(Registered Number: Y2086230)
(ABN 31 936 733 882)
ATTACHMENT 3
DRAGON BOATS NSW INCORPORATED
PARTICIPANTDECLARATION - Coffs Coast Dragon Boat Club
Sports and Community Regatta
Sunday 17thSeptember 2017
All individuals listed below hereby apply to participate in the Sport as governed by DBNSW. The individual declaration reads:
In consideration of my application for participation being accepted I acknowledge and agree that:
1. In this participant declaration:
"Claim" means and includes any action, suit, proceeding, claim, demand, damage, cost or expense however arising including but not limited to negligence but does not include a claim against a DBNSW under any right expressly conferred by its constitution or regulation.
“DBNSW” means Dragon Boats NSW Incorporated and, where the context so permits, its respective directors, officers, members, servants or agents.
"Sport" means the sport of dragon boat racing.
"Sporting Activities" means performing or participating in the Sport in any capacity which includes, but is not limited to, participation in training, competitions, coaching or as an official.
2. If my application for participation is accepted, I acknowledge that I will be bound by and agree to comply with the rules applying to the Sporting Activities and the constitution, regulations, policies and directions of DBNSW.
3. Warning: The Sporting Activities are inherently dangerous. I acknowledge that I am exposed to certain risks during Sporting Activities and that accidents can and often do happen which may result in me being injured or even killed, or my property being damaged. I have voluntarily read and understood this warning and accept and assume the inherent risks in participating in the Sporting Activities.
4. Exclusion of Implied Terms: I acknowledge that where I am a consumer of recreational services, as defined by any relevant law, certain terms and rights usually implied into a contract for the supply of goods or services may be excluded. I acknowledge that these implied terms and rights and any liability of DBNSW flowing from them, are expressly excluded to the extent possible by law, by this participant declaration. To the extent of any liability arising, the liability of DBNSW will, at the discretion of the relevant DBNSW, be limited in the case of goods, to the replacement, repair or payment of the cost of replacing the goods and in the case of services, the resupply of the services or payment of the cost of having the services supplied again.
5. Release and Indemnity:In consideration of DBNSW accepting my application for participation I, to the extent permitted by law:
(a) release and will release DBNSW from all Claims that I may have or may have had but for this release arising from or in connection with my participation in any Sporting Activities; and
(b) indemnify and will keep indemnified DBNSW in respect of any Claim by any person arising as a result of or in connection with my participation in any Sporting Activities.
6. Fitness to Participate:I declare that I am medically and physically fit and able to participate in the Sporting Activities. I will immediately notify DBNSW in writing of any change to my medical condition, fitness or ability to participate I understand and accept that DBNSW will continue to rely upon this declaration as evidence of my fitness and ability to participate.
7. Medical Treatment:I consent to receiving any medical treatment that the DBNSW reasonably considers necessary or desirable for me during my participation in Sporting Activities. I also agree to reimburse the relevant DBNSW for any costs or expenses incurred in providing me with medical treatment.
8. Right to Use Image: I acknowledge and consent to photographs and electronic images being taken of me during my participation in any Sporting Activities.
I acknowledge and agree that such photographs and electronic images are owned by DBNSW and it may use the photographs for promotional or other purposes without my further consent being necessary. Further, I consent to DBNSW using my name, image, likeness and also my performance in the Sporting Activities, at any time, by any form of media, to promote the Sporting Activities.
9. Privacy:I understand that the information I have provided in this participation declaration is necessary for the objects of DBNSW. I acknowledge and agree that the information will be disclosed by DBNSW only to pursue its objects and general business. I understand that I will be able to access the information on request. If the information is not provided my membership application may be rejected. I acknowledge that DBNSW may also use my personal information for the purposes of providing me with promotional material from DBNSW’s sponsors or third parties. I may advise DBNSW if I do not wish to receive any sponsor or third party promotional material.
10. Severance: If any provision of this participation declaration is invalid or unenforceable in any jurisdiction, the phrase or clause is to be read down for the purpose of that jurisdiction, if possible, so as to be valid and enforceable. If the phrase or clause cannot be so read down it will be severed to the extent of the invalidity or unenforceability. Such severance does not affect the remaining provisions of this membership declaration or affect the validity or enforceability of it in any other jurisdiction.
11. I have provided the informationrequired and signed this membership declaration. I warrant that all information provided is true and correct. I acknowledge this membership declaration cannot be amended. If I do amend it, my application will be null and void. It cannot be accepted by DBNSW.
Each participant is to complete and sign below to acknowledge that they have read, understood and agree to the terms, including the risk warning, exclusion of implied terms, release and indemnity.
Where the applicant is under 18 years of age this declaration must be signed by the applicant’s parent or legal guardian.
As a parent or guardian of the applicant,you authorise and consent to the applicant undertaking the Sporting Activities. In consideration of the applicant's participation being accepted by DBNSW, you expressly agree to be responsible for the applicant’s behaviour and agree to accept in your capacity as parent or guardian, the terms set out in this participant declaration, including the provision by you of a release and indemnity in the terms set out above. In addition, you agree to be bound by and to comply with DBNSW’s constitution and any regulations and policies made under it.
This is a risk warning given in accordance with the provisions of the Civil Liability Act 2002. Paddling in a dragon boat is a dangerous recreational activity which involves a number of significant risks of physical harm. Dragon Boating has a number of obvious risks and a number of risks which are not so obvious, but which are nonetheless significant risks of physical harm. In engaging in dragon boating, participants are warned of the following risks: death by drowning, death, permanent disability, paralysis, shoulder dislocation, rotator cuff injuries, broken limbs, blisters, back complaints (including disc prolapse), bruising, needle stick injuries, cuts, cuts from broken glass, viral and bacterial infections from water pollution, shark attack, hypothermia, dehydration, sunstroke, skin cancer, exhaustion and lack of concentration. A number of the risks identified above are clearly obvious risks and are inherent in the sport, whereas a number of the risks identified above arise from the environment in which the sport is conducted (for example, where and how we load the boats, use of a slippery ramp etc). None of the risks should be ignored or taken lightly.
If you can’t swim 50m fully clothed, please contact the session coordinator and request a personal floatation device.
Team Name......
Team Captain......
Participant name / Signature of participant (parent/legal guardian if under 18 yrs) / Can you swim 50m fully clothed Yes/No
ATTACHMENT 4 TRAINING SESSION TIMES
Coffs Coast Dragon Boat Club
Sports and Community Dragon Boat Regatta 17 September 2017
Training and Safety Sessions - venue is pontoon near North Beach Bowling Club, Mylestom Drive, Mylestom (approx 4.3km from intersection of Old Pacific Highway and Mylestom Drive)
Times Available:
Please indicate in order of preference. Minimum 2 training sessions required, select 4 to allow for unavailability
Date / Sessions / Indicate minimum of four sessions in preferred order6/8/17 / 9.00-10.00 am
6/8/17 / 10.00-11.00 am
6/8/17 / 11.00-12.00 am
12/8/17 / 9.00-10.00 am
12/8/17 / 10.00-11.00 am
12/8/17 / 11.00-12.00 am
13/8/17 / 9.00-10.00 am
13/8/17 / 10.00-11.00 am
13/8/17 / 11.00-12.00 am
19/8/17 / 9.00-10.00 am
19/8/17 / 10.00-11.00 am
19/8/17 / 11.00-12.00 am
20/8/17 / 9.00-10.00 am
20/8/17 / 10.00-11.00 am
20/8/17 / 11.00-12.00 am
2/9/17 / 9.00-10.00 am
2/9/17 / 10.00-11.00 am
2/9/17 / 11.00-12.00 am
9/9/17 / 9.00-10.00 am
9/9/17 / 10.00-11.00 am
9/9/17 / 11.00-12.00 am
10/9/17 / 9.00-10.00 am
10/9/17 / 10.00-11.00 am
10/9/17 / 11.00-12.00 am
Please Note:
A completed Participant Declaration (pp 6-8 of the Entry Form) for every crew member is to be handed in at registration for training session.
For participants under 18 years of age, declaration must be signed by a parent/legal guardian.
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Coffs Coast Dragon Boat Club Regatta entry form – Community/Corporate/School division