Event Dates *
Select an option August 4th Off-Street August 5th ALL BIKES
Please note that pre-nomming online with this form will save you coin! Your online pre-nom MUST be received by 5:00PM, Sunday the 30th of July in order to qualify for the savings.
After that, the additional $30. will be fixed on the web pricing.
PRIMARY BRACKET *
Select an option OFF-STREET ONLY LAMS BIKES STREETFIGHTER BIKES SUPER TWINS BIKES SPORTSTERS BAGGERS MOD BIKES JR DRAG BIKES HISTORIC PRE '92 BIKES 660 GRUDGE
SECONDARY BRACKET - OPTIONAL
Select an option LAMS BIKES SPORTSTERS BAGGERS STREETFIGHTER BIKES MOD BIKES SUPER TWIN BIKES HISTORIC PRE '92 BIKES 660 GRUDGE
ANDRA or applicable licence - if you have any. If no race licence, you MUST select "QLD or other Drivers Licence" and purchase Day Licence (good all weekend). IHRA Licenced Mod Bike Racers, please tick and obtain the Single Event Licence. *
Select an option ANDRA OFF-STREET LICENCE ANDRA SSL ANDRA Group 3 UDL ANDRA Group 2 UDL ANDRA Group 1 UDL A/JB (Jr Drag Bikes) A/JD (Jr Drag Cars) Single Event Licence (for IHRA Racers) QLD or other Drivers Licence
EXCLUSION OF LIABILITY, RELEASE AND ASSUMPTION OF RISK – ENTRANTS/DRIVERS/RIDERS
I/We being the entrant/s and/or driver and/or rider, certify that the particulars on the Entry Form are true and correct in every particular, to the best of my/our knowledge and belief.
I/We declare that I/We have read and understood the Supplementary Regulations issued for the event, and agree to be bound by them and the provisions of the Competition Rules of the Australian National Drag Racing Association Inc. (ANDRA).
In Exchange for being able to enter, attend or participate in the event I/WE agree:
. to release ANDRA, promoters, sponsors organisations, land owners and lessees, organisers of the event, their respective servants, officials, representatives and agents (collectively, the “Associated Entities”) from all liability for my death, personal injury (including burns), psychological trauma, loss or damage (including property damage) (“harm”) howsoever arising from my participation in or attendance at the event, except to the extent prohibited by law;
. that ANDRA and the Associated Entities do not make any warranty, implied and express, that the event services will be provided with due care and skill or that any materials provided in connection with the services will be fit for the purpose for which they are supplied; and
. to attend or participate in the event at my/our own risk.
I/We acknowledge that:
. The risks associated with attending or participating in the event include the risk that I may suffer harm as a result of:
. Motor vehicles (or parts of them) colliding with other motor vehicles, persons or property;
. Acts of violence and other harmful acts (whether intentional or inadvertent) committed by persons attending or participating in the event; and
. The failure or unsuitability of facilities (including grand-stands, fences and guard rails) to ensure the safety of persons or property at the event.
. Motor sport is dangerous and that accidents causing harm can and do happen and may happen to me/us.
I/We accept the conditions of, and acknowledge the risks arising from, attending or participating in the event and being provided with the event services by ANDRA and the Associated Entities.
PARENT/GUARDIAN CONSENT – PERSONS UNDER 18 YEARS OLD
I am the parent/guardian* of the above-named (“the minor”) who is under 18 years old. I have read this document and understand its contents, including the exclusion of liability and assumption of risk, and have explained the contents to the minor. I consent to the minor attending/participation in the event at his/her own risk.
Friday before All Bikes - For Non-Members
Additional Friday Armband - THESE ARE HALF THE PRICE OF PAYING AT THE GATE!!
Late nom ALL BIKES for non-Members
Additional Saturday Armband - THESE ARE HALF THE PRICE OF PAYING AT THE GATE!!
ANDRA PERSONAL ACCIDENT INSURANCE
If you are utilising a Day Licence, you may purchase CATEGORY 2 Personal Accident Insurance for the duration of the event. If you are an ANDRA member, or ANDRA licence holder, you may purchase CATEGORY 1 Personal Accident insurance for the duration of the event. Both are very valuable resources in the event you have an accident, and details of their coverage can be found in the ANDRA Rulebook. See page 42, paragraph 1.6.6 PERSONAL ACCIDENT INSURANCE. https://issuu.com/andradragracing/docs/014059_andra_rulebook20192020_hires
NOTE: If you are an ANDRA licence holder, you are automatically covered by Category 2 insurance at no additional charge. Day Licence holders can NOT obtain the Category 1 insurance.
PERSONAL ACCIDENT INSURANCE
2023 All Bikes Shirt Sizes available
Select an option Womens 12 Womens 14 Womens 16 Womens 18 Mens Small Mens Medium Mens Large Mens Extra Large Mens 2XL Mens 3XL Mens 4XL Mens 5XL
All Bikes tee shirt pricing
2023 BENARABY ALL BIKES E-TEE SHIRTS for NON-CQDRA MEMBERS
Prize money will be paid in cash at the end of the night.
PLEASE NOTE, if you do NOT have PAYPAL, you will still submit this form. PayPal will allow you to "Pay with a Card". You may have to scroll to see this option after clicking "SUBMIT". PLEASE give the website 10-15 seconds to transition to PayPal