Fees and Payments Totals

Australian Ariel Register Inc 24th National Rally 2017 Clare Valley, South Australia 17th – 20th March 2017 ‘The Vines to the Mine Rally’

ENTRY FORM (Closing Date 17 Feb 2017)

RIDER (Late entries, or entries with no payment will not be accepted without prior arrangement) Surname………………………………………… Given Names………………………………………… Address………………………………………………………………………………………………………………… State…………………. Postcode………………… Phone……………………...... Mobile…………………… Email………………………………………………… DOB………………………….. AAR Member Yes/No Member number…………………….

MACHINE DETAILS (Up to 2 bikes may be nominated and must be fully or concessionally registered) 1. Make…………………….. Model…………………….. Year………… Capacity……………… Sidecar: YES/NO Engine No……………….. Frame No…………………Category…………..…….(see overleaf) 2. Make…………………….. Model…………………….. Year………… Capacity……………… Sidecar: YES/NO Engine No……………….. Frame No…………………Category…………..…….(see overleaf) OTHER ATTENDEES Surname……………………….… Given Name……………………Bus Seat Sat Sun

Surname……………………….… Given Name……………………Bus Seat Sat Sun

PLEASE NOTE – ALL PERSONS RIDING OR PILLION ARE REQUIRED TO REGISTER THEIR NAME AS A PARTICIPANT ON THE RALLY SIGN IN SHEET (THIS IS AN INSURANCE REQUIREMENT). FEES AND PAYMENTS TOTALS Registration fees: Bike and Rider, (this covers rally badge, bus sat night and supplements trophies) $25.00 $…….……. Pillion Rider, (rally badge, and bus for sat night) $15.00 $………….. Adults not riding but accompanying ride on bus. (+ sat night bus) $10.00 $……..…… MEALS Meal Location Number Cost per person Dietary req’ments* Friday night BBQ Caravan Park ………… $16.50 ..………………….. $………… Sat Lunch Burra ………… $16.00 ..………………….. $...... …... Sat Annual Dinner Clare Sports Club ………… $39.00 ..…………………… $…………. Child under 12 ………… $18.00 …………………….. $...... Sun Morning Tea Spalding ………… $ 8.00 ..…………………… $...... Sun Lunch Snowtown ………… $16.00 ..……………………. $…………. Sun night BBQ Caravan Park ………… $16.50 ..……………………. $………….

Raffle Tickets- 2 for $5, 5 for $10, very good prizes. Drawn on Sat night Number ……………………… $......

* (Dietary Requirements - Enter V for Vegetarian, G for Gluten Free,) TOTAL $......

Payment Options (Tick One)

Attached Cheque or Money Order made payable to: ‘Australian Ariel Register Clare Rally’

BSB 015-228 Account No. 460900456 Account Name: Australian Ariel Register Clare Rally ( If paying by Direct Credit please ensure you include your full name on the bank payment advice) Return Form by 1. Posting to Rally Director, 5 Charlson Rise, Happy Valley, SA 5159, or 2. Sending scanned copy of this form to [email protected]

SIGNED…………………………….. PRINT NAME……………………..……………..… DATE…………………. See notes for entrants overleaf NOTES FOR ENTRANTS Indemnity Statement All entrants, owners, drivers and bus passengers enter and participate in this event solely at their own risk. The organisers, promoters and sponsors of this event, their agents and employees accept no liability for any loss or damage suffered by or to any entrant, owner, driver or rider by any means, act or omission or through any circumstances, and the entrant agrees to indemnify and save harmless the organisers, promoters, sponsors and affiliated organisations of this event, their agents and employees from all actions, suits, claims, proceeding or demands for damages or loss howsoever arising out of the entrant participating in this event. I agree to abide by all requests of officials and judge's decisions shall be final, and no correspondence will be entered into. Note: entrants who do not sign the participant sheet will not be covered for any third party claims made against event organisers arising from their participation in the rally. Bikes Entered in Rally The 24th Anniversary AAR National Rally will be held at Clare SA. Rally Headquarters will be at the Discovery Holiday Parks, 136 Main North Rd Clare South Australia 5453. Bikes will be judged during the Saturday lunch stop at Burra SA. The bikes will be judged by rally entrants in the following categories: Period Entries A. Veteran Ariel (up to end of 1918, including outfits) B. Vintage Ariel (1919 to 1930, including outfits) C. Pre-War Ariel Single (1931 to 1945, including outfits) D. Pre-War Square 4 (1931 to 1945, including outfits) E. Post-War Single (1946 – on, including outfits) F. Post-War Square 4 (1946 – on, including outfits) G. Post-War Twins (1945 – on, including outfits) H. Ariel Two Strokes (1959 – on) Non-Period Entries I. All Ariels that do not conform to the above categories. (This may include outfits). J. All non-Ariels (including outfits). (To assist planning bike parking at the venue, entrants should select only one category in which they wish to display their bike for viewing and judging.)

Period Categories: Categories A, B, C, D, E, F, G and H are period categories and to be eligible for entry in period categories bikes should have all major components correct for the period. Major components are considered to be: frame, forks, mudguards, tanks, speedo, headlight, wheels & brakes, taillight, chain guard, engine (crankcase, barrel(s), head and carburettor). Accessories should be of the period. Bikes that don't confirm to these conditions should be entered in the respective non-period categories.

Non-Period Categories: Category I generally does not adhere to the construction as built by the Ariel factory. This category includes hybrids. Category J is any non-Ariel bike. Perpetual and Other Categories: Bikes entered in period or non-period categories are also eligible for the following other category awards, which are: Most Desirable Ariel - judged by entrants (perpetual) Presidents Choice - judged by President (perpetual) Oldest Bike & Rider - selected by Rally Committee (perpetual) Furthest Ridden to Rally on an Ariel - selected by Rally Committee Furthest Travelled to Rally - selected by Rally Committee Youngest Rider on an Ariel- selected by Rally Committee Lady Rider on an Ariel - selected by Rally Committee Most original Ariel - selected Rally Committee

Special Dietary Requirements: Entrants requiring special dietary requirements should enter the number and type of requirement next to the meal on the entry form. Should you have any special needs please contact the Rally Director on 0413 899 189.