Day Membership Form

Day Member Form

Please fill out below details, read and sign waiver where required. Complete the entries section and provide payment details

First
Last

Name of Provider1:  Australian Professional Rodeo Association

Address of Provider: PO BOX 264, Warwick State: QLD Postcode: 4370

The following pages affect your legal rights and obligations. Please read these carefully and only sign if you fully understand their contents. For Participants under 18 years of age, these documents must be completed by a parent or legal guardian.

Description of Activities2:

RODEO

Risk Warning

I am aware that by my participation in any activities arranged by the Provider, certain risks or dangers may occur which could include:

  • Physical, bodily or psychological injury or death.
  • Physical exertion to which I am not accustomed.
  • Failure of equipment or use of inadequate equipment.
  • There may be no or inadequate facilities for treatment or transport to treatment if I am injured.
  • The conditions in which the activities are conducted may vary without warning.
  • I may cause injury to other persons and/or other persons may cause injury to me.1 Provider includes the officers, employees, agents, contractors, franchisees and assigns of the Provider.2 Activities includes all activities and services ancillary to or associated with the named Activity, both before and after the Activity, including transportation to and from the location of the Activity whether provided by the Provider or not, briefings, inductions, training, and the provision of information in all manuals, safety guidelines and other documentation provided to or made available to the Participant with respect to the Activity, familarisation with clothing or equipment and methods of operation of equipment and the wearing and removal of any clothing or equipment associated with the Activity. Unless otherwise specified, a reference to an Activity is a reference to a recreational service or a recreational activity as defined in relevant legislation referred to herein.

    • I may be injured or die due to the negligence, breach of contract or breach of statutory duty or guarantee of the provider.
    I acknowledge that the activities are being undertaken for the purposes of recreation, enjoyment or leisure, and involve a significant degree of risk of physical harm.
    I acknowledge that the Activity may be undertaken with one or more other persons as part of a group and that the Provider is not liable for the actions of other participants in the group activity.
    By signing below, I acknowledge, agree and understand that the risks associated with the Activities and/or recreational services have been explained to me. I undertake any such risk voluntarily and at my own risk.
    I acknowledge that the risk warning above constitutes a “risk warning” in accordance with the Civil Liability Act 2002 (NSW) and the Civil Liability Act 2002 (WA).

    Participant’s Warranties

    I agree to abide by any of the Provider’s rules, and any direction or instruction given to me by the Provider during the course of the Activities. I agree to use and/or wear any equipment given to me by the Provider.
    I declare that I am medically and physically fit and able to participate in the Activities. I acknowledge that I must, and agree that I will, disclose any pre-existing medical or other condition, injury or concern that may affect the risk that either I or any other person will suffer injury, loss or damage during the course of the Activities and notify the Provider of any injuries, illness or concerns that may arise during the Activity. I will not engage in any reckless, negligent or foolish behaviour or any other behaviour that is likely to cause injury to me, any other participant or person.

    I agree that if I suffer any injury or illness, the Provider may provide evacuation, first aid and/or medical treatment at my expense and that my acceptance of these terms and conditions constitutes my consent to such evacuation, first aid and/or medical treatment.
    I declare that I have not consumed any alcohol or mind altering substance, or medication that may impact my judgement or physical capacity, before or at the time of engaging in the Activities.

    Exclusion of liability

    I agree to and unconditionally release, waive, discharge and forever hold harmless, the Provider or any of its employees, agents, directors or officers, from any claims as a result of any personal injury sustained, whether caused by the Provider’s negligent act or wilful act or omission, breach of contract, breach of statutory duty, error, or otherwise in connection with or arising out of the Activities.
    I agree that the Provider will not be liable for any claims for personal injury that may be brought against it as a result of or in connection with any act, omission, default, failure or error on the part of the Provider, and agree to indemnify and keep indemnified the Provider in respect of any such claims.

    Waiver

    It is possible for a supplier of recreational services to ask you to agree that the statutory guarantees under the Australian Consumer Law (which is schedule 2 to the Competition and Consumer Act 2010 (Cth)) do not apply to you. If you sign this form, you will be agreeing that your rights (or the rights of a person for whom or on whose behalf you are acquiring the services) to sue the Provider in relation to the Provider’s services or the activities that you undertake because the services or activities provided were not in accordance with the guarantees are excluded, restricted or modified as set out below.

    For Queensland, New South Wales, Western Australia, Tasmania, Northern Territory and Australian Capital Territory and Commonwealth
    By signing this form, you agree that the liability of the Provider in relation to the activities (as defined by the Competition and Consumer Act 2010 (Cth), the Consumer Affairs and Fair Trading Act (NT) and the Australian Consumer Law) and recreational activities (as defined by the Civil Liability Act 2002 (NSW) and the Civil Liability Act 2002 (WA)) for any:

    1. (a)  Deaths;
    2. (b)  Physical or mental injuries (including the aggravation, acceleration or recurrence of such an injury);
    3. (c)  The contraction, aggravation or acceleration of a disease;
    4. (d)  The coming into existence, the aggravation, acceleration or recurrence of any other condition, circumstance, occurrence,activity, form of behaviour, course of conduct or state of affairs in relation to an individual:
      1. (i)  That is or may be harmful or disadvantageous to you or the community; or
      2. (ii)  That may result in harm or disadvantage to you or community;

    That may be suffered by you (or a person for whom or on whose behalf you are acquiring the services) resulting from the supply of the recreational services or recreational activities is excluded.
    You acknowledge and agree that the above provision operates to exclude the liability of the Provider as a result of a breach of an express or implied warranty that the recreational services will be rendered with reasonable care and skill in accordance with section 5J of the Civil Liability Act 2002 (WA) and section 5N of the Civil Liability Act 2002 (NSW).

    For South Australia
    Exclusion, restriction or modification of rights under the Australian Consumer Law (SA)
    Your rights:
    Under sections 60 and 61 of the Australian Consumer Law (SA), if a person in trade or commerce supplies you with services (including recreational services3), there is—

    • A statutory guarantee that those services will be rendered with due care and skill; and
    • A statutory guarantee that those services, and any product resulting from those services, will be reasonably fit for the purpose for whichthe services are being acquired (as long as that purpose is made known to the supplier); and
    • A statutory guarantee that those services, and any product resulting from those services, will be of such a nature, and quality, state orcondition, that they might reasonably be expected to achieve the result that the consumer wishes to achieve (as long as that wish is madeknown to the supplier or a person with whom negotiations have been conducted in relation to the acquisition of the services).
      Excluding, restricting or modifying your rights:
      Under section 42 of the Fair Trading Act 1987, the supplier of recreational services is entitled to ask you to agree to exclude, restrict or modify his or her liability for any personal injury suffered by you or another person for whom or on whose behalf you are acquiring the services (a third party consumer).
      If you sign this form, you will be agreeing to exclude, restrict or modify the supplier's liability with the result that compensation may not be payable if you or the third party consumer suffer personal injury.4

      Important
      You do not have to agree to exclude, restrict or modify your rights by signing this form. The supplier may refuse to provide you with the services if you do not agree to exclude, restrict or modify your rights by signing this form. Even if you sign this form, you may still have further legal rights against the supplier.
      A child under the age of 18 cannot legally agree to exclude, restrict or modify his or her rights. A parent or guardian of a child who acquires recreational services for the child cannot legally agree to exclude, restrict or modify the child's rights.
      Agreement to exclude, restrict or modify your rights:
      I agree that the liability of A.P.R.A Inc. for any personal injury that may result from the supply of the recreational services that may be suffered by me (or a person for whom or on whose behalf I am acquiring the services) is excluded.
      Further information:
      Further information about your rights can be found at www.ocba.sa.gov.au

      For Victoria
      Warning under the Australian Consumer Law And Fair Trading Act 2012 (Vic)
      Under the Australian Consumer Law (Victoria), several statutory guarantees apply to the supply of certain goods and services. These guarantees mean that the supplier named on this form is required to ensure that the recreational services it supplies to you—

    • Are rendered with due care and skill; and
    • Are reasonably fit for any purpose which you, either expressly or by implication, make known to the supplier; and
    • Might reasonably be expected to achieve any result you have made known to the supplier.
      Under section 22 of the Australian Consumer Law and Fair Trading Act 2012, the supplier is entitled to ask you to agree that these statutory guarantees do not apply to you. If you sign this form, you will be agreeing that your rights to sue the supplier under the Australian Consumer Law and Fair Trading Act 2012 if you are killed or injured because the services provided were not in accordance with these guarantees, are excluded, restricted or modified in the way set out in this form.
      NOTE: The change to your rights, as set out in this form, does not apply if your death or injury is due to gross negligence on the supplier's part. Gross negligence, in relation to an act or omission, means doing the act or omitting to do an act with reckless disregard, with or without consciousness, for the consequences of the act or omission. See regulation 5 of the Australian Consumer Law and Fair-Trading Regulations 2012 and section 22(3)(b) of the Australian Consumer Law and Fair-Trading Act 2012.
      Agreement to exclude, restrict or modify your rights:
      I agree that the liability of the Provider for any personal injury that may result from the supply of the recreational services that may be suffered by me (or a person for whom or on whose behalf I am acquiring the services) is excluded.3 Recreational services are services that consist of participation in—
      • a sporting activity or similar leisure-time pursuit; or
      • any other activity that involves a significant degree of physical exertion or risk and is undertaken for the purposes of recreation, enjoyment or leisure.4 Personal injury is bodily injury and includes mental and nervous shock and death.
         
 

The Australian Professional Rodeo Association (APRA) has sourced the following insurance policy, which is arranged through an independent financial services provider, Affinity Insurance Brokers on behalf of our members. For any questions or advice you may have or require regarding these insurances, please contact Affinity Insurance Brokers on (03) 8587 7777.

The information below is purely a general summary of the cover arranged. A copy of the full terms and conditions can be obtained, free of charge by contacting the APRA Head Office on (07) 4661 8183.

You may also contact APRA if you would like to confirm that you are entitled to cover under this policy. Furthermore, APRA must notify a member promptly in writing if a member will not be covered under this insurance policy during a period they should expect to be covered, or if it is likely that the cover will be cancelled or not renewed. Should APRA fail to notify a member should cover not be commenced, cancelled, or not renewed, APRA is obliged to compensate said member(s) for resultant loss or damage.

Insured: Australian Professional Rodeo Association

Insured Persons(s):

All Registered Competitors and Voluntary Workers of the

Period of Insurance:

Insured From: 4:00pm on 30/09/2023 to:4:00pm on 30/09/2024

Insured Events

Each Insured Person

Death & Capital Benefits Sum Insured

$50,000
Injury resulting in Death: Insured Person under 18 and between 66-80 years – $10,000 Sum Insured.

Temporary Total Disablement caused by Injury

75% of average gross weekly Salary to a maximum of $500.

Temporary Total Disablement caused directly and solely by Injury is limited to $5,000 maximum payable for income earners only.

Fractured bones

$2,500

Non-Medicare Medical Expenses

85% of expenses incurred to a maximum of $1,000 ($100 excess).

Deferral Period

85% of expenses incurred to a maximum of $1,000 ($100 excess).

Maximum Benefit Period
(Refer to policy wording and Endorsements)

52 Weeks

Scope of Cover: -

  • Whilst a registered competitor is engaged or competing in official sanctioned events organised by the Insured.
    • Whilst engaged in direct travel between sanctioned events including direct travel from an Insured Person’s place of residence, place of employment, premises of APRA or its affiliates.
    • Whilst temporarily domiciled away from an Insured Person’s primary residence during a tour for the purpose of participating in an officially sanctioned event.
    • Whilst engaged in voluntary work organised by and under the control of the Insured.
    • Whilst engaged in direct travel to and from such voluntary work.
    • Claims to be lodged within 10 days of any incident.

Age Limit:

3 to 80 years of age.

Pre-existing Condition:

There is no cover for Pre-existing Conditions (as defined) whether or not a proposal form has been received.

Territorial Limits:

Australia Wide.

Aggregate Limit of Liability:

$5,000,000 Any One Occurrence

Declaration and Signature

I have read carefully and understand this risk warning and waiver of liability and sign it freely and voluntarily without inducement of any kind.

I have read carefully and understand this risk warning and waiver of liability and sign it freely and voluntarily without inducement of any kind.
I have read carefully and understand this risk warning and waiver of liability and sign it freely and voluntarily without inducement of any kind.

For Participants under age 18

This is to certify that I, as a parent/guardian with legal responsibility for the Participant, acknowledge, understand and accept all of the above and consent to his/her release as provided above. I release and agree to indemnify and hold harmless the A.P.R.A. Inc from any and all liabilities arising from my minor child’s involvement or participation in the Activities and/or recreational services, even if arising from the negligence of the A.P.R.A. Inc.

I have read carefully and understand this risk warning and waiver of liability and sign it freely and voluntarily without inducement of any kind.
I have read carefully and understand this risk warning and waiver of liability and sign it freely and voluntarily without inducement of any kind.