OFFICE USE ONLY

CAR PIC OK o

Please print clearly you dont want us to send your tickets to the wrong address now do you?...
Complete Entry Form in Blue or Black Pen Only please Rego#
(Required)

Vehicle Owner

State

Expires

Postal Address

Suburb

Post Code

VEHICLE DETAILS
Engine (please circle) Rotary 4cyl 6cyl 8cyl 10cyl 12cyl Induction NOS Supercharged Turbo N/A

Powercruise Terms & Conditions of Entry All drivers must be a minimum of 18 years of age and hold a current drivers licence. Learners permits are not permitted. Entered vehicles must be road registered, unregistered vehicles at promoters discretion by application. Once an Entry Form and payment are submitted to Powercruise, your entry cannot be transferred to another Entrant/Driver, another event or to credit. Entrants are permitted to change the entered vehicle at accreditation, but once through accreditation and scrutineering, the car cannot be changed. Entrants are permitted to drive other entered vehicles. Your vehicle, current drivers licence & registration papers must be presented at the Accreditation Office. All vehicles will under go a safety inspection. It is still the responsibility of the owner of the vehicle to ensure that the vehicle is adequately prepared for the event. This includes but is not limited to steering, brakes, especially pads and fluid and brake lights, battery clamps and all other safety equipment fitted including seat belts windows etc all shall be in excellent working order. All Entrants also need to be aware that as a requirement of the Queensland Registration Act; any Queensland Registered Vehicle is required to obtain an extension of 3rd party insurance for the duration of the event. For unregistered vehicles entered or failure to obtain the extension for QLD Registered Vehicles will result in the driver being personally responsible for all costs associated with injuries sustained by their passengers in the event of an accident. Powercruise is an alcohol free event. The only acceptable blood alcohol reading for entrants at Powercruise is 0.00. Random breath testing will take place throughout the event. Entrants are required to wear enclosed shoes while driving on the track. For competition driving events including Off Street Racing, Drifting, Powerskids & Burnouts, all entrants are required to wear helmets, enclosed footwear and non-flammable clothing with full coverage from ankle to wrist to neck. All Entrants/Participants are required to follow all Powercruise Staff and/or Officials directions promptly and to full compliance. Due to the contract terms between Powercruise Promotions and the venue, the venue will always be open and the Powercruise will always go ahead. Powercruise will never be cancelled or postponed due to rain or any other reason. The full entry fee into Powercruise is $240. Powercruise offers discounted rates with cut off dates so to make it more affordable for everyone. By pre entering you understand that you have paid a discounted fee and therefore understand the following conditions apply. A refund of Entry Fee and or Entrant Camping Fee Only (No refund on additional tickets, shirts, DVDs, Carports or garages) less a $40 administration fee will be given if the entry is withdrawn in writing before COB Friday 17th February 2012. No Further refunds will be given for any reasons including inclement weather after this date. Any pre entrants that do not attend the event for any reason understand that they have willingly forfeited their entry fee and there will be no refund and they are not transferable. The entry fee includes entry to the event for 1 driver and 1 vehicle for all events except the Dyno Comp & over night camping. Camping and the Dyno comp incur an additional fee. Entries are accepted on the day at the entrants discretion and there will be no refunds due to inclement weather, broken down vehicles or for any other reason. All Entrants/Drivers/Vehicles are accepted at the discretion of the promoter. The promoter has the right to terminate my participation in the event at any stage for whatever reason he and/or she sees fit. Entrants who have had all armbands removed due to their misbehaviour on or off the track must take responsibility for their actions and there will be no exchanges or refunds. Any damages caused (wilfully or unwilfully) to any property belonging to anyone must be paid for. The vehicle/vehicles in question, and/or any prizes/prize money will be retained as collateral until full payment is made. Entrants are responsible for their actions on and off the track. Police may be involved if required. Any antisocial or violent behaviour by anyone inside the venue will not be tolerated; this will result in you being evicted from the venue and reported to the police if necessary with no refunds. Any person caught driving/attempting to drive a vehicle on the track without the correct armbands or vehicles stickers will cause the entrant/vehicle owner to loose their driving privileges and all track access stickers will be removed from the vehicle. Entrants are responsible for their own, and their passengers actions/behaviour. Police may be involved if required. By submitting this entry form, you acknowledge and agree to Powercruise Terms and Conditions of Entry. DISCLAIMER EXCLUSION OF LIABILITY, RELEASE AND ASSUMPTION OF RISK OWNERS AND DRIVERS DECLARATIONS. Warning of Risks I/We acknowledge and agree motorsport is dangerous and that accidents can and do happen. I/We also acknowledge and agree, as a condition of entry, that in exchange for being able to attend or participate in the event (including entering the event), I agree to release the Promoters, the sponsor organisations, the land owners and lessees, the organisers of the event and their respective servants, officials, representatives and agents from all liability for my death, or any personal injury, loss or damage to my property which may be sustained or incurred by me as a result of participation in or being present at the event. I/We acknowledge that I/We have thoroughly inspected the Track and The Venue and found it to be in safe condition for the activities I/We intend to undertake. By using the Track and The Venue I/We indicate my acceptance of the Tracks condition for the activity(s) I/We will undertake. If an act or occurrence in which I am involved or observe reduces the safety of the Track I will immediately notify the Promoter and warn other track users of the danger and/or increased risk. Should any incident occur as a result of my failure to comply with the normal circuit rules or Powercruise Terms & Conditions or the Powercruise Event Guide or a direction given from an official whereby a successful claim is made under any insurance policy relating to the Track and an excess premium or deductible is charged by the insurer of the Track I/We will, if required, pay the excess or deductible under such insurance policy except to the extent that it is paid by a third party. I/We being the owners of the vehicle described in this entry form certify that the vehicle is roadworthy or meets or exceeds the events requirement and meets all safety requirements. I/We certify that the particulars on this form are true and correct in every particular, to the best of my/our knowledge and belief. By submitting this entry form I/We declare that I/We have read, understand and agree to abide by all Terms and Conditions of Entry outlined on this entry form, this Disclaimer, and the Powercruise Event Guide. I/We declare that I/We understand these warnings, and accept all the inherent risks and danger in the event and the activities surrounding the event.

Driver Signature: ........................................................................................................................................ Vehicle Owner Signature: ........................................................................................................................

Date: ................................ Date: ................................

What more could you want from the wildest Cruisin Car Show in Oz?
Please attach a photo or email a digital photo OF THE ENTERED VEHICLE to [email protected] . All entrants must provide a photograph of the entered vehicle. Entrants who do not provide a photograph may be rejected at the Safety Inspection process. The photographs may be used for publicity purposes on our website, posters, flyers and magazines etc and will not be returned. Note: By entering this event you agree that Powercruise Promotions may use photographs or video footage taken of yourself or your vehicle during the event for publicity purposes including DVD production, television commercials or for future Powercruise events. Visit www.powercruise.com for Conditions of Entry Unregistered cars are accepted at promoters discretion; please email pictures of the unregistered car to [email protected] before entering. All unregistered cars must be pre approved.

PHOTO OF CAR REQUIRED FOR ALL ENTRANTS

Entry Fees Carline Mufflers Powercruise #35

Entrant Camping Fees Entrants camping is not included in the entry fee. Crew/Spectator Passes

2012 (includes 1 Driver Pass & 1 Vehicle Pass) 2012 (includes 1 Driver Pass & 1 Vehicle Pass) (includes 1 Driver Pass & 1 Vehicle Pass)

One entry per form ..1.. @ $130 each One entry per form ..1.. @ $180 each One entry per form ..1.. @ $240 each

1st, 2nd, 3rd & 4th March 2012

$........................ $........................ $........................

Entrants who wish to camp over the weekend need to pay the $50 entrants camping fee. Entrant Camping For Entrants Only. No. Required...1... @ $50 each $........................

Pre Paid by 17th February Crew/Spectator Season No Camping No. required@ $80 each $........................ Day Access Friday, Saturday & Sunday only. Pre Paid by 17th February Crew/Spectator Season Inc. Camping No. required@ $130 each $........................ Access from lunchtime Thursday, through to Sunday afternoon and camping each night. Spectators can camp with their entrant mates. **Please note only the entrant can collect passes purchased on this entry form.

Pit Lane Garages

Pit Lane garages are available for hire at Carline Mufflers Powercruise #35, Garages are in a 2 car drive through format only, and each drive through Garage holds 2 cars & comes with 2 Pit Lane Access Stickers which allow direct access to Pit Lane with out having to line up in marshalling. Garages have lights and power. Camping is permitted in the Garages, but for the safety of other entrants fuel cannot be stored in the Garages and no BBQs or cooking is permitted in the Garages, please BBQ outside your Garage. Please note that due to the layout of the garages if you purchase a single garage you will be sharing the garage with another entrant next to you, we can move garages around if you prefer to be next to your mates, just call us on 0407 172 413. Pit Lane Garages are available for purchase at www.powercruise.com only, the form can be found in the entrants sections of the Sydney webpage, Pit Lane Garages will be sold on a first in First served basis. Please contact us on 0407 172 413 for availability of Pit Lane Garages. Powercruise garages available all year round at www.powercruise.com

Paddock Carports

Paddock Carports are available for hire at Carline Mufflers Powercruise #35, Each carport holds 1 car and comes with 1 Pit Lane Access Sticker which allows direct access to Pit Lane with out having to line up in marshalling. The Pit Lane Carports have a roof and no walls. Camping is not permitted in carports and NO bbqs or cooking allowed in carports either. Pit Lane Carports are available for purchase at www.powercruise.com only, the form can be found in the entrants sections of the NSW webpage, Pit Lane Carports will be sold on a first in First served basis. Please contact us on 0407 172 413 for availability before submitting your form and payment. Powercruise carports available all year round at www.powercruise.com

Merchandise

Pre-Order Powercruise #35 Standard Black or White T-Shirt. Design is based on front of entry form. Please circle shirt size & add quantity. Pick up your shirts at the Powercruise trade stand on the day. Please circle: Black / White Adults: (S)(M)(L)(XL)(2XL)(3XL) Powercruise T-Shirts are $35 on the day or pre order for $25. Total number of shirts required.@ $25 ea $.......................

How to Pay

TOTAL FEES PAYABLE

$.....................

Please make cheque or money order payable to Powercruise Promotions Pty Ltd and post to P O Box 55 Redbank QLD 4301. We suggest you post express post for security and speedy delivery. Sorry we cant accept credit cards or direct debit. Entry forms must be completed in full and you must send payment with your entry form. All fees are GST inclusive. Entrants will receive a confirmation text message once we have received and accepted your entry form. Please contact us by phone/email or attach a note to this form if you require a Tax Invoice/Receipt.

Date Received Chq/MO Drawer BSB A/C . $ ............. Armband # ......

PAYMENT DETAILS (Office Use Only)

Powercruise Promotions Pty Ltd PO Box 55 Redbank QLD 4301 www.powercruise.com Tel: 0407 172 413