Chain Reaction : Support Team Sign On

Support Team Sign-On Form

Thank you for your interest in being part of the support crew for the 2024 Chain Reaction Challenge events. Please complete the form below and indicate what role you will be undertaking for that event. If you are doing more than one, please tick all events that apply and if roles are varied between events, confirm with Event Manager, Tim Chadd, tchadd@chain-reaction.org.au or 0438 060 888.

NEW TRAVEL ARRANGEMENTS FOR 2024

This year we are trialling a new travel arrangement system. This new system allows you to have the flexibility and options to book your own travel to suit you. We will determine a budget for you from your closest airport and set the time you are required to be at the start of the event.

You can then book your travel yourself to suit. This may include arriving earlier or departing later if you wish. As soon as your travel is booked, you can submit a receipt and we will reimburse you up to the set budget.

Once you have completed the form we will send you your required arrival and departure dates and the set budget for your travel. It is up to you if you wish to pay extra to arrive early or depart later.

If you have any questions or difficulty with this please contact Tim Chadd on 0438 060 888 tchadd@chain-reaction.org.au

Which event are you joining us for? *

Sydney 7 Day Ride (2nd March - 8th March)
Brisbane 7 Day Ride (16th March - 22nd March)
Melbourne 7 Day Ride (4th May - 10th May)

Role for this event *

Are you applying as a student for work experience or a returning team member? *

First Name *

Last Name *

Email Address *

Phone Number *

Mailing Address - Please clearly indicate unit/ street numbers and ensure spelling is correct *

Which airport is closest to your home for travel arrangements to and from the event? *

Please provide your date of birth *

Employer

Title

What are you studying?

Do you have a current First Aid certificate? *

Do you have a current driver's license? *

How many hours of practical massage therapy experience do you have?

What other experience do you have that may be helpful on the event?

Emergency Contact/Next of Kin Last Name *

Emergency Contact/Next of Kin First Name *

Relationship to you *

Phone Number *

Shirt Size *

Jumper size *

Do you have any medical conditions we need to know about? Please indicate below otherwise, please enter N/A *

Do you have any dietary requirements? If so, please specify below or type N/A *

Why do you want to join Chain Reaction this year? *

Where did you hear about Chain Reaction?

I declare that I am fit and healthy to perform the duties I am required to do during the entirety of the event. If not, I accept that I am required to *

CHAIN REACTION CHALLENGE PRINCIPLES

Support Crew Commitment

If you plan to be part of a Chain Reaction event, please state your commitment to our guiding principles below:

A group of people who recognise their responsibility to the greater community and believe that individuals working together make a real difference to the lives of sick children and the charities that support them.
Incorporate individual passion for cycling into an annual charity challenge.
Contribute where possible to the fundraising objectives.
Participate in the spirit of camaraderie, teamwork and fun.
Promote and use the Chain Reaction brand responsibly and with the approval of the Organising Committee or Chain Rection Head Office Staff.
Behave in an exemplary manner while representing Chain Reaction and our supported charities.
As Ambassadors for these bodies, any form of discrimination, harassment, bullying, excessive use of alcohol or any form of drug use will not be tolerated or condoned.
Chain Reaction is and should remain a-political.

I agree to the principles of the Chain Reaction Challenge *

Yes, I agree to the principles listed above.

Indemnity

All participants must read and sign the following indemnity agreement.

I acknowledge that I participate as a support crew member in the Chain Reaction Event ('the Event") voluntarily and at my own risk. I understand that participation in the Event involves being a passenger or driving on public roads used by other traffic and I am aware of the hazards in doing so, including the need for increased awareness due to the differing speeds of the riders and support vehicles compared to all other vehicles on the road.
I further acknowledge that participating in the Event may result in a real risk of serious injury or even death from various causes including but not limited to accidents with other participants, pedestrians, animals or road users and I will take all reasonable measures to protect myself from the risks of participation.
I accept responsibility for travel and medical insurance and for payment and/or reimbursement of medical/surgical expenses incurred by me. I consent to receive such medical treatment that may be deemed advisable in the event of my injury, accident and/or illness during the Event.
I am responsible for all property I bring with me on the Event and understand that the Event Organiser does not accept responsibility for any loss or damage to this property.
I agree to comply with all the rules and directions of Event officials and their servants and/or agents.
I grant the Event Organisers, Chain Reaction Challenge Foundation, its sponsors and its charity partners involved in the Event a royalty free right for use in perpetuity, to use and allow the use of my name, image and likeness in broadcasts, webcast, media press materials, promotional materials and otherwise in connection with the Event.
In consideration of and as a condition of acceptance of my participation into this Event I hereby agree to release Chain Reaction Challenge Foundation, Event Organising Committee, Event Organiser, Event Manager, Training Coach, Event Sponsors, Event Bike Support Crew and each of their agents, affiliates, employees, members, volunteers and any person or body directly or indirectly associated with the Event and waive any right or entitlement I have or, but for my execution hereof, would have had , or which may accrue, in respect of all and any claims, demands or proceedings arising out of or in connection with my participation in the Event including (without limitation) where such claims, demands or proceedings are caused by their negligence, but excepting wilful negligence, and I indemnify them and will keep them indemnified against all liability for all injury, loss or damage arising out of or in connection with my participation in the Event. This release and indemnity continues forever and binds my heirs, successors, executors, administrators, personal representatives and assigns.
I have read, understood and agree with these terms and conditions.

Indemnity *

Yes, I have read and I agree.

EVENTS

RAISED IN 2021 FROM ALL EVENTS

Support Team Sign-On Form

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