7/28/2019 PUNCTUM_Coriolis Registration Form-FINAL

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Coriolis Central and the Bicycle Borrower agree as follows and in accordance with the outlined Terms and Conditionswhich form this Agreement:

BICYCLE BORROWER CONTACT DETAILS

Name: Home Address:

Goolwa Address: Email: Phone:

coriolis centralREGISTRATION & BICYCLE BORROWING AGREEMENT

BORROWERS ACKNOWLEDGEMENT

I have read the following terms and conditions as supplied by Coriolis Centraland acknowledge and agree that:

I accet ull reonibility or the care o the borrowed bicycle. I will not ermit any other eron to ride the bicycle. I am amiliar with, undertand and will adhere to the road trafc rule and regulation. I will not ride the bicycle, or ermit it to be ridden, in breach o any legilation or By-Law relating to road trafc. I will wear the helmet rovided to me by Corioli Central. Whilt I am borrowing the bicycle I will reort back to Corioli Central i any harm to myel

or damage to the bicycle or helmet hould occur whilt in my care. I the bicycle i lot, detroyed or damaged beyond reair, I agree to ay Corioli Central or the relacement o the bicycle. I agree that I will releae Corioli Central and it organier rom any and all reonibility or injurie that may reult rom my

ue o the bicycle. I agree not to make a claim or ue Corioli Central and it organier or injurie or damage relating to thebicycle and my ue o it.

I give ermiion to the Corioli Central organier to lace on the Corioli Eect webite, hotograh taken o me and thoethat I rovide rom my Corioli exerience.

Signature of Borrower Date

Signature of Coriolis Central Date

incident check

Bicycle No:

Borrowing date:

Registration time:

CORIOLIS CENTRAL USE ONLY

DEpART TIME: RETuRN TIME:

Bib returned

Helmet returned

Effects returned

FRONT DETAIL

sIDE pROFILE

Refreshments

iPhone Android N/A

QR code demo / app download N/A

Program

Effects repository N/A

Bib received Helmet received

Seat height Tyres

QR CODE

7/28/2019 PUNCTUM_Coriolis Registration Form-FINAL

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Rate your bicycle experienceFrom 1 (never again) to 5 (more and more please).

1 2 3 4 5

How would you rate your experience of Goolwa?From 1 (room for improvement) to 5 (couldnt be better)?

The people 1 2 3 4 5The scenery 1 2 3 4 5The art 1 2 3 4 5Stuff to do 1 2 3 4 5A Must do 1 2 3 4 5

How would you rate the Coriolis Effect art? Circle a number.

1 What art?2 Yeah...good spot, nice people, food was ok too3 I got away from the conference and went for a ride

4 I really enjoyed some and could give others a miss5 I got into each work, had some great experiences and have

quite a few questions

How was your experience of each work?From 1 (didnt get into it) to 5 (want to go back to do it again)?

Coriolis Central 1 2 3 4 5Kit Out and Up 1 2 3 4 5Snapshot 1 2 3 4 5Goolwas Best Dressed 1 2 3 4 5

A Wake 1 2 3 4 5The Palace of Nothing 1 2 3 4 5Billboard Project #1 1 2 3 4 5

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the eFFect

where did you go?Draw your Coriolis journey on the map below.