NEW DATE: Altona Meadows Skate Park Competition

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Details

Wed 22 Jan 2025 10:00 — 14:00
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Altona Meadows Skate Park, Queen Street, H D Graham Reserve, Altona Meadows

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Are you the participant - the one skating - in the session?*

Parent/Guardian name?

Participant's gender?*

Participant's date of birth?*

Participant's age?*

Participant's postcode?*

Preferred contact method?*

Does the participant identify as Indigenous or Torres Strait Islander?*

Does the participant have a disability or physical condition that restricts the ability to participant in sport?*

Event Waiver

VSA SIGN-UP FORM / WAIVER

For the purpose of this declaration, ‘VSA’ refers to the event provider facilitating this event. By signing this waiver you are becoming a member of VSA, understanding and accepting the below information...

WARNING: Skateboarding activities can be inherently dangerous and serious accidents can and do happen which may result in me being injured. I agree that use of a helmet and other protective gear can reduce the risk of serious head and body injury. I declare that I have voluntarily read and understand this warning and accept and assume the inherent risks in skateboarding activities.

EXCLUSION OF LIABILITY: Except to the extent of the Trade Practices Act 1974 (Cth) or other legislation applies, and can not by contract be excluded, I agree that as a term of my membership that I absolve VSA from all liability however arising from injury or damages however caused (whether fatal of otherwise) arising out of my membership and/or participation in any VSA facilitated event/activity in any way due to any negligent act, breach of duty, default and/or omission one on the part of VSA.

RELEASE AND INDEMNITY: In consideration of VSA accepting my application for membership, I: Release and forever discharge them from all actions, suits, proceedings, claims, demands, losses, damages, penalties, costs and expenses however arising that I may have or may have had but for this release arising from or in connection with my membership and/or participation in any VSA authorised or recognised activity.

Indemnify VSA to the extent permitted under, whether caused or contributed to, directly or indirectly, by any act or omission (including negligence) on the part of VSA, Trade Practices Act 1974 (Cth) or otherwise by law in respect of any actions, suits, proceedings, claims, demands, losses, damages, costs, expenses, penalties and fines arising as a result of or in connection with my membership and/or participation in any VSA authorised or recognised activity whether caused or contributed to, directly or indirectly, by any act or omission (including negligence) on the part of VSA.

I acknowledge and consent to photographs and electronic images being taken of me while participating in VSA events. I acknowledge and agree that such photographs and electronic images are owned by VSA and that VSA may, in its sole discretion, use the photographs for promotional and other purposes without my further consent. I also consent to VSA using my name, image, likeness and performance in VSA events at any time to promote aims that VSA, in its sole discretion, shall determine. I acknowledge that VSA cannot be responsible, and I agree not to attempt to hold VSA liable, for any use of any image(s) that VSA does not expressly authorise.

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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