By signing this entry form, you are waiving your rights to sue the Provider for losses relating to personal injury or death whilst attending this event. Under the provisions of the Trade Practices Act and various State Laws the Provider of Recreational Services, noted below, is required to ensure that the Recreational Services it sells to you are: rendered with due care and skill, are fit for the purpose for which they are commonly bought as it is reasonable to expect in the circumstances or might reasonably be expected to achieve the result you have made known to the Provider.
Name and address of Provider: Great Lakes Council, Breese Parade, Forster 2428
The Participant acknowledges that the activity being undertaken involves a significant degree of physical risk. The Provider acknowledges that they are providing Recreational Services detailed below which means; providing facilities for participation in a recreational activity, or training a person to participate in a recreational activity, or supervising, adjudicating, guiding or otherwise assisting a person‚Äôs participation in an activity. The Participant hereby acknowledges that in attending this recreational activity that there are inherent risks involved to them or other people in their care and control that may result in personal injury or death. The participants also acknowledges that the purpose of the recreational activity is for the benefit of the Participant and for the benefit of those people attending with the Participant and that at all times the Participant is responsible for his or her own actions and the actions of those other people in their care and control.
Description of Recreational Services: Junior adventure racing
The Participant acknowledges that during all times while they are attending this recreational activity they do so at their own risk and that the Participant and other people in the care and control of the Participant will not hold the Provider or any of its employees or agents liable for any personal injury or breach of contract whether caused by the negligence of the Provider its employees or agents or otherwise.
The Participant acknowledges that in the event that they or any of the other people in their care and control find either or any of them is in difficulty that they are to stop the activity or request that the activity be stopped if appropriate, and seek assistance and advice.
Declaration and Signature
By signing this entry form I understand that the Recreational Services to be sold to me as set out in this form may cause my and or my dependants personal injury or death. By signing this agreement I understand that I and my dependants waive our rights to sue the Provider for losses relating to my and or my dependants personal injury or death that result from any negligence caused by the Provider.
Participant’s Name (Please print): ______________________________________________________
Participants Signature: _________________________________________¬†¬† ¬†Date: ______________
For the Parent/Guardian of a Participant under 18 years of age:
Name (Please print): _________________________________________________________________
Signature: ____________________________________________________¬†¬† ¬†Date: ______________