Seacliff SLSC Nippers Come and Try

Saturday, October 31, 2020 15:00 (GMT+10:30)

Event info
Sport: Swimming - open water
Location: Seacliff, Australia
Registration closes: Saturday, October 31, 2020 14:59 (GMT+10:30)
Organized by: Seacliff Surf Life Saving Club
Event website: www.seacliffslsc.com.au
Event notes

SEACLIFF SLSC NIPPERS 'COME AND TRY'

REGISTRATION AND WAIVER

Show more Show less

Contact organizer

Use this form to send an email to the organizer.

Your name
Your email address
Confirm email address
Message to organizer
Send

Webscorer account
Who are you registering?
Team name
 
First name
 
Last name
 
Email address
 
Date of birth
           
Gender
 
Phone #
 
Address
 
Suburb
 
Post Code
 
State
 
Age Group
 
----------------------------------------
MEDICAL DETAILS
Does the participant have any medical condition/s or health problems?
 *
 
If "yes", please provide details of the medical condition or health problem below
Medical condition/health problem:
If a medical emergency could occur, please provide any further relevant information:
Precautions to avoid emergency:
How to recognise emergency:
Emergency treatment required:
Does the participant take any prescribed medication (including inhalers)?
Medication Name:
Dose:
When Taken:
How Taken:
Any Side Effects:
----------------------------------------
PARENT/GUARDIAN DETAILS
First Name
 *
 
Last Name
 *
 
Relationship
 *
 
Phone
 *
 
Email:
 *
 
Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver

PLEASE READ CAREFULLY


I hereby waive all and any claims, or cause of action which I might be entitled to have against all managers, personnel, officials, organisers, or any person(s) whatsoever involved in any Club activities, events or functions conducted on behalf of the Club and other competitors who may be liable for any damage in respect of any matter whatsoever arising out of / or incidental to the events / functions being held as part of, or in conjunction with Surf Life Saving, whether or not such act or omission by such aforesaid life saving personnel is either negligent or reckless.

I hereby give my consent for the appointed doctors, coaches, staff and other officials of the Club to provide first aid and deliver me for treatment at the nearest operating and available medical facility in the event of injury as a result of any activity or event I am part of, or involved with, any event / function being held as part of, or in conjunction with Surf Life Saving or any allied Association.

I consent to the relevant SLS Organisation(s), using my name, image, likeness and also my performance in or of any SLS Activity at any time to promote the Objects of the relevant SLS Organisation(s), by any form of media. I waive any rights I might have to or in such use of my name, image or likeness by the relevant SLS Organisation(s).
Name of parent or guardian accepting the terms of the waiver