Jurien Bay Camp

Infinity Skate will be taking a bus from Geraldton to Jurien Bay for a weekend of skateboarding at Jurien Bays new park from the 1st to the 3rd of October 2021.

Your son has been invited to attend an informal skate camp. The young people selected are deemed able to self-manage their activities over the course of the weekend as such, they will need to be adequately provisioned for a two night camping trip. There will be a simple breakfast provided and BBQ lunch on the Saturday all other meals will need organising by the group themselves.

We will be staying on the Jurien Bay overflow camping area where the shire provides showers, toilets, BBQ and basic washing up amenities. There are skateboarding activities planned such as demonstrations, competitions and clinics where we encourage all to get involved. There is a $50 fee to cover camping, and fuel for the weekend payable in cash on the day.

The bus will leave Geraldton on the 1st October from the Wonthella skatepark at 11:00am and return Sunday 3rd at 4:00pm.

Please complete the registration form below to authorise your young persons participation in the weekend.

Thanks,

Nick

Jurien Bay Weekender

Skater name

First Name

Last Name

Age

How long have you been skating for?

Gender

Male

Female

Identify as other

Parent or guardian

If different from emergency contact

First Name

Last Name

Parent or guardian contact number

Emergency contact mobile number

Emergency contact

First Name

Last Name

Please list any life threatening illnesses/allergies

Injury waiver, please read and check the tick box below

EVENT & MEMBERSHIP REGISTRATION FORM FY 2021-2022 INJURY WAIVER WELCOME to Infinity Skate. Grassroots events delivered to you by the Geraldton skateboarding community. By reading, filling in, and signing this form below you are registering yourself or the participant you are signing in to be eligible to participate in any Infinity Skate event up until 30th June 2022. For the purpose of this declaration, ‘IS’ means and includes Infinity Skate, its members and their respective directors, officers, members, servants, program partners and/or agents. WARNING: Skateboarding activities like all sports can be physically demanding and can be inherently dangerous and serious accidents can and do happen which may result in me (the participant) being injured. I agree that I am participating at my own risk and that the use of a helmet can reduce the risk of serious head 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 cannot by contract be excluded, I agree that as a term of completing this form and being eligible to participate in any IS event that I absolve IS and its partners from all liability arising from injury or damages however caused (whether fatal of otherwise) arising out of my membership and/or participation in any IS authorized and recognised activity in any way. RELEASE: I unconditionally agree to release and forever discharge the event organisers (including IS, it’s officers, employees, contractors, agents and affiliates), officials, program partners, sponsors and any affiliated group, from liability, loss, damage or personal injury arising from or in connection with my IS membership and/or participating in any IS authorised and/or IS recognised activity and/or official IS event. By reading, filling in and signing this official IS Event & Membership form I accept that Skateboarding can be dangerous and has risk of injury. I acknowledge unconditionally that I am participating at all times at my own risk for the duration of the current calendar year. PUBLIC EVENT AND PHOTOS/VIDEOS TAKEN: By signing this form as a participant, or as a parent or guardian signing in a participant under 18 I acknowledge that at all IS events photos/videos will be taken of the event and of the participants to be used for future promotional and reporting purposes. I acknowledge and consent to electronic images/videos being taken of me as the participant or of the participant I am signing in while participating in all IS events. I acknowledge and agree that such electronic images/videos are owned by IS and that IS and its program partners may use the photographs/videos for promotional and other purposes without my further consent. I agree that my details can be shared with the local council that runs these events in partnership with IS for reporting purposes. After this form is processed the participant is eligible to participate in any appropriate IS event for the full FY2020 unless IS staff decide otherwise. PLEASE NOTE: Helmets are mandatory for ages 16 & Under participating in any actual IS beginner clinics or competition heats. Helmets are always recommended but IS is NOT responsible for enforcing helmets when participants are not in their official beginner clinics or competition heats. Between “heats” wearing a helmet is the responsibility of the individual person using the skatepark at their own risk as per any other day of unsupervised skatepark use. Games of SKATE are a low impact technical mini-competition performed on flat ground and do not require helmets to be worn.

Injury waiver

I have read the injury waiver & event membership registration form above

Consent form, please read and check the tick box below

I consent for the above-named participant to engage in the Jurien Bay Camp from Friday 1st October 2021 through to Sunday 3rd October 2021. I give permission for my son to be filmed, photographed, and for this to be put on social media. I give permission for my son to receive medical treatment in case of an emergency. I am aware that Infinity Skate and its employees are not responsible for personal injuries or property damage that may occur on an excursion unless Infinity Skate or its employees are proved to be negligent.

Consent waiver

I have read the above consent waiver and give the consent mentioned

Safety requirements

In order to run this event, Infinity skate requires all skaters under the age of 18 to wear helmets

I consent to wear a helmet as I am under 18

Digital signature

I am the parent or guardian who has filled out this form, by checking this box I am giving permission for the young person described to participate in the Jurien Bay Weekender

Comment

Should you wish to discuss further please contact Nick on 0401069211