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Infinity Skate
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Register here
Revolve Skate Series
Skater name
*
First Name
Last Name
Age
*
Email
*
Mobile number
*
Sex
*
Male
Female
Competition category - <8 and <12 now mixed gender to align with national skate standards
*
< 8
< 12
< 16
< 16 Girls division
16+
Emergency contact
*
First Name
Last Name
Emergency contact mobile number
*
Please list any life threatening illnesses/allergies
*
Injury waiver, please read and check the tick box below
EVENT & MEMBERSHIP REGISTRATION FORM FY 2023-2024 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 2024. 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 FY2024 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 and consent to the conditions outlined in the injury waiver & event registration form above
Safety requirements
*
In order to run this competition, Infinity skate requires all skaters under the age of 16 to wear a helmet during heats
I consent to wear a helmet as I am under 16
I am over 16 and understand I choose my risk
Digital signature
*
I am a parent or guardian giving permission for the above to participate in the event
I am 16+ and either an adult or mature minor capable of signing this form
*** $20 cash/card entry fee on the day of the event***
*** $20 cash/card entry fee on the day of the event***
Thank you for registering, we’ll see you on the 18th of May!