In consideration of Organisers accepting my application to participate in the Program below, I acknowledge, understand and agree that:

1. "Organisers" for the purposes of this declaration means the
Surf School and includes, where the
context so permits, Surfing Australia Inc ("SA"), SA affiliated state surfing
associations and their respective directors, officers, members, servants
or agents.

2. Warning: Participating in the Program can be inherently dangerous.
I understand the nature and requirements of the Program and
acknowledge that serious accidents can and often do happen which may
result in me being seriously injured or even killed. I have voluntarily read and
understood this warning and accept and assume the inherent risks in
participating in the Program.

3. Physical Fitness: I must not participate in the Program if I have any injury,
disability, medical or health condition that may increase the risk of me
becoming injured unless I have told SA about it and they have authorised
me to participate. I declare that I am medically and physically fit and able to
participate in the Program and I will immediately notify SA of any change to
my fitness and ability to participate. I understand and accept that SA will
continue to rely on this declaration as evidence of my fitness and ability
to participate.

4. Instructions: I will at all times comply with the instructions and safety
procedures of SA

5. Medical Treatment: If required, SA will arrange medical or hospital
treatment (including ambulance transportation) for me. I authorise
such actions being taken by SA and agree to meet all costs associated
with such action.

6. Release & Indemnity: My participation in the Program is entirely at my own
risk and I agree to:
(a) release and forever discharge SA from all liability and Claims
that I may have or may have had but for this release arising from or
in connection with my participation in the Program;
(b) indemnity and hold harmless SA to the extent permitted by law
in respect of any Claim by any person including but not only
another participant in the Program arising as a result of or in
connection with my participation in the Program.

In this clause 6 "Claims" means and includes any action, suit proceeding, claim,
demand, damage, penalty, cost or expense however arising (including negligence,
trespass to the person or for breach of implied terms in the sale of services under
section 74 of the Trade Practices Act (1974) Cth and equivalent provisions contained in
State sale of goods or fair trading legislation).

7. Identity: Photographic and or visual images taken by SA of my participation
in the Program may be used for general promotion of SA activities.

8. Privacy. I understand that the information provided by me in this form is
necessary for the operation of the Program. I acknowledge and agree that
the information will only be used for the objects of SA and to provide me
with information pertaining to the Program and SA activities. I understand
that I will be able to access my information through SA upon request. If the
information is not provided I might not be permitted to participate
in the Program.

I have read, understood, acknowledge and agree to the above declaration including the warning, release and indemnity.

Where the applicant is under 18 years of age this form must also be signed by the applicant's parent
or legal guardian.

I, am the parent or guardian of the applicant. I expressly agree to be
responsible for the applicant's behaviour and agree to personally accept the conditions set out in this application and
declaration including the provision by me of a release and indemnity in the terms set out above.

Surfing Australia est.1963
www.surfingaustralia.com