Carlisle Social Skate Registration + Waiver
If you have bought tickets for a group, please ensure each attendee completes this form individually. You can not skate without a completed waiver. You only need to complete this form once per person and it will remain on file for future sessions.
Participant Details
Ensure you enter correct information, or we may not be able to send you information regarding your skate session.
Full Name
*
First Names
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Mobile Number
*
Email Address
*
example@example.com
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Contact Number
*
Relationship to Participant
*
Please Select
Parent
Guardian
Spouse
Sibling
Relative
Friend
Other
Medical Declaration
Roller skating is a physical activity involving inherent risks including falls and collisions.
Confirmation
*
I am aged 18 or over
I understand roller skating carries a risk of injury
I confirm I do not currently have any medical condition, injury or impairment that would affect my ability to skate safely
I agree to participate at my own risk
I understand helmets are mandatory during skating sessions
Medical conditions, injuries or impairments to disclose (if any)
Relevant medications or support needs (if any)
Session Rules and Safety Agreement
Session rules and safety summary
Agreement to session rules
*
I agree to follow session rules and organiser instructions
I understand organisers and stewards may ask participants to stop skating or leave if behaviour is unsafe
I confirm I will not attend under the influence of alcohol or illegal drugs
Final Confirmation
Declaration
Please type your full name as your digital signature:
*
Please check all your inboxes for the confirmation email. It contains essential information, and should arrive within 15 minutes of submission. If you experience any issues with the form, please contact us at carlislesocialskate@gmail.com
Submit
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