PushPass Sports Event 2- Registration
Notice!
This form must be completed with the consent of a parent or guardian who has lawful authority in relation to a person under 18yo. By submitting this form, a responsible adult who has lawful authority in relation to the person listed below, has given consent for he/she to participate in any activity as a user under AWANetwork CIC
Adult Full Name
First Name
Last Name
Adult Phone Number
*
in case of emergency
Participant Full Name
*
First Name
Last Name
School Year or Age
Use the one most relevant, we only need this for proper grouping
Street and Postcode is fine (no need for house number)
*
Street Address
Street Address Line 2
Town
Post Code
Postal / Zip Code
Email
example@example.com
Individual or Team member (You can form a team on the day)
If you join as a team then every team member must register individually aswell
Sport Interest
*
Futsal
Additional Comments
AWANetwork CIC
Waiver: Futsal and Basketball are physical activities, they are also contact sports, therefore bumps, bruises, scrapes, scratches and soreness are common place minor outcomes that most participants will encounter especially in a mildly competitive sense. In same nature, more serious injuries are possible, including sprains, strains, twists, cramps, and also the ones that may be even more serious but non life threatening and they are not ordinarily expected to occur. Your consent affirms that you understand the above statement of risk assessment and accept the responsibility for any such outcome especially where you are not playing the game by its rules or wearing adequate protection. By assuming this risk, you completely absolve all authors, creators, leading individual and affiliates of AWANetwork CIC from liability for any injury, death or misuse of the information contained herein.
I consent to the waiver and to photography.
*
Yes
Submit
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