This form MUST be completed, signed, and processed by Skate It Yourself prior to participation in any activities. If you are under 18, a parent or legal guardian MUST sign this form and have their signature witnessed by another person over 18 and provide an emergency contact number. By participating in any Skate It Yourself activity, you accept Skate It Yourself's rules and regulations; including the wearing of a helmet. Please complete your personal details and ensure the form is properly signed.

The activities described include adventurous recreational activities and are not without inherent risk. Skate It Yourself thanks you for reading this document carefully. TO. Skate It Yourself, its directors, employees, principals, agents and independent contractors, (collectively referred to as "Skate It Yourself") I confirm the following is true and correct and that Skate It Yourself has relied on my answers in allowing me to participate in recreational activities of and incidental to things including Skateboarding, Scooter Riding, BMX and Biking (the activities)

Release: In consideration of Skate It Yourself permitting me to participate in the activities, I hereby grant permission to Skate It Yourself's operators and owners, their successors and sponsors to use my name, image and likeness in direct connection with the activities for promotional broadcasting or reporting purposes in any and all manner and media, unless restricted by Privacy Legislation or in the above confirmation.

Express Voluntary Assumption of Risk: I understand that I, and each participant in the activities, will be engaging in activities involving a real risk of serious injury or even death from various causes including but not limited to equipment failure, accidents with other participants, spectators, course or weather conditions or other causes. I voluntarily accept all risks necessarily flowing from my participation, which could result in loss of life or injury. Liability Release and Indemnity: I hereby release Skate It Yourself and all persons or corporations associated directly or indirectly with the conduct of the activities from all claims, demands and proceedings arising out of my participation and hereby indemnify them against all liability (including liability for their negligence and the negligence of others) for all injury, loss or damage arising out of or connected with my participation in the activities. This release shall extend to Skate It Yourself and Skate It Yourself's owner, partners, managers, officers, directors, employees, principals, agents, contractors, any club, organisation and volunteers including medical and paramedical personnel appointed for the activities, the owners, licensees, and occupiers of the land on which the activities or any part of it are conducted or which is involved directly or indirectly with the activities in any manner whatsoever and promoters, sponsors and activities organisers. This release and indemnity continues forever and binds my heirs, executors, personal representative and assigns. Equipment and Facilities Inspection: I agree that before I participate in the activities, I will independently inspect the related facilities and equipment. I will immediately advise Skate It Yourself of any unsafe condition observed. I will refuse to participate in the activities until all unsafe conditions have been remedied. I acknowledge that reasonable safety precautions are undertaken by Skate It Yourself (such as supervision, helmet safety checks), but such are a service to me and other participants and are not a surety of safety. Protective Equipment: As an activities participant I hereby agree to supply or hire and wear a suitable helmet, shoes, and clothing as the minimum protective equipment requirements at all times whilst I am taking part in the activities. Physical Fitness: I have independently assessed the activities and I am physically fit to participate in the activities in which I have chosen to participate and have not been advised otherwise by a medical practitioner. I do not have any possibly relevant pre-existing medical or physical conditions which have not been disclosed to Skate It Yourself. Medical Treatment: I consent and consent on behalf of the child for whom this waiver has been signed to receiving any medical, e.g. first aid, treatment that Skate It Yourself considers reasonably necessary during or after the activities. Please note that if an ambulance is called due to reasonable injury, Skate It Yourself is not responsible for any chargers occurred. Personal Property: I hereby acknowledge that I have the sole responsibility for my personal property during the activities

I acknowledge the terms and conditions of this document are contractual in nature, are intended to have legal effect and are not a mere warning or recital. Skate It Yourself is not responsible for my decision to participate in the activities and I was not induced by Skate It Yourself to do so. I acknowledge my registration is not transferable to any other person. I have read this document, understand its contents, and complete it of my own free will.