PBV Registration

PARKLANDS BEACH VOLLEYBALL

832 Southport Nerang Road, Nerang QLD 4211

parklandsbeachvolley@hotmail.com

www.parklandsbeachvolleyball.com

0431 720 810

Player Name*

First NameLast Name

Team Name (if you don't have a team, type NEED TEAM)

Address

Street Address

Street Address Line 2

Suburb

Postcode

Mobile Number*

Date of Birth

E-mail*

Confirmation Email

Interested to play in Pairs or Fours or Both?

How did you hear about us?*

PARKLANDS BEACH VOLLEYBALL (PBV) PARTICIPANTS ACKNOWLEDGEMENT OF RISK FORM INCLUDING WAIVER, RELEASE & INDEMNITY*

This is an important document which affects your legal rights and obligations. Read it carefully and do not accept it unless you are satisfied that you understand it. If you have any questions please ask a representative of PBV. 1. THE BUSINESS: Day Tours Gold Coast Pty Ltd trading as Parklands Beach Volleyball, including all affiliated and associated clubs, their Committees, Sub-Committees, Members, Trustees, Licensed Holders, Officials, Referees, Volunteers and Employees. 2. THE ACTIVITY: Principally administrators, organisers & promoters of beach volleyball events and competitions including official practice and competition rounds. 3. THE RISKS OF THE ACTIVITY (BEACH VOLLEYBALL): * Risk of being hit by a volleyball * Risk of being hit by, or colliding with another player * Risk of injury during the normal course of a beach volleyball game * Risk of sand getting into eyes * Risk of falling due to the surface of the court or debris on the court 4. ACKNOWLEDGEMENT: 1. I acknowledge that: (a) I am the participant. (b) I am being supplied with a recreational service by the Business. (c) The Activity is a dangerous recreational activity which involves a risk of physical harm. (d) I may be injured in performing the Activity. (e) My personal property may be lost, damaged or destroyed in performing the Activity. (f) Other people may cause me injury or may damage my property in the course of performing the Activity. (g) I may cause injury to other persons or damage their property in performing the Activity. (h) The natural conditions in which the Activity is conducted may vary without warning. (i) My participation in the Activity is voluntary and I have not been required by the Business to engage in the Activity. (j) I have disclosed any pre-existing medical or other condition that may affect the risk that either I or any other person will suffer injury, loss or damage. (k) The Business relies on the information provided by me and I state that all such information is accurate and complete. (l) I am aware of the dangers associated with the consumption of alcohol, mind altering substance, drug or other substance which may impair my judgment or physical ability or capacity to safely participate in the Activity and accept all the risks as noted above. (m) This document records the entire agreement between the Business and I in relation to the Activity and my participation in it. 6. RISK WARNING: 1. I acknowledge that I have been warned of the Risks of the Activity. 2. I acknowledge that the Activity may also involve other risks not noted in the Risks of the Activity above. 3. The Business has provided me with oral warnings of the Risks the Activity and the risks of physical harm in participating in the Activity. 5. ASSUMPTION OF RISK: 1. Notwithstanding the risks of physical harm and injury inherent in the Activity, some of which are noted above, I agree to participate in the Activity at my own risk. 8. WAIVER, RELEASE AND INDEMNITY: 1. I agree that the provisions of the Australian Competition and Consumer Act 2010, previously Section 74 of the Trade Practices Act 1974 (Cth) and any similar state legislative provisions (which provide for an implied warranty that services be rendered with due care and skill and that any material supplied in connection with those services will be reasonably fit for purpose) are excluded and do not apply to this contract in so far as they relate to liability for death or personal injury from the Activity. 2. I agree to release and hold harmless the Business its servants, employees and agents from and against any liability arising out of any injury, loss, damage or death caused to me or my property or any other person arising from or in connection with my participation in the Activity whether such injury, loss, damage or death was caused directly or indirectly by negligence, breach of contract or any way whatsoever. 3. I agree to indemnify and hold harmless the Business, its servants, employees and agents from all claims, damages, losses, injuries and expenses arising out of or resulting from my participation in the Activity. This indemnification extends to all claims made and any other person against the Business, its servants, employees or agents in respect of any injury, loss or damage arising out of or in connection with my participation in the Activity. 9. MISCELLANEOUS: 1. I agree to comply with all rules and directions made or given by the Business in connection with the Activity. I understand that if I fail to comply with the rules and/or directions of the Business, I may be injured or injure someone else. Further I understand that I will not be permitted to continue the Activity and no refund will be given. 2. I agree to report all accidents, injuries or loss or damage sustained by me to the Business before I leave the site on which the Activity is performed. 3. I agree that if I suffer any injury or illness I agree that the Business may provide or arrange evacuation, first aid and medical treatment at my expense. I ACKNOWLEDGE THAT I HAVE READ THIS FORM AND THAT IT HAS BEEN EXPLAINED TO ME. I FULLY UNDERSTAND ITS TERMS AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY ACCEPTING IT. I ACCEPT THE DOCUMENT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT MADE TO ME.

Any Other Relevant Information:

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registration to play