TO: WAYNE BURNS and LORELAI BURNS trading as
Burns Outdoor Obstacle Training
ABN: 76 833 404 409
25 Dwyer Road
Bringelly NSW 2556

In consideration of you allowing my son/daughter/child in my care,(Listed below) to take part in your “Obstacle Course” fitness and training sessions activities, conducted by you, your employees and/or contractors at 25 Dwyer Road, Bringelly (“The Venue”) I, the adult person whose full name, address and signature appear below, hereby agree, confirm and acknowledge that:

1. The participant/s listed below will use all equipment and facilities at the Venue entirely at their own risk they accept that these activities are dangerous and can result in Injury;

2. I on behalf (of the participant/s listed below) accept the risks involved and that I am responsible for their involvement;

3. The participant/s are under no obligation to participate or complete the activities if they have concerns about their ability to do so;

4. If anything is unclear to the participant/s in the briefing then they will raise their concerns with a member of the Insureds team who is conducting the briefing;

5. The participant/s listed below will comply with your directions and instructions given before or while they undertake any activity at the venue. Before undertaking any such activities to the best of the Parent/Guardian/carer knowledge, the participant/s are physically able to participate in the advertised activities and know of no reason as to why they should not and to the best of my knowledge, that my child does not have any physical or medical condition or illness that may affect their ability to do so with safety;

6. If the participant/s listed below fails to comply with any such directions or instructions they may be required to leave the Venue immediately;

7. I, on behalf of the participant/s listed below release you from all liability for any death, accident, injury, incapacity, loss or damage that they may suffer during or arising directly or indirectly from any activity described above;

8. I, on behalf of the participant/s listed below release you from all liability for any loss or damage to any property that they may incur while taking part in any activity described above;

9. I, on behalf of the participant/s listed below will indemnify and keep you indemnified against all actions or claims for compensation or damages arising from any accident, injury, incapacity, loss or damage described in paragraphs 7 and 8  above;

10. The benefit of the releases and indemnity in this document will extend to your employees, agents and contractors; 

11. I am over the age of 18 years and I fully understand the legal effect of this document that I am signing on behalf of the participant/s listed below.