Under 16's Registration form

Please fill out the following form.

First name

Last name

Parent/ Carer Name

Address

Phone

Date of birth

Day

Month

Year

What session do you usually attend? (e.g. Monday Skate School, Tuesday Skate Club, so on...)

Are you suffering from a medical condition, illness or injury?

Yes

If you answered yes to the question above, please supply additional information.

Signature

Signature field is empty.

Do you give permission for any photographs or media for marketing use on our website, social media, and flyers only?

Yes

I declare that the info I’ve provided is accurate and complete.

I agree to the terms and conditions of the waiver form below

Terms and conditio· I wish to use the skate park located with MaMa Skate CIC (Skate Parlour). I verify that I have full knowledge of the rigors and risk involved in using the Skate Park and I understand that skating can be a dangerous sport.

· I am voluntarily using the Skate Park with knowledge of the dangers involved, including without limitation, the risks of disability, injury, loss, damages, or the negligence or deliberate act of another person and I agree to accept any and all aforementioned risks.

· I understand that by entering into the premises of the Skate Park, I will be using facilities and/or areas where many hazards exist, and I am aware of and appreciate the risks which may result from my use of those facilities.

· I understand that skateboarding under the influence of alcohol at this premises is prohibited.

· I am aware that accidents or illness can occur during skating and that I may be seriously injured as a result.

· I acknowledge that I am solely responsible for my personal health and safety, and the personal property I bring with me.

· I agree to respect the Skate Park’s rules, to respect other riders, to follow the organisation’s recommendations for my safety while skating. I understand that not respecting these rules could cause in my exclusion from MaMa Skate sessions, through a decision of the Supervisor or manager. In consideration for being permitted to skating in the Skate Park, I agree to assume all risks and to release in advance and hold harmless and discharge the COMPANY, the OPERATOR, all affiliated organisations, individuals and entities, first-aid volunteers, officials, participating communities, organisations, and all of their respective parents, subsidiaries, officers, directors, agents, employees and members from any liability and to waive my rights with respect to any and all claims for damages personal injury or property damage which I may have, or which may hereafter accrue to me as a result of my usage of the Skate Park, even though this liability may arise through no fault of my own, or from the negligence or carelessness on the part of the persons or entities being released, from dangerous or defective property or equipment owned, maintained or controlled by them or because of their possible liability without fault.