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Woonona Boardriders INC Membership Application Form
$50 NEW MEMBERS, $30 PREVIOUS YEAR MEMBER
NAME …………………………………………….................…
I hereby apply for
membership to “Woonona Boardriders INC”. In so applying and in consideration of
my application for entry to the club being accepted I acknowledge and agree that:
1. Insurance is in place that provides limited cover to me whilst I am participating in the
Event. I understand that this insurance may not cover me for all injury, loss or damage sustained
by me and I can, in my own interests, seek and obtain personal insurances over and above the
cover provided.
2. Warning: Participation in the Event can be inherently dangerous. I acknowledge that I am
exposed to certain risks during the Event including but not limited to physical hazards, unpredictable
and dangerous surf and weather conditions, equipment contact and use and actions by other competitors.
I acknowledge that accidents can and often do happen which may result in me being injured or
even killed, or my property being damaged. I have voluntarily read and understood this warning
and accept and assume the inherent risks in the Event.
3. Exclusion of Liability: I acknowledge that where I am a consumer of recreational services,
as defined by any relevant law, certain terms and rights usually implied into a contract for
the supply of goods or services may be excluded. I acknowledge that these implied terms and
rights and any liability of the Event Organiser flowing from them, are expressly excluded to
the extent possible by law, by this declaration. To the extent of any liability arising, the
liability of the Event Organiser will, at the discretion of the relevant organisation, be limited
to the resupply of the services or payment of the cost of having the services supplied again.
4. Release and Indemnity: In consideration of the Club Organisers accepting my application for
entry to the Event I:
(a) release and will release the Event Organiser from all Claims that I may have or may have
had but for this release arising from or in connection with my participation in the Event; and
(b) indemnify and will keep indemnified the Event Organiser to the extent permitted by law in
respect of any Claim by any person arising as a result of or in connection with my participation
in the Event.
5. Rescue, First Aid & Medical Treatment: I consent to receiving any rescue assistance,
first aid, or medical treatment that the Event Organiser or authorised representatives consider
necessary or desirable during the Event. I agree to abide by the relevant advice and care of
the appointed qualified first aid officer at the event or authorised representative. I agree
to reimburse the Event Organiser for any costs or expenses incurred in providing me with medical
treatment.
I have read, understood, acknowledge and agree to the above declaration including the warning,
exclusion of liability, release and indemnity. I acknowledge that if my application to enter
the Event is successful I will be entitled to participate in the Event.
Signed: ......................................................
Date: ...../...../.....
Date of Birth:...../...../.....
Member Since:...../...../.....
Membership Paid: Y/N
Membership Authorised By:…………………………………
MEMBERSHIP NUMBER: …………………………………….…