Member Details
Family Membership details
Rider Details
Member Name
Date of Birth
Member Address
Contact Phone
Contact Email
Emergency Contact Details
Name
Relationship to Rider
Address
Contact Phone
Contact Email
Other information needed eg additional contact
Consent, Release & Indemnity
I have read the information on this form and consent to myself/ my child taking part in racing and coaching session/s. I understand and agree that I/ my child participate in Skid Kids entirely at his/ her own risk.
I have considered the nature of such sessions (and discussed them with my child). I am satisfied that my child is sufficiently responsible and competent to assume full and entire responsibility for his/ her own safety at such events.
I understand that Cycle Speedway has a zero tolerance for Drugs and alcohol whilst riding and I can be tested at anytime as per the Drug and Alcohol Policy.
Date
Medical Information
Full Name
Parent / Guardian Name
Relationship to Rider
Contact Phone
Emergency Medical Contact
Name
Phone
Address
Medical and Specific Needs - Confidential
If Yes
And how can we support you with it
Add any files relating to medical conditions
Agreement
Full Name
Date
Waiver Form
Name
Address
Contact Phone
Date of Birth
DECLARATION AND WAIVER RELEASE AND INDEMNITY DEED
Express Voluntary Assumption of Risk I understand that I, and each participant in the event will be participating in the sport of Cycle Speedway which involves a real risk of serious injury or even death from various causes including but not limited to equipment failure, accident 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 ‘all clubs’ and all persons or corporations associated directly or indirectly with
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 ‘all clubs’ of any unsafe condition that I have observed. I acknowledge that reasonable safety precautions are undertaken by all clubs.
Protective Equipment All competitors must wear a suitable helmet. This can be supplied by the competitor or the club where to competition is being held. All competitors must be covered from the neck down. i.e full sleeve top, jeans/pants/track bottoms, shoes/sneakers. Full fingered gloves are required. These can be supplied by the competitor or the club will supply on day.
Medical Treatment I consent to receiving any medical, e.g. first aid, treatment that ‘all clubs’ consider reasonably necessary during or after the activity.
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. ‘All clubs’ are not responsible for my decision to participate in the competition and I was not induced by any club to do so. I have read this document, understand its contents and complete it of my own free will.
SIGNED SEALED AND DELIVERED
If the person/s executing the forgoing is a minor (Under 18 years of age) the following section must be completed:
Name of Parent/Guardian
Relationship
Date
Please note that this membership form will not become active until the first official race meeting of the season. Submitting this form registers your interest in becoming a member of Findon Skid Kids Cycle Speedway Club.
Submit
