Waiver form (Skate UOL)
Once you are finished this form will be to yourself and the Skate UOL committee to review the form, all information will be kept confidential. On arriving at any skateparks you must follow any COVID safety restrictions in place.
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Email *
Full Name *
In case of an emergency please could you provide us with the NAME of someone close to you. *
In case of an emergency please could you provide us with the PHONE NUMBER of someone close to you. *
On arriving at any skateparks (organised officially by Skate UOL or unofficially within the Skate UOL forum) you must follow any COVID safety restrictions in place. Participation Statement: I fully understand and acknowledge that there are risks and dangers associated with participation in skateboarding, BMX, Scootering and Inline skating which could result in injury; partial and/or total disability, paralysis or death. As a result of this knowledge, I will not hold the skatepark management, skate UOL or University of Leicester responsible for any accident, injury or loss/damage whilst on these premises. By signing this waiver I confirm that I have read and understood the conditions of use and acknowledge that Skate UOL recommends the use of full protective equipment. I agree to accept full responsibility for myself and any accompanying parties during their participation at official and unofficial Skate UOL sessions/events. *
As mentioned above protective gear will be provided at indoor skatepark sessions. However, mouth-guards will not be provided but you may can purchase one from the link (below) if you feel that this will be of benefit to you.
I have watched the following videos and information concerning the activity that I will undertake at official/unofficial Skate UOL sessions. *
Required
Terms and Conditions *
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DECLARATION OF FITNESS: *
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DECLARATION OF FACT: *
ELECTRONIC SIGNATURE: By clicking the ' I AGREE' button you confirm the details on this form are correct and that the tick box replaces your written signature. By checking the box, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. By ticking this box I agree to the statements above and understand the risks involved in the sport. These have been explained to me in the Terms & Conditions of Use. If I have any safety concerns or queries I will ensure that I clarify them with a member of staff during my first visit to the centre, and will not engage in any activites until these queries have been explained. *
Today's date *
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A copy of your responses will be emailed to the address you provided.
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