cc workshop form .pdf

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I
$55
per child. Curl Curl Netball courts, wednesday 25th jan, 10am-1pm
I
Child Details
Name (of participant/s)

Waiver/Consent
• I acknowledge and understand that Skateboarding,
Scooter Riding, Inline Skating, Roller Skating and other
wheeled activities carry a significant level of risk and can
be dangerous.
• I understand that Skater HQ and its employees take all
reasonable care, but will not be held liable for any injury,
loss or damage that may be sustained howsoever caused.

Age/s

Sport (skateboard, inline, scooter)

• I am not aware of any medical condition that would prevent
my child from participating in this activity.
• Each person must take all reasonable care when
participating in these events including obeying the safety
instructions of Skater HQ Staff.
• Skater HQ reserves the right to remove a person from the
event if they are deemed to be acting in a negligent and/or
dangerous manner or failing to comply with any reasonable
direction from Skater HQ Staff.

Parent/Guardian Details

• Each individual is responsible for any personal equipment
brought to the workshop.

Name (of parent)

By signing below, I have read and agree to accept the above
conditions of participation.

Phone Number (home)

Signature

Phone Number (mobile)

Email

Office Use Only
Method of payment:

Special Needs of the Child

Payment amount:

Paid: Yes / No

If you would like to book your child into the Skater HQ Curl Curl Workshop,
please fill out, sign and email this form to customerservice@skaterhq.com.au or
fax to 9938 9127. You will then be contacted for payment and confirmation.

e
t
a

sk

scoot

Inl

ine

CURL CURL

WORKSHOP

wednesday 25th jan,
WHO?

WHERE?

Ages 6-14 years
Beginners to advanced
level. Bring your gear
or use ours!

WHAT?

10am-1pm

Curl Curl Netball Courts,
Abbott Rd,
Curl Curl

$55

bookings

I

Improve your skills and learn tricks
Please fill in the form attached
from the Skater HQ Professional Coaches
and you will be contacted for
,
d
il
h
on our POPUP skatepark. Helmets and
payment and confirmation.
PER c
!
protective gear must be worn.
BOOK NOW

GET In quick as numbers are limited


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