mp workshop form .pdf
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per child. lang rd netball courts, Tuesday 24th jan, 10am-1pm
Name (of participant/s)
• I acknowledge and understand that Skateboarding,
Scooter Riding, Inline Skating, Roller Skating and other
wheeled activities carry a significant level of risk and can
• 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.
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.
• 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)
Phone Number (mobile)
Office Use Only
Method of payment:
Special Needs of the Child
Paid: Yes / No
If you would like to book your child into the Skater HQ Moore Park Workshop,
please fill out, sign and email this form to firstname.lastname@example.org or
fax to 9938 9127. You will then be contacted for payment and confirmation.
TuesDAY 24th jan,
Ages 6-14 years
Beginners to advanced
level. Bring your gear
or use ours!
Lang Rd Netball Courts,
Cnr Anzac Parade and
Lang Rd, Moore Park
Improve your skills and learn tricks from
Please fill in the form attached
the Skater HQ Professional Coaches on
child, and you will be contacted for
our POPUP skatepark. Helmets and
payment and confirmation.
protective gear must be worn.
GET In quick as numbers are limited
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