Registration*

Individual/Team Captain Registration

Name*

TEAM DETAILS:

**ACKNOWLEDGEMENT OF RISK AND DISCLAIMER, PRIVACY COLLECTION NOTICE**

Please read and accept the following:

1. I understand and have been warned that sports activities carry risk of injury, illness or death. I, and if being a minor, my parent/s, guardian/s, for and on behalf of me, acknowledge that during all times I am on the premises of or included in or undertaking any sporting activity in any location which is organised, approved or endorsed by Macquarie University Sport as an activity for me to take part in, my person is at my own risk and I accept all risk.

2. I release Macquarie University Sport from any claims or liability in relation to personal injury, death or disease which may arise from any cause including the act or omission, negligence or on any other basis of Macquarie University Sport, its employees, servants, agents, independent contractors, voluntary workers, other users of the facility or participants in the activities or spectators or other parties providing services through or in the sporting related facilities (including the Macquarie University Sport and Aquatic Centre and Macquarie University Sport Fields) of Macquarie University Sport. However this release does not exclude any liability as a supplier of recreational services for reckless conduct causing significant personal injury, or other claims or liability that cannot be excluded due to law.

3. I also release Macquarie University Sport from any claims by or liability to me for any loss or damage to property that may arise from any cause (including the negligence, act or omission of Macquarie University Sport or other persons referred to above).

4. I warrant that I / my child is physically fit and able to engage in a fitness and/or exercise program, and acknowledge Macquarie University Sport’s recommendation to consult a medical practitioner prior to the commencement of an exercise program.

5. I accept that unless I am a Macquarie University Student, Macquarie University and Macquarie University Sport do not provide insurance to participate in this event. Please note that Chubb Insurance Company Group Personal Injury Insurance for students does not cover claims or losses caused by or arising out of any pre-existing condition or any condition that has been aggravated and/or degenerative condition.

6. This waiver, release and discharge shall be and operate separately in favour of all persons, corporations and bodies involved or otherwise engaged in promotion or staging of events and the servants, agents, representatives and offices of any of them.

7. I consent to receive medical treatment, which may be advisable in the event of any illness or injury suffered by me during my participation in the event.

8. I give permission for the free use of my name, voice or picture in any broadcast, transmission, advertising promotion, or other account or events.

9. Should the event be cancelled for any reason whatsoever, I understand that no liability of any kind will attach to any person, corporation or body involved or otherwise engaged in promoting or staging the events.

10. Management reserves the right to refuse entry if the participant does not behave in a responsible manner, is under the influence of drugs and/or alcohol, and is wearing a costume that is deemed offensive or does not adhere to the Macquarie University Sport & Aquatic Centre and Sporting Fields Terms & Conditions of Entry.

11. I agree to abide by the rules and guidelines governing these events.

  • U@MQ is collecting your personal information on this form in relation to you/your child. This application is for a Macquarie University Sport and Aquatic Centre program/event. The information on this form will be used primarily for the assessment of your application and the administration of the payments and our services to you. We may also use this information for alternate administrative purposes that may include auditing, software system support, program evaluation or to facilitate electronic payments. For the same purpose U@MQ may disclose your personal information to a third party provider of these services that may include LINKS Modular Solutions, LINKSPAY, National Australia Bank, Macquarie university and its controlled entities. When storing your personal information electronically, U@MQ may disclose your personal information to overseas recipients by virtue of its third party hosting arrangements. These cloud based servers are likely to be located in the United Kingdom, United States or countries within the European Union. Otherwise we will not disclose your personal information without your consent unless authorised or required by law. The provision of your personal information is voluntary, but if you do not provide the information we will not be able to process your application or administer your registration. You may request access to your information at any time. Further information about how you can access or update your personal information and how U@MQ handles the personal information we collect from you is set out in our privacy policy which is available at: www.campuslife.mq.edu.au/privacy-collectionnotice.

In this document Macquarie University Sport means U@MQ Ltd ABN 27 125 926 169 which trades as Macquarie University Sport and as Macquarie University Sport & Aquatic Centre, together with Macquarie University.

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