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| If paying by cheque, please forward your cheque along with a copy of your entry details to: |
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Rotary Club of Sunnybank Hills
P.O Box 400
Sunnybank QLD 4109 |
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| Declaration (1) I the undersigned in consideration of and as a condition of my entry in this event for myself, my heirs, executors and administrators, hereby waive all and any claim, or right
or cause of action which I or they might otherwise have for or arising from loss of my life or injury, damage or loss of any description whatsoever which I may suffer or sustain in the course of or
consequent upon my entry or participation in this event. (2) This waiver, release and discharge shall be and operate separately in favour of, the Rotary Club of Sunnybank Hills, volunteer and
support personnel and so shall operate whether or not the damage or cause is due to any act or neglect of any one or more of them. (3) I permit the free use of my name and picture in the
broadcasts and telecast as they pertain to this event. (4) I acknowledge that my entry fee is non-refundable. (5) I declare that I have read the above waiver and release and understand its contents.
(6) I attest that I am physically fit and have sufficiently prepared for the completion of the entered race or walk. (7) I agree to abide and be bound by the Rules, as varied from time to time,
governing the event. (8) I consent to receive medical treatment, which may be advisable in the event of illness or injury suffered by me during this event. (9) My registration is not transferable to
other people if l am unable to compete or if the event is cancelled by way of circumstances beyond the control of directors, my registration fee is non-refundable. (10) The information supplied
on this form is true and correct (11) I understand that animals, pets, bicycles, skateboards etc. are not permitted on the course. (12) PRIVACY: The Rotary Clubs of Sunnybank Hills, Salisbury and
Wishart (the Clubs) collect the personal information requested on this form to enable the efficient operation of the Fun Run that you have entered and to complete the administrative and payment
functions associated with that event. By signing the Entry Form, you unconditionally assign to the Clubs all right title and interest you may have in any and all audio and/or photographic recording
of you/your Child and grant to the Clubs permission to use, licence and publish or otherwise deal with such audio or photographic recordings including for the purpose of advertisement,
promotion or otherwise and further grant permission to publish your / your child’s name and race times and provide contact details to sponsors and the like. You may obtain a copy of your
personal information or withdraw consent to use of personal information by contacting the club address below. |
| Declaration of Minors If you are under the age of 18 years on the day of the race, this declaration must be completed by your parent or guardian. (1) I certify that I am the parent or guardian of the minor specified below and that the age specified is true and correct on the day of the event. (2) I certify that he/she has trained for and has my consent to compete in the event. (3) I testify that I have read the above and acknowledge acceptance of the stated conditions on behalf of the minor specified. |
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Please press the SUBMIT button to confirm that you agree to the terms and conditions listed above.
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