PARENT/ GUARDIAN CONSENT
In allowing my child to participate in the Knox Hockey Club (“KHC”) run Hockey Australia (“HA”) Hookin2Hockey & Junior program (“the Program”):
• I ACKNOWLEDGE that there are inherent dangers associated with the Program which may result in my child being injured.
• To the full extent permitted by law, I agree both on behalf of the child and in my own right to ABSOLVE AND INDEMNIFY HA from any and all liability for injury, loss or damage however caused arising out of my child’s participation in the Program.
• I agree both on behalf of my child and in my own right to RELEASE AND FOREVER DISCHARGE HA from all claims that I or the child may have or may have had but for this release arising from my child’s participation in the Program.
• I AUTHORISE registered Program Coordinators to arrange medical or hospital treatment (including, without limitation, ambulance transportation) if I am not available to do so and I INDEMNIFY HA for all costs associated therewith.
• I AGREE that HA retains the right to utilise images of my participation in the Program for the purposes of promoting HA’s national recruitment program.
• I have read, understood, acknowledge and agree to the above declaration including the warning, release and indemnity.
HA requires the information requested in this form for use in relation to the Program. Any personal information provided will only be used in accordance with the objects and purposes of HA, HA general business and in relation to HA’s national recruitment program. If the requested personal information is not provided you may not be able to receive the benefits of registration in the Program. Individuals will be able to access their personal information through HA upon reasonable notice.
• KHC will use your membership details to keep you updated by letter, telephone or email about relevant information about the club. This information will be used for matters pertaining to KHC and may be supplied to sponsors for the purpose of marketing and administering the activities of KHC.