Personal information collected by the Junior Football Club is for the primary purpose(s) of membership requirements, competition purposes and foot- ball development. It will not be released for any form of commercial gain and will be maintained in a secure environment as per the requirements of the Privacy Act. Completion and lodgment of this Registration Form indicates acceptance of the Club’s policy.

I am aware that recording images of children participating in football both photographic and video graphic is not permissible without the consent of the child’s parent or guardian. I am aware that a team photograph or other image may be produced during the football season by a club or governing body and may be utilized for the promotion and development of football by the governing body. Waiver and Indemnity Football - Means Australian Rules Football, Club - Means the Football Club, League - Means the Football League, Child - Means child or ward I am aware that playing Football, observing Football, learning to play Football and training to play Football, and participating in any activity carried out by the Club, are activities that inherently involve risk, and that in undertaking the activities my child does so at his/her own risk.

I am also aware that, as a condition of my child’s admission to membership of the Club, its office bearers, officials, coaches, managers, umpires, mem- bers, and/or agents are absolved from all liability arising from injury or damage howsoever caused. That injury or damage may arise out of member- ship of the Club, playing Football, observing Football, learning to play Football and training to play Football, or negligence of any nature whatsoever on the part of the Club or League, their representatives, office bearers, officials, coaches managers, umpires, members, and/or agents.

I understand and agree that nothing in this agreement purports to exclude any liability that may be owed by the Club or the League and their represen- tatives pursuant to the provisions of any relevant Statutory Act/s covering these activities. To the extent that any part of this agreement may contra- vene any of the Statutory Act/s I agree that part of the agreement may be severed and rendered void but the rest of the agreement will remain valid and continue to have effect. I Do hereby acknowledge that of my own free will and desire, I have contracted with the Club for the instruction, training and playing of my child in Football and that I have read and understood the above waiver.

Signature

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