This form MUST be completed, signed and processed by The Bank Indoor Skate Park (The Bank) to enable you to ride within this facility. If you are under 18 years of age a parent or legal guardian MUST also sign this form. By entering The Bank, you accept The Bank’s rules, terms and conditions including the wearing of a helmet and any other required safety gear. Please complete your personal details and ensure the form is properly signed. 

All persons must complete this document prior to participation. The activities described include adventurous recreational activities and are not without inherent risk. The Bank thanks you for reading this document carefully. TO: The Bank Indoor Skate Park, its traders, partners, employees, agents and independent contractors: I confirm the following is true and correct and that The Bank has relied on my answers in allowing me to participate in recreational activities of and incidental to things including skateboarding and inline skating (“the activities”). In consideration of The Bank permitting me to participate in the activities. 

Name and Likeness Release
I hereby grant permission to the event organisers, their successors and sponsors to use my name, image and likeness in direct connection with the activities for promotional broadcasting or reporting purposes in any and all manner and media, unless restricted by Privacy Legislation. 

Express Voluntary Acknowledgment of Inherent Risk
I understand that I, and each participant in the activities, will be engaging in activities involving a real risk of serious injury or even death from various causes including but not limited to equipment failure, accidents with other participants, spectators, course or weather conditions or other causes. I understand that I, and each participant in the activities, will be engaging in activities involving a real risk of damage to property including property belonging to The Bank, my own property and property belonging to a third party. I voluntarily accept all risks necessarily flowing from my participation, which could result in loss of life or injury and damage to property.

Liability Release and Indemnity
I hereby release The Bank and all persons or corporations associated directly or indirectly with the conduct of activities from all claims, demands and proceedings arising out of my participation and hereby indemnify them against all liability (including liability for their negligence and the negligence of others) for all injury, loss or damage arising out of or connected with my participation in the activities. This release shall extend to and include The Bank and the promotion organiser, partners, managers, officers, agents, contractors, any club, organisation and volunteers including medical and paramedical personnel appointed for the activities. The owners, licensees and occupiers of the land on which the activities or any part of it are conducted or which is involved directly or indirectly with the activities in any manner whatsoever and promoters, sponsors and activities organisers. This release and indemnity continues forever and binds my heirs, executors, personal representatives and assigns.

Equipment and Facilities Inspection
I agree that before I participate in the activities, I will independently inspect the related facilities and equipment. I will immediately advise The Bank of any unsafe condition that I have observed. I will refuse to participate in the activities until all unsafe conditions observed by me have been remedied. I acknowledge that reasonable safety precautions are undertaken by The Bank (such as supervision, helmet safety checks), but such are a service to me and other participants and not a surety of safety.

Protective Equipment
As an activities participant I hereby agree to supply and wear my own suitable helmet, sandshoes or runners plus a t-shirt and shorts as the minimum protective equipment requirements at all times whilst I am taking part in the activities.

Physical Fitness
I have independently assessed the activities and I am physically fit to participate in the activities in which I have chosen to participate and have not been advised otherwise by a medical practitioner. I do not have any possibly relevant pre-existing medical or physical conditions, which have not been disclosed to The Bank and the activities organisers.

Medical Treatment
I consent to receiving any medical, eg first aid, treatment that The Bank considers reasonably necessary during or after the activities.

Drugs and Alcohol
The consumption of alcohol and illicit drugs is strictly prohibited at The Bank. I acknowledge that if I am found consuming to be consuming alcohol, or to be affected by illicit drugs then I will not be able to participate in the activities.

Personal Property
I hereby acknowledge that I have the sole responsibility for my personal property during the activities. I acknowledge that I am responsible for wearing appropriate skating gear including a helmet.

Video Recorders
I acknowledge that video recorders (GoPro, Sony, etc) are permitted, but must be securely mounted to a helmet. Legal Waiver I acknowledge the terms and conditions of this document are contractual in nature, are intended to have legal effect and are not a mere warning or recital. The Bank is not responsible for my decision to participate in the activities and I was not induced by The Bank to do so. I acknowledge my registration is not transferrable to any other person. I have read this document, understand its contents and complete it of my own free will.

If the person executing the forgoing is a legal infant or minor (under 18 years of age), the following section MUST be completed: I am the parent or legal guardian of the legal infant or minor who is named above. I hereby covenant and warrant my answers provided are true and correct and hereby agree that we shall both be bound by this document. 

Signature Date: June 28, 2022

Please select who will be participating...
First Rider's Name

First Name*

Last Name*
First Rider's Date of Birth*
First Rider's Signature*
Rider's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Parent or Guardian's Email Address


Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact 1 Name: *

Relationship: *

Phone: *
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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