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Ninjas in Mocean

Unit 3/40 Station Rd

Margaret River WA 6285

RELEASE AND WAIVER LIABILTY AND ASSUMPTION OF RISK AGREEMENT MOCEAN FITNESS PTY LTD TRADING AS NINJAS IN MOCEAN

While on the premises of Ninjas in Mocean I agree to the following;

CONDITIONS

I agree to the use of equipment, sevices and facilites provided on the following terms and conditions.

1. I am aware that my use of Ninjas in Mocean equipment, services, facilities can pose dangers of risks and injury and I agree to accept all dangers and risks.

2. So far as permitted by common law, I;

a) agree to assume all risk arising from my use of equipment, services, facilities provided by Ninjas in Mocean;

b) agree to release all liability from Ninjas in Mocean no matter how it arises in respect to any injury, loss or damaged suffered as a result of my use of any equipment at Ninjas in Mocean;

c) agree to indemnify Ninjas in Mocean in respect of any legal liability it may have to any third party which in anyway arises from any use or attempted use by me of any equipment, services or utilities;

d) I agree to abide by ALL rules and follow ALL instruction established and given by Ninjas in Mocean and staff regarding the use of facilities;

e) I will exercise due care and skill while participating in the activities;

f) I agree that if I do not abide by the required rules it will result of removal from the grounds with no refund;

g) my personal property may be lost or damaged;

h) other persons participating in activities may cause me injury or may damage my property and I may cause injury to other persons or damage their property;

i) request and agree that First Aid or other appropriate medical treatment be administered to me in such manner as the providers or any of its officers, employees or agents shall deem necessary.

3. I am over 18 and have read and understand this document prior to signing.

ADULT CONSENT AND INDEMNITY WERE USER IS UNDER 18

1. All children under the age of 13 must be supervised by a parent or guardian at all times in the cafe and activity area. Exception only to supervision during a students Class time.

2. I am over 18 and consent to the use of below-named person to the use of equipment, services and facilities on the terms and conditions set out in the paragraphs above, which I have read and understood.

3. I sign this document on behalf of myself and the below-named person.

4. to allow participants photograph, video, multimedia or film likeness to be used for any legitimate purpose by Ninjas in Mocean.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

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

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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