Loading...

Zoom Mobile Archery
A.S Tanner Reserve,
Chuter Avenue Monterey 2217
0422 227 216

 

You are advised that archery is a recreational sport with obvious risks and YOU ARE PARTICIPATING AT YOUR OWN RISK.


To ensure that you understand this, please read the following and tick I agree. 

I agree to be bound by, and conduct myself in accordance with, rules, policies and procedures.                                                                                                                                

I hereby declare that I am not aware of any health issues or disabilities, which would endanger the safety of myself or other members, or if I do have such issues, I will notify the Staff before engaging in any archery or boating related activities.          

I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, I hereby release Zoom Mobile Archery, its officers, directors, officials, agent members, guests, other participants, owners, volunteers, and personal property used to conduct events and activities, with respect to any and all injury, disability, death, loss or damage to person or property not responsible to the fullest extent permitted by law.   

I hereby consent to the collection and use of my personal images, results, awards, and prizes received. I acknowledge these may be used by Zoom Mobile Archery for websites, social media and publications for the promotion of the sports.                                                                                                                                                         

I am aware that this waiver is ongoing and will apply to all future occasions i participate in Archery or boating at any Zoom Mobile Archery locations. I furthermore acknowledge that this document is contractual and may be relied upon in any proceedings by me, my heirs executors and assigns.      

    

I Agree

December 21, 2024

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!