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ACCEPTANCE OF RISK RELEASE OF INDEMNITY Wajaana Yaam Gumbaynggirr Cultural Tours


I agree to accept all risks arising from myself (or my child’s) participation in classes/courses conducted by the agents, volunteers, employer and employees of Wajaana Yaam Gumbaynggirr Cultural Tours AND I have informed the Wajaana Yaam Tours coach of any medical illnesses the I/my child has which may place myself/them at risk whilst participating in classes/courses conducted by Wajaana Yaam Tours and will inform them at the time that myself/‘my child receives any injury during the activity.

AND I/We acknowledge that the participation in the activities dangerous with many inherent risks as a result of which the injury (and sometimes death) is common and ordinary consequences. I therefore assume and accept all risks of personal injury or death to myself/my child in any way whatsoever arising from participation in the activities. I hereby release, indemnify and hold harmless the agents employer and employees of Wajaana Yaam Cultural Tours, Coffs Harbour City Council, Coffs Coast State Park, the Minister Administering the Crown Lands Act 1989, NSW Dept of Environment and Conservation, Parks and Wildlife Division, the Minister Administering the National Parks and Wildlife Act 1974, NSW Maritime and NSW Marine Parks Authority, NSW Forestry Corporation against all costs claims actions proceedings and demands for loss of or damage to property and for death or personal injury suffered by my child during or associated with my participation in Wajaana Yaam Gumbaynggirr Cultural Tours.

I give permission for photos to be taken of myself/my child by other participants and by Wajaana Yaam Cultural Tours and understand that these may be used for promotional purposes.



First Participant's Name

First Name*

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First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

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

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

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

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

First Name*

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

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

First Name*

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

First Name*

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

First Name*

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

Email*

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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*

Middle Name

Last Name*

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.


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