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LIABILITY WAIVER AND RELEASE AGREEMENT

IF UNDER 18 – PARENT/GUARDIAN MUST COMPLETE SECTION AT END OF FORM


Westies Pty Ltd, trading as Westies Skate Shop, is a business dedicated to promoting the love and growth of skateboarding and providing a safe and inclusive space for our community from all backgrounds. As part of our commitment to safety and enjoyment, we have established specific rules of entry that must be adhered to by all visitors. Skateboarding is inherently dangerous, and participants may frequently experience injuries. Therefore, it is paramount that you follow our rules and take the necessary precautions. By participating in skateboarding activities at our facilities or in lessons conducted on-site or elsewhere, you indemnify us from any injuries received.


DECLARATION AND WAIVER RELEASE AND INDEMNITY DEED

This document must be completed prior to participation.

The activities described include adventurous recreational activities and are not without inherent risk. Westies Skate Shop (Westies Pty Ltd) thanks you for reading this document carefully.

Westies Skate Shop, its directors, employees, principals, agents and independent contractors (Westies Skate Shop) confirm the following is true and correct and Westies Skate Shop has relied on my answers allowing me to participate in recreational activities of and incidental to things including but not limited to skateboarding, scooter riding, roller skating, aggressive inline, Mountain bike, Parkour & BMX {the activities}. In consideration Westies Skate Shop permitting us to participate in the activities:


Name and Likeness Release:

I hereby grant permission to Westies Skate Shop operators and owners, their successors and sponsors to use images 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 Assumption of Risk:

I understand that 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 voluntarily accept all risks necessarily flowing from my participation which could result in loss of life or injury.


Liability Release and Indemnity:

I hereby release Westies Skate Shop and all persons or corporations associated directly or indirectly with the conduct of activities from all claims, demands and proceedings arising out of our 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 our participation in the activities. This release shall extend to and include Westies Skate Shop and owner 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 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 organizers. This release and indemnity continues forever and binds my heirs, executors, personal representative and assigns.


Equipment and Facilities Inspection:

I agree that before we participate in the activities, I will independently inspect the related facilities and equipment. I will immediately advise Westies Skate Shop of any unsafe condition that I have observed. We 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 Westies Skate Shop (such as supervision, helmet and safety checks), but such are a service to me and other participants and are not a surety of safety.


Protective Equipment:

As an activities participant I hereby agree that all participants are to wear a suitable helmet, closed toe footwear plus protective clothing, (full pads are at your discretion) as a minimum protective equipment requirements at all times whilst we are taking part in the activities.


Physical Fitness:

I have independently assessed the activities and agree that we are all 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 Westies Skate Shop.


Medical Treatment:

I consent for whom this waiver has been signed to receiving any medical, e.g. first aid treatment that Westies Skate Shop considers reasonably necessary during or after the activities.


Personal Property:

I hereby acknowledge that we have the sole responsibility for our personal property during the activities. 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. Westies Skate Shop is not responsible for my decision to allow all people listed to participate in the activities and we were not induced by Westies Skate Shop to do so. I acknowledge our registration at Westies Skate Shop is not transferable to any other person. I have read this document and understand its contents and complete it of my own free will.

December 5, 2025

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Leave this checked and we will periodically send details of our events, promotions, specials etc via email and/or sms. 
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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*
Middle Name
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
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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