Shreducation

Shreducation Skate School

Already learnt how to skate? Wish you could skate with the Kingpin Team? Looking for group or private lessons? Ready to take your skating to the next level?

At Shreducation Skate School we teach you more than how to skate, we teach You how to SHRED!!

What are you waiting for, contact us now.

Fill out the waiver form below and get started.

RIDER WAIVER

SHREDUCATION is operated by Kingpin Skate Supply of 1/552 High Street Penrith NSW 2751.

This form MUST be completed, signed & processed by Kingpin Skate Supply before you are permitted to enter SHREDUCATION. If you are under 18, a parent or legal guardian MUST sign this form and their signature witnessed by another person over 18 and provide an emergency contact number. By entering SHREDUCATION, you accept the rules and regulations indicated in this agreement, including the wearing of a helmet. Please complete your personal details and ensure the form is properly signed.

Name *

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Last

Address *

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Phone Number *

Date Of Birth *

Choose One *

Male Female

Have you ridden ramps before? *

Yes No

Do you wish to receive updates? *

Yes No

DECLARATION AND WAIVER RELEASE AND INDEMNITY DEED
All persons must complete this document prior to participation.
The activities described include adventurous recreational activities and are not without inherent risk. Kingpin Skate Supply thanks you for reading this document carefully.

TO: Kingpin Skate Supply, its directors, employees, principals, agents and independent contractors, (collectively referred to as "Kingpin Skate Supply"): I confirm the following is true and correct and that Kingpin Skate Supply has relied on my answers in allowing me to participate in recreational activities of and incidental to things including skateboarding ("the activities"). In consideration of Kingpin Skate Supply permitting me to participate in the activities, I:

Name and Likeness Release I hereby grant permission to SHREDUCATION operators and owners, 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 Assumption of 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 voluntarily accept all risks necessary flowing from my participation, which could result in loss of life or injury.

Liability Release and indemnity I hereby release Kingpin Skate Supply and all persons or corporations associated directly or indirectly with the conduct of the 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 Kingpin Skate Supply and SHREDUCATION's owner, partners, managers, officers, agents, contractors, any club, organization 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 I participate in the activities, I will independently inspect the related facilities and equipment. I will immediately advise Kingpin Skate Supply 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 SHREDUCATION (such as supervision, helmet 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 to supply or hire and wear a suitable helmet, sneakers or runners plus a tee 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 Kingpin Skate Supply.

Medical Treatment I consent and consent on behalf of the child for whom this waiver has been signed to receiving any medical, eg first aid, treatment that Kingpin Skate Supply considers reasonably necessary during or after the activities.

Personal Property I hereby acknowledge that I have the sole responsibility for my 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. Kingpin Skate Supply is not responsible for my decision to participate in the activities and I was not induced by Kingpin Skate Supply to do so. I acknowledge my registration is not transferable to any other person. I have read this document, understand its contents and complete it of my own free will.

SIGNED SEALED AND DELIVERED

Name *

First

Last

Date Of Birth *

Signature *

Date *

ALL MUST BE WITNESSED BY:

Witness Name *

First

Last

Witness Signature *

Date *

Emergency Contact #1 *

Emergency Contact #2 *

If the person executing the foregoing is a legal infant or minor (under 18 years of age), the following section must be completed: I am a 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. *

First

Last

Relationship *

Date Of Birth *

Signature *

Date *

The information on this form enables the event organizers to register you and send you information relevant to the activities. The event organizers may also use statistical data collected for research purposes. Your personal information will not be used for any other purpose without your consent.

If you accept the terms of the agreement, select the box below. You must accept the agreement to enroll in SHREDUCATION. *

Yes I accept the terms in the license agreement