raf aki kids aquathon entry form
Transcription
raf aki kids aquathon entry form
RAF AKROTIRI Childrens Aquathon 19 April 2015 Where: RAF Akrotiri – Swimming Pool When: Sunday 19 April Events: Aquathon 80m swim / 800m run Start: 09:00 – 10:00 Registration: 08:30 Briefing: 08:55 Suitable for: Children Age 8 -11Swimmers and non-swimmers Prizes: Certificates for all Cost: FREE ENTRY Included on the day : * Swim Hat * Bottle of water * Certificate Drinks and refreshments available for spectators and participants from Akrotiri Swimming Pool EVENT ENQUIRIES Contact: Paul Fowler- (E) pfowler@live.co.uk RAF AKROTIRI CHILDRENS AQUATHON - TERMS AND CONDITIONS: We promote a friendly and relaxed atmosphere and cater for all levels of experience. As safety is always our primary concern, we will determine a safe swim passage for swimmers of all abilities, full or shortened route around the pool based course. All athletes (Parents to sign disclaimer) agree to swim and run entirely at their own risk and in the unlikely event of injury, accident, loss or damage suffered, regardless of however it may be caused, no responsibility whatsoever shall be attached to the organizers, sponsors, or any persons involved in the organization of the event. This said full water safety cover will be provided and the run route will also be fully marshalled. All participants must be healthy and have no known medical condition that they have not discussed with their doctor, and be fit and well enough to undertake swimming and running. Please be aware that the run is off-road, uneven and tripping hazards may be present despite our best efforts to remove or identify most of them. RAF AKROTIRI CHILDRENS AQUATHON – ENTRY FORM: CHILDRENS AQUATHON 80m / 800m Title Sunday 19 April 2015 Master / Miss Name Address Mobile contact number (Parent/guardian) Email Address (Parent/guardian) Date of Birth Any Medical / physical / other conditions affecting participation Any Medication taken Name of Emergency contact Emergency Contact Number Please read and sign the following declaration: I understand that all swimming and outdoor activities are ‘Assumed risk’ sports that carry attendant risks. I am aware of and accept these risks on behalf of my child/children and will be responsible for their action and involvement. I will ensure I declare all relevant medical information to the staff and that my child/children will follow their directions and instruction at all times. I confirm that I will be present throughout the event with my child/children. Signed (Parent / Guardian)…………….………………………………………………………… Print Name………………………………………………………………………………………….. Date…………………………………………………………………………………………………. EVENT ENQUIRIES Contact: Paul Fowler- (E) pfowler@live.co.uk