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