Junior Australian SPORTS PROGRAM Registration

PLEASE NOTE THIS PROGRAM IS STRICTLY FOR STUDENTS AT GUILDFORD WEST PUBLIC SCHOOL

Child's Name

Please enter your child's name exactly as it appears on their Active Kids Voucher.

First Name

Last Name

Child's Date of Birth

Date/Month/Year DD/MM/YYYY

Child's Gender

Male

Female

Other

Please select which location you are registering for

Parent/Guardian Name

Parent/Guardian Contact e-mail

Parent/Guardian Contact Mobile Number

School Name

Active Kids Voucher Number

Please enter your Active Kids Voucher Number, the 16 digit number without spaces or symbols.

If your child has any medical conditions we should be aware of, please list them here and the necessary medical requirements.

Junior Australian Sports Program Terms and Conditions

I, the participant’s parent/guardian named above, have agreed for our child/children to participate in the Australian International Sports Organisation Pty Ltd (AUSISO), Junior Australian Sports Program (“JASP”). I acknowledge and agree that the JASP, is not limited to: • a recreational sport activity, exercise and training programs; and • may involve strenuous physical activity including, but not limited to, cardiovascular conditioning and training, and other various fitness/sport activities. I hereby affirm, and I affirm each time my child participates in the JASP, that: • I will provide AUSISO with any existing medical conditions that my child/children has and will ensure that I provide relevant medical/ emergency plans and my child’s medications are readily available (i.e. insulin, Ventolin, EpiPen, etc.) • My child/children are in good physical condition and do not suffer from any injury which would prevent or limit their participation in this program; and • My child/children are participating in the JASP voluntarily and at their own risk. I hereby release the Australian International Sports Organisation Pty Ltd (AUSISO), and their officers, agents and employees (the “Released Parties”) from any claims, demands, and causes of action as a result of their participation in the JASP, to the extent permitted by law. I fully understand that my child/children may injure themselves as a result of their participation in the JASP and I hereby release the Released Parties from any liability now or in the future for conditions that they may obtain directly or indirectly from participating in the JASP, to the fullest extent permitted by law. These conditions may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to joints, muscles or tendons, or any other illness or soreness that my child/children may incur, including death. • I understand that pictures and videos taken by AUSISO throughout the JASP may be used by AUSISO on its social media, website and other promotional materials.

I HEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE JUNIOR AUSTRALIAN SPORTS PROGRAM TERMS AND CONDITIONS. AS WELL AS THE AUSISO PRIVACY POLICY AND WEBSITE TERMS AND CONDITIONS.