SAOP Member Registration

Surname*

First name*

DOB - day*

DOB - month*

DOB - year*

Gender*

MF

Email*

No. and Street Address*

Suburb*

State*

Postcode*

Mobile*

Next of kin - name*

Relationship*

Address*

as above

Next of kin mobile*

Additional information

Do you have a medical condition that could impact your safety or the safety of others when training or racing surf skis?*

Condition

Describe condition

Treatment

Do you subscribe to State Ambulance Service?*

Are you a member of a Surf Life Saving Club*

Name of Club

Are you a member of a Canoe or Stand Up paddling Club*

Name of Club

Are you a member of a Healthcare fund*

Do you agree for your details or photo to be used for publication?*

I understand that participating in the activities of SA Ocean paddlers Inc (hereinafter known as “SAOP”) will be on water and therefore I am required to be a competent swimmer and I also understand that paddling activity carries with it the inherent risk of physical injury, including serious injury such as permanent disability, paralysis and even death and in undertaking such activities I do so at my own risk.

I am also aware that it is a condition to my participation in any official or approved SAOP event that SAOP, its officers, employees, representatives, agents, volunteers, instructors, members, or servants are absolved from all liability howsoever arising from injury or damage howsoever caused (whether fatal or otherwise) arising out of my participation in an event or in training, instruction or carriage in any vessel being used for or in connection with surf ski racing or in any way whatsoever due to any negligent act, breach of duty, default and/or omission on the part of SAOP, its respective officers, employees, representatives, agents, volunteers, instructors, members, or servants.

I am also aware that any person participating in ocean racing racing, learning to paddle, training or being involved with any vessel being used for or in connection with surf ski racing or participating in any activity carried out by SAOP are only allowed to do so on the distinct understanding that they do so at their own risk.

This agreement shall be binding upon and inure to the benefit of the parties, their successors, administrators, assigns and personal representatives.

In consideration of being allowed to participate in the activities, which includes training for and participating in events, I do HEREBY ACKNOWLEDGE that I have read and understood the warning and indemnity above and agree to release and forever hold harmless from any liability, suit or action howsoever arising SA Ocean Paddlers Inc, and their respective officers, employees, representatives, agents, volunteers, instructors, members, or servants in the event of my injury and/or death.

agree*

yes

Declaration on behalf of a junior person- under 18

I consent to the person who’s membership application this refers to, to take part in activities with the Club and acknowledge that I have read and understand this waiver and agree to release AOCRA and the Club and their respective officers, employees, representatives, agents, volunteers, instructors, members, or servants from any liability including the Club’s acts of negligence to the fullest extent permitted by the law.

Full name of parent or guardian f U18

First NameLast Name

agree

yes

I hereby acknowledge that I have read and consent to being bound by the SA Ocean Paddlers Inc (SAOP Inc) Indemnity Agreement and abide by the Rules, Directions and Constitution of SAOP Inc and to accept the terms, exclusions, conditions and limitations of and Legal Liability Insurance Contract.

agree*

yes

SA Ocean Paddlers Membership Form