AIR SKATE PARK REGISTRATION FORM UNDER 18 MUST be signed by a parent or legal guardian Participation Statement: “I fully understand and acknowledge that there are risks and dangers associated with participation in skateboarding; BMX riding, scooter riding and inline-skating which could result in bodily injury; partial and / or total disability; paralysis or death. As a result of this knowledge, I will not hold YMCA Fylde Coast or its Management, Staff and Volunteers responsible for any accidents, injury, loss or damage whilst on the premises unless there is evidence of negligence. By signing this registration form, I confirm that I have read and fully understand the Rules and Terms and Conditions (see overleaf) and understand that wearing personal protective equipment is strongly recommended for my child. I hereby agree to accept full responsibility for my child’s actions during participation in the skate park.” I have read the ‘Participation Statement’ above and understand it and I accept its terms for and on behalf of my child. Parent/Legal Guardian’s Signature Date Participant’s Personal Details First Name Address Surname Male Female Date of Birth Home Tel Postcode Email Parent/Legal Guardian’s Details Emergency Contact Name Emergency Phone 1 Relationship to child Emergency Phone 2 Medical Consent I authorise YMCA & AIR Skate Park to seek medical attention for my child in the event of injury or illness (if yes, please sign): Parent/Legal Guardian Signature Does your child suffer from any medical condition that you feel may put him/her under risk of an accident? I give permission for my child to be included in photographs/videos which may be used for YMCA Air marketing purposes: Yes No YMCA and Air Skate Park would like to keep you up to speed with news, offers and other content which may be of interest to you. Please tick the box if you would like us to keep you informed. Staff NameStaff Signature DateMembership No. Rules, Terms and Conditions Skate Park Rules • Using the skate park without paying will be treated as theft and those caught will be removed from the skate park and subject to ban. • Please use the provided seating areas when not riding. Sitting within the skate park will cause an obstruction. • Wristbands must be worn at all times when in the skate park to indicate you have paid for the appropriate session. • Do not move or re-arrange the street obstacles without first getting permission from a member of skate park staff. • All individual skate park users are issued with a key fob for quick check in. This must be presented on entry. Misuse will lead to enforced restrictions. • Your equipment is your responsibility. All personal belongings including BMX’s, boards, inline skates and scooters must not be left overnight. Any such items will be removed and treated as lost property. • Do not wax any of the skate park surface including rails and ledges. • Respect other users by riding responsibly within your limits. • Take care not to collide with others and to report to a member of staff if you witness an accident. • Respect the authority of the skate park staff and do as they ask. • Show patience when riding alongside beginners and offer help if you see someone struggling. • No snaking “jumping the queue”. Skate Park Terms and Conditions • You recognise the risks involved in participating in Skateboarding, BMX riding, inline skating and scooter riding and agree to ride at your own risk. • You must report any damage to the facilities which may cause any possible injury to other users. • You agree to waive liability claims against Air Skate Park, YMCA Thornton, YMCA Fylde Coast, Management, Staff and Volunteers for any accidents, injury, loss or damage whilst in Air Skate Park unless there is evidence of negligence. • Bullying, intimidation, verbal abuse or violence of any kind will not be tolerated and will lead to removal from the skate park and an immediate ban. • You must pay at the Air check in reception before entering the skate park area. Management reserve the right to refuse entry. • Helmets must be worn at all times by all users under the age of 18, and those under instruction, YMCA strongly recommends that all users over 18 years of age also wear helmets. Please ensure your helmet is fastened correctly. YMCA strongly recommends you also wear appropriate protective equipment such as knee and elbow pads and wrist guards. • Unauthorised graffiti and tagging will not be tolerated. • Alcohol consumption in the skate park is strictly forbidden and will lead to removal from the skate park and an immediate ban. • Possession or consumption of illegal substances will not be tolerated and will lead to removal from the skate park and an immediate ban. • Any person deemed to be intoxicated will be refused entry. • Smoking is prohibited throughout the building and outside all entrances to the building. • The minimum age for general unsupervised sessions is 8 years. • No littering. Place your rubbish in the bins provided. • No mountain boards, mountain bikes or ‘heelies / soap shoes’. • No opening of fire exits other than in the event of an emergency. • Only single speed 24 inch max jump bikes allowed. • Do not tamper with fire extinguishers, fire alarms or emergency lighting other than in the event of an emergency. • Ensure that your equipment is in good working order. • Only one participant to ride a ramp at a time. • You should not attempt any piece of equipment or manoeuvre that you feel is beyond your skill level. • Spectators must not enter the skate park ramp area. Viewing from designated areas only. • No food to be consumed on the skate park ramps. Food should only be consumed in table area only. • Only plastic, re-sealable drinks containers may be taken onto the platforms in the skate park. Canned drinks may be left by the seating area. No glass drinks containers in the park. • We need to look after our park. Vandalism will not be tolerated and will result in an immediate ban from the park. If you witness acts of vandalism, you must alert a member of staff. • You must report any misuse or dangerous use of the facilities by any person to a member of staff. • Skating or riding anywhere in the building other than the skate park will not be permitted. • Please do not skateboard in the car parking area. • Do not leave your bags, clothing or valuables unattended. You must use the lockers provided in the main changing facilities. Alternatively belongings can be labelled and stored within the skate park workshop store, however this is at your own risk. • Riders under the age of 10 years must be accompanied by an adult and remain within the building. • Riders under 18 years must have completed the ‘Under 18 Registration Form’ signed by a parent or guardian. • Know your limitations and ride within them. Ride safely and have fun. • Please ensure your equipment’s wheels are clean before entering the skate park. Acceptance of Rules and Terms and Conditions I have read and understand the above Rules and Terms and Conditions and agree to abide by them. Parent/Legal Guardian Signature Date Disclaimer: “The risk of injury from the activities involved in AIR SKATE PARK is significant, including the potential for permanent disability and death, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist. All participants knowingly and freely assume such risks, both known and unknown, and assume full responsibility for their participation and for having and using the appropriate safety equipment. We do not accept any responsibility for other participant’s failure to comply with these rules other than due to our negligence.” Parent/Legal Guardian Signature Date
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