Walking Netball Brisbane
Indemnity Form 2018
I agree that I am fully responsible for my own fitness and physical health and have made an informed decision as to my ability and capacity to participate in the competition. I warrant that I am physically able to complete in this competition and am not playing against medical advice.
I acknowledge that Walking Netball Brisbane and Rhonda Newton has recommended me to obtain a medical health check up to ascertain that I am not placing myself in any harm in participating in this competition. If I have not done so, this is my personal choice.
I have been advised of the benefits of obtaining my own income protection insurance, above and beyond the very minor coverage that may be available with Insurance associated with Netball Queensland. If I have not done so this is my personal choice, being aware of the inherent risks associated in playing in the competition in terms of general injury associated with Walking Netball (and the mix of old age and Walking Netball).
I agree to be solely responsible for ascertaining that any playing surface or any playing conditions meet my total satisfaction prior to playing any game in this competition at any venue. I understand that Walking Netball Brisbane will arrange a court inspection prior to any game proceedings, to ensure the court is safe, however release and indemnify Walking Netball Brisbane and Rhonda Newton absolutely in terms of any injury that I may incur, regardless of the state of the playing surface or the action of any player, should I decide to participate in any game or training session.
I am aware of the inherent nature of injuries suffered regularly by players participating in Walking Netball. I am aware that operations required for knee, ankle, hip and other injuries are common place for players of my age, and fully accept the risk that such injuries may mean that significant costs are incurred by me personally above and beyond any private health insurance I may or may not have.
I am aware that Walking Netball Brisbane and Rhonda Newton expects a good level of personal behavior from me during my participation which includes no swearing and no aggression or violence and otherwise full compliance with any reasonable direction from referees, managers and organisers and Walking Netball Brisbane. I am aware that suspension, fines or cancelation of membership are penalties for breaking this conduct.
I hearby absolutely and categorically indemnify and release the organising committee of Walking Netball Brisbane/Rhonda Newton, any personnel associated with Walking Netball Brisbane and all other players complying with the rules and regulations of the competition from any conceivable liability that may arise from my participation in the competition, be that personal injury or even death or any other loss, injury or damage that I may at any time sustain. The basis of my participation in this competition is based solely on my giving this indemnity.
I have provided Walking Netball Brisbane with current and accurate medical information and hereby accept total liability for any injury or loss that may be incurred as a consequence of entering and playing in the Walking Netball Brisbane Competition and indemnify Walking Netball Brisbane/ Rhonda Newton and any personnel associated with Walking Netball Brisbane absolutely.
I understand that by ticking the box next to “I have read and agree to the Indemnity Terms and Conditions” statement, I waive my rights to take legal action against, Walking Netball Brisbane/ Rhonda Newton and any personnel associated with Walking Netball Brisbane, should an incident occur.