**** IMPORTANT PLEASE READ ****
PRIVACY and AUTHORISATION
In registering the above named athlete/s for a ‘Come and Try’ session, I the legal parent/guardian, agree to the Centre or the ACTLAA seeking emergency medical treatment if so required. I acknowledge that I should seek from my Centre details of the types of insurance cover provided.
I/We agree that Belconnen Little Athletics Centre (Inc.) and its officers and/or agents shall be released from and shall not incur any responsibility whatsoever for any accident or injury to the above named athlete/s or for the loss of damage to property of the athlete/s.
I/We agree to fulfil responsibilities and duties on the Parent Roster and to help at carnivals my child may attend. Little Athletics is not just for children; we need the active participation of parents as well to ensure the proper running of events and the safety of the athletes.
I agree that an authorised adult will be present at the ground at all times to provide adequate supervision to all children in my care. A requirement of registration is that a family member MUST be available to assist the Centre in some way.
Ido / do not (circle one) give permission for my child’s photograph to be used on Belconnen LAC’s or ACTLAA websites and social media accounts (Facebook) as well as the ACTLAA endorsed photographer’s password protected website. Please note that athlete names will not be identified against photographs on the Websites or social media.
Personal information on this form is collected by Centres/Clubs on behalf of ACTLAA. This information may be used by ACTLAA and/or the Centres/Clubs for Little Athletics purposes only.
I agree that it is my responsibility to consult the handbook on the website https://www.revolutionise.com.au/belconnenlac for program information, competition dates and rules etc.
