Worksafe Victorian Country Football League Clearance/registration Form (Page 2 of 2) in pdf

CONDITIONS OF REGISTRATION

Player Bound by Rules, Regulations and Policies of the Club, the League and the Victorian

Country Football League

By signing this Clearance/Registration Form, the Player:-

(a)

agrees that he or she will comply with and observe the Rules, Regulations and Policies of the

Club, the League and the Victorian Country Football League (“VCFL”) as they are presently

constituted and as amended from time to time;

(b)

acknowledges that he or she may inspect copies of the Rules, Regulations and Policies of the

Club, the League or the VCFL during normal business hours at the respective ofﬁces of those

organisations; and

(c)

acknowledges that his or her failure to adhere to the Rules, Regulations and Policies of either of

the Club, the League or of the VCFL may result in him or her being de-registered and/or other

sanctions.

(d)

Players under the age of 18 may upon request of the club/league or VCFL be asked to provide

proof of age.

Assumption of Risk

By signing this Clearance/Registration Form, the Player acknowledges and agrees that:-

(a)

Australian Football is a vigorous body contact sport in which physical injury is likely to occur from

time to time;

(b)

he or she is none the less desirous of playing Australian Football for the Club; and

(c)

he or she takes upon himself the risk (both physical and legal) of injury arising in the course of

training for and participating in the game of Australian Football.

Registration of Players Under 18 Years of Age

Where the Player is under 18 years of age, by signing this Clearance/Registration Form the Parent or

Guardian of the Player:-

(a)

hereby acknowledges that he or she has read and explained the contents of this Clearance/

Registration Form (including Conditions 1 and 2 above) to the Player;

(b)

declares that the statements made in the Clearance/Registration Form are to the best of his or

her knowledge and belief, true and correct; and

(c)

acknowledges that he or she has been informed of and/ or understands the potential dangers

and risks of the Player participating in a contact sport with older participants who are most

likely larger and stronger and that he or she has explained the potential dangers to the Player.

The Parent/Guardian acknowledges and agrees with the Club, the League and the VCFL, that

the Parent/Guardian and the Player accept the risk of the Player sustaining injury from playing

Australian Football for the Club and forever releases, indemniﬁes and saves harmless, the Club,

the League, the VCFL, their respective servants, agents, independent contractors and voluntary

workers carrying out honorary or unpaid duties and each and every person participating or

otherwise engaged in Australian Football matches (including training sessions) conducted by or

under the auspices of the League or the VCFL, from all actions, proceedings, demands, suits,

claims, costs and expenses and other liabilities of whatsoever nature directly or indirectly arising

from any injury or impairment suffered as a result of the Player’s participation.

The primary purpose of WorkSafe VCFL obtaining the information in this form is in relation to your appli-

cation for your Player Registration. The WorkSafe VCFL may also use your information for a purpose

that is associated with its Player Registration Program and other purposes agreed by you.

The WorkSafe VCFL will take all reasonable steps to protect your personal information from misuse or

unauthorized disclosure. Full Privacy policy available at

Worksafe Victorian Country Football League Clearance/registration Form Page 2

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