1.
Cheques must be made
payable to:
G. Barounis
PO Box
CP61, Condell
Park NSW 2200
2.
All entry forms
and monies must be received by: Wedensday 19th Feburary2003
3.
Age is determined by the
age of the competitor on 31/12/03.
4.
If under 18 years of age
entry forms must be signed by a parent/guardian.
5.
F.M.K (World Karate
Federation) rules will be applied at this tournament.
6.
All competitors must
have current insurance.
7.
The following safety
equipment is COMPULSORY – AKF approved gloves, Shin/Instep Protectors
(Juniors), Shin Protectors (Seniors), Mouthguards, Groin Guards (Males). Chest
Protection is optional for females.
8.
The Organiser holds the
right to combine or cancel events without prior Notice.
1.
I acknowledge that I
have read the definitions set out below.
2.
I hereby acknowledge
that my entry and/or participation in the Tournament carries with it
significant risk of personal injury.
3.
Therefore, I for myself
and the Releasors hereby relinquish, release and/or waive any action against
the Releasees for any personal injury sustained by me arising out of and/or in
the course of the Tournament whether as a result of any disregard and/or
technical breach of any Rules of the Tournament or otherwise.
4.
In addition, in the
event of any action being commenced, I for myself and the Releasors hereby
indemnify the Releasees against any cost and damages arising from or connected
therewith.
“Personal Injury” has its ordinary English meaning and includes
any injury for which a person might be awarded under General Damages and/or
Special Damages at Common Law.
“The Releasors” means
the family, dependents, heirs, executors and/or assigns and any person or
persons claiming through them.
“The Releasees” means
any corporation, association or other body and/or any person(s) jointly and/or
severally and whether servants or agents of any of the aforementioned or
otherwise where any such corporation, other body or individual is associated
with the promotion or conduct of the Tournament and includes competitor(s),
referee(s) and observers or any members of the audience.
“Any Action” means
any claim, right and/or course of action for damages at Common Law or pursuant
to any statute.
“The Rules” means
the rules for the time being of the Australian Karate Federation Incorporated.
I declare that I have
current insurance and that I have read the Rules, Disclaimer, Definitions and
Declaration, understood the
and have filled in my
form correctly and honestly and as such my signature appears below.
Signed (Competitor) Date |
|
Signed (Parent/Guardian) Date |
Head of Style Validation
I can validate that
the competitor whose name appears on this form has current insurance.
Signed (Head of Style) Date |
|
Name (Please Print) |
George Barounis (02) 9709 3596
0419 963 444
Wally Zahra (02) 8783 0404
0419 270 993