Page 1 of 2

2018 Individual Indemnity Form (Junior Nationals)

This form is to be completed by the individual player/parent before 26 February 2018.
Please note that by completing and submitting this form you acknowledge and accept the indemnity clause as well as the Terms and Conditions and the Code of Conduct which are available on the SAUWHF website.
Please let us know your first name.
Please enter your ID. number
Please let us know your email address.
Please enter your phone number
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please enter your medical aid number
Invalid Input
Please enter your medical aid plan details
Please specify if you have any allergies


Invalid Input

INDEMNITY ACCEPTANCE

I acknowledge that I have read or have been made aware of the safety rules pertaining to the participation in Underwater Hockey, and that I understand these rules and accept the risks which are inherent in the participation in the aforementioned sport.
2. I am aware and understand that participation in the sport involves intensive physical and mental exertion. I warrant that I am free from any medical condition that may endanger my life or well being whilst playing UWH or the life or well being of any other participant.
3. I undertake not to hold the proprietor of SAUWHF or Potchefstroom liable for any injury, loss or damage which I might sustain whilst participating in the game whether in or out the pool, the complex and surrounding areas and howsoever arising irrespective of whether such loss, injury or damage can be attributed to any act or omission of an employee, manager, assistant or coach.

TERMS AND CONDITIONS

1. All players, representatives, coaches and referees will always behave in such a way as to uphold and promote a good image of SAUWHF.
2. Any player, or representative, who fails to adhere to the SAUWHF code of conduct, may be liable to a disciplinary hearing as set out in the SAUWHF constitution.
3. Provinces will be liable for their team's and players behavior regarding any breakages, misconduct and unruly behavior.
4. SAUWHF reserves the right to refuse any team or player entry to any function held by the SAUWHF if in their opinion the player is not fit to enter.
5. The Provincial representative will take full responsibility for their players, coaches, referees and volunteers behavior during the tournament and will ensure that all members of their province adhere to the SAUWHF Code of Conduct.



Tags: junior, nationals, individual, indemnity