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EntryForm

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									                                Entry Form
Name:___________________________________________________

Address:_________________________________________________

Suburb:__________________                  Postcode:____________________

Contact Number:__________________________________________

Age Group: ____ Under 10 (Grommits)                    ____ Under 15

             ____ 15 + Please circle SCOOTER or SKATE


Entry fee for this competition is $10 if paid and entry completed
before the 6th August 2010 or the entry fee will be $15 on the day.

Helmets are required for ALL competitors, no exceptions. Pads are
recommended and Competitors will be required to bring their own
safety gear for the day or YMCA H.Q has helmets that can be
borrowed on the day!

To ensure your spot complete and include the following in an
envelope and return to Skant @ Unit 4B, 7 Halliburton Ave, Warnbro
:

   Entry Form

   Rules and Guidelines Form

   Release Form

   Entry Fee ($10 before the day or $15 on the day)

DON’T FORGET TO INCLUDE YOUR $10 ENTRY FEE

 OFFICE USE ONLY
        Entry Fee                             Assigned Competitor # __________________
        Completed Entry Form
        Parent/Guardian Signature & Date
        Signed Rules & Guidelines Form
        Functional Safety Equipment
RELEASE FORM

I hereby certify that my child is in normal health and capable of
participating safely in the Skant Scooter and Skate Competition. I
understand my child will be participating in the Skant Scooter and Skate
Competition at the Headquarters Skate Park in Leederville and that Skant
Scooter and Skate and any participating sponsors will not be held liable
for any physical harm or injury incurred to my child from this activity. I
also understand that I will not hold the above mentioned sponsors or
their employees responsible for any injury in which my child may be
involved, occurring to and from the Skant Scooter and Skate Competition.

Competitor Signatures:________________________   Date:________________

Parent/Guardian Signature:____________________   Date:________________

RULES & GUIDELINES FORM

All participants of the Skant Scooter and Skate Competition must agree to
the following rules and guidelines:

   1. Skant Scooter and Skate Competition is Smoke-free, Alcohol-free and
      Drug-free event.

   2. A helmet and safety gear will be worn at all times. This includes
      warm up times and during competition. Failure to wear these will
      result in removal from the competition.

   3. All competitors will refrain from language deemed offensive. A
      general guide would be if it is not acceptable to say in front of your
      teacher or parents then it is inappropriate. This is a family event.
      Failure to comply will result in removal from the competition.

   4. All competitors must participate in their appropriate age group. If
      discovered otherwise the competitor will be eliminated and deemed
      inegliable for future Skant Competitions.

   5. All competitors must sign release form and competitors under 18
      must have parental/guardian consent.
I agree to the above said rules and guidelines and understand the
consequences of non compliance.

Competitor Signature:______________________   Date:_______________

								
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