Assumption of Risk, Waiver and Indemnity Form

Note: This is an important document that affects your legal rights and obligations. Please read carefully and sign only when you are satisfied you understand it

For participants less than 18 years, a parent or legal guardian must complete this Document.

Scheduled Activities: Class courses may include the following: solo, partner and group acrobalance, acrobatics, tumbling, gymnastics, handstands, minitramp, juggling, rope climbing, solo and double trapeze / cloudswing, tissue, hula hoops, slackline, hoop diving, pyramids, unicycle, spinning plates, diablo, devil sticks, stilts for participants over 8 years, slapstick, clowning and physical comedy, mime, games, flexibility training, strength exercises and other physical activities.

In consideration of Castlemaine Circus and coaches, for permission to participate in classes in any way, I, the undersigned, for myself, my personal representation, heirs and next of kin:

  1. Acknowledge that the intended activities that make up the classes (see ‘Scheduled Activities’) are inherently dangerous and may result in serious personal injury (including permanent disability) and / or death and / or property damage.
  2. Give permission for coaches to seek appropriate medical attention in the case of injury.
  3. Acknowledge, agree to, and voluntarily assume all risks (including, but not limited to, those associated with activities in the section ‘Scheduled Activities’) of any harm, injury, or damage suffered whether foreseen or unforeseen in connection with the Class course.
  4. Agree to indemnify Castlemaine Circus Inc and coaches from any liabilities, claims, and causes of action that may be brought against the above as a result of, or in connection with a negligent act, omission, failure or error as a participant in the Class course.
  5. Acknowledge and confirm that the information I have provided on this Document is true and I have read and understand this document and that I am of a lawful age and legally competent to sign this Document.
  6. I understand that I may consult a medical advisor if I have concerns regarding any pre-existing medical condition, which may affect the health and safety of the participant or be provoked by participation in the above activity.
  7. I understand that the Castlemaine Circus has group accident insurance with cover that is limited to $2,000 for non-medicare rebated services.
  8. I have completed an enrolment form indicating Emergency Contacts and participant medical conditions.

Note: Students are responsible for any medical costs arising from participation in class activities.