Parkour disclaimer and release form for participants

Parkour is a physical discipline involving gymnastic-like movements such as running, jumping, vaulting and climbing.

Dangerous and unplanned movement is discouraged - the focus is on training physically, calculating risk, and repeating technique to reduce risk of injury.

Students will train to have good core strength, balance and technique in a safe environment before being introduced to any movement that may involve risk.

They WILL NOT be put at any height – the emphasis is on practice and perfection not ‘extreme moves.’

However even with all of safety precautions in place there is a risk of injury, muscle sprains and falls. This being the case we draw your attention to the following.

1. Tramway and Glasgow Parkour (the organisers), associated event organisers (theco-organisers) and sponsors accept no responsibility for any damage,loss or injury of any kind, howsoever caused to, or suffered by, anyperson participating in the Parkour sessions.

2. All users of and visitors to the facilities expressly acknowledge and accept the risks and hereby release the organisers, the co-organisersand sponsors from any and all liabilities arising thereto, save for thoseliabilities that cannot be excluded or restricted under compulsoryrequirements of the law.

3. All such users and visitors to the facilities do so entirely at their own risk and hereby agree to indemnify the organisers, associated organisers orsponsors from and against any and all liabilities incurred by theorganisers, associated organisers or sponsors or claims made againstany of them, for damage, loss, or injury the third parties, which areattributable to any act of such users or visitors, provided, and to theextent that, such is not caused by or attributable to the organiser’s, co-organiser’sor sponsor’s negligence.

4. All users of the facilities shall be entirely responsible for their own health and physical capacity to take part in the sessions.

5. It should be recognised that participants may well need physical contact with the coach to prevent accident, and/or to show a balance or otherposition relating to the coaching.

All users of the facilities must arrive on time in order to fully engage in the warm up and remain until the warm down is complete.

All participants over 16 or their parents/guardians under 16 will be asked to sign this form. By signing this form, the signatory expressly agrees and declares that he/she has voluntarily accepted all the matters, including all the risks, responsibilities and obligations, to which it refers.

1. To be completed by the participant or Parent / Guardian (if under 16)

Participant’s Name: / Male / Female
Home Address:
Post Code:
Tel No: / Date of Birth:
2. Parent / Guardian Details

Name:______

Address: ______

______Post Code: ______

Tel No: (home)______Tel No: (work)______

3. Emergency Contact Details

(Please provide the details of a relative or friend that CSG may contact in an emergency if you are unavailable)

Name:______

Address: ______

______Post Code: ______

Tel No: (home)______Tel No: (work)______

Relationship to participant:______

4. Medical Information

Participant’s Doctor: ______

Address: ______

______Post Code:______

Tel No:______

5. Does the participant have a disability? Yes No

If yes please provide details of the disability including any assistance which you/your son/daughter may require

______

6. Do you/your son/daughtersuffer from any medical condition(s) requiring medical treatment?

Yes No

If yes please specify the name of the medical condition e.g. asthma, epilepsy or diabetes.

7. Do you/your son/daughtercurrently take any medication? Yes No

If yes please provide details of the medication______

8. Can you/your son/daughterself- administer their required medication? Yes No

(this question must be answered if you have answered yes to question 7)

9. Do you/your son/daughtersuffer from any allergies? Yes No

(e.g. allergies to food, drink, medication)

If yes please provide details of the type of allergy and the medication used to control the allergy

  1. Any other relevant information about you/your son/daughterwhich you as the parent / guardian would like to make CSG aware of e.g. phobia’s, dislikes, dietary requirements

11. Declaration * if other relationship please state ______

I agree to my son* / daughter* participating in the above activity.

I consider that I am/ my son* / daughter* is in good health and capable of taking part in this activity.

I acknowledge the requirement for me/ my son* / daughter* obedience and responsible behaviour during this activity.

I am aware that within Culture and Sport Glasgow there operates a policy on the use of photographic and / or video recorded material. Consent to the use of such material involving me/ my son* / daughter* shall be confirmed by the completion of the Photographic Consent Form.

In the event of an emergency I consent to any emergency medical / dental treatment to include the use of anesthetics, me/ my son* / daughter* may require prior to my arrival.

I accept that as the Parent / Guardian, it is my responsibility to inform CSG in writing, of any circumstantial change in the above information.

Signature:______Print Name:______

Date:______

Photo/Film Consent

The organisers, co-organisers or sponsors are permitted to use any photo or film footage of the activity for promotional use. Sign here to indicate agreement:

Signature:______Print Name:______

Date:______

Office Use

Date Form Received:
/ Participant accepted into activity: Yes No
CSG Employee Signature:

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