Senior Annual Registration

I, the undersigned, am the player herewith registering.

I, the undersigned, hereby indemnify, absolve and hold harmless OLYMPIA FOOTBALL CLUB, its representatives, agents, servants and or nominees from any claim whatsoever which might arise from any personal injury suffered by me (including the player) during the course of my participation in any sporting activity in relation thereto. This indemnity shall extend to any claim for general and/or special damages suffered by myself (including the player) notwithstanding any negligence on the part of the Club, its representatives, agents, servants or its nominees.

I, the undersigned, hereby hereby authorise OLYMPIA FOOTBALL CLUB through any of its representatives in the case of necessity, to act on my behalf in loco parentis and to give consent whether written or oral, for the performance of medical procedures, investigation and treatment of whatever nature which may be necessary for me, provided such operation, procedure, investigations or treatment is recommended and prescribed as necessary and urgent by a duty qualified medical practitioner.

I, the undersigned, further do hereby consent to the participation of any competition and sporting activity that may be held by the club or any other club and by virtue of such consent, I agree to submit to the rules, regulations and codes of conduct governing the club and/or competition. The club, its representatives, agents, or nominees reserve the right and unfettered discretion to change, alter and/or amend the rules, regulations and codes of conduct as may be from time to time.

I, the undersigned, herein warrant that I am duly authorised to accede to the terms and conditions contained herein above and that I am now fully aware of all the legal consequences pertaining thereto.