Water Polo NSW: Consent for Minor to play in Open Competition

A Consent Form must be completed by a Parent or Guardian of any player under the age of 18 playing in an open/senior Water Polo NSW competition.

Enter your email address*

Name of Parent or Guardian

Name of player

Club Affiliation

Teams planning to play in

I, the parent or guardian of the participant named have read, understood, acknowledged, and agree to the contents of this document and that I have had the right to obtain independent legal advice regarding same.*

I, the parent or guardian of the participant give consent for the participant to play in the open/senior competition which I acknowledge is above what is my child’s true age group.*

In relation to this participant, I acknowledge and accept that there is an inherit risk in the participant playing in an age group which is above/greater than the participant’s current age group including but not limited to participation against adults in All Age and senior competition. It is acknowledged participation in water polo is a high exertion activity and a contact sport and that the participant has an equal if not greater risk of both general injury and injury from contact arising from participation in the higher age group. These may include muscle cramps, muscle soreness, pain, discomfort, fatigue, abrasion, laceration, bruising, bone dislocation or breakage, head injury including but not limited to concussion and other injuries that may require medical treatment or hospitalisation.*

To the full extent permitted by law I as the parent or guardian of the participant release, hold harmless and indemnify Water Polo NSW, and their respective board members, officers and employees and any related third party from any and all liability for any loss, damage, expense or personal injury including death that the participant may suffer as a result of the participation in water polo competition in the higher age group due to any cause whatsoever including negligence, breach of contract, or breach of any statutory or other duty of care.*

I as parent or guardian of the participant am aware that by completing this form I am waiving certain legal rights on behalf of the participant that I or the participant has or may have had against Water Polo NSW and their respective board members, officers, employees or related third parties and I reconfirm that there is an inherit risk in participation in the higher age group which includes but is not limited to the potential for serious personal injury or death.*