Registration Form

  • PLAYER DETAILS

  • PARENT/LEGAL GUARDIAN DETAILS

  • EMERGENCY DETAILS

    & PLAYER MEDICAL ALERT INFORMATION
  • ACKNOWLEDGMENT & RELEASE BY PARENT/GUARDIAN

    I acknowledge, in my own right and for and on behalf of the player, that – 1. The information provided on this form is true and correct to the best of my knowledge and I agree to promptly advise Rosebud Heart Soccer Club (‘the club’) of any changes which may occur; 2. The player and I will abide by the Rules of the club and its affiliated associations including Football Federation Australia and Football Federation Victoria. The club has the right to revoke registration if any of these rules are breached; 3. The club is authorised to take photographic images of the player while participating in club activities and use those images for marketing and promotional purposes; 4. The club has the right refuse registration; 5. There are inherent risks associated with participating in soccer which may result in personal injury; 6. I will promptly advise the club in writing of any medical conditions or problems and associated treatments and medications which may impact on the player’s ability to participate in soccer; 7. The club is authorised to arrange for the player to receive emergency medical care (including ambulance transportation), the cost of which I agree to pay; 8. The personal information provided by me on this form will be used in accordance with the club’s Privacy Policy. I can obtain a copy of the Privacy Policy, enquire about any privacy issue or make a request for access to information by contacting the club’s President and; 9. These terms and conditions are governed by the laws in force in Victoria, Australia and I agree to submit to the exclusive jurisdiction of the courts and tribunals of Victoria, Australia. In consideration of the club accepting the registration of the player, I, in my own right and for and on behalf of the player, hereby release, discharge and otherwise indemnify the club, its affiliated associations and their respective officers and associated personnel against any claim, loss or damage whatsoever relating directly or indirectly to the player as a result of the player’s involvement with the club including any transportation to or from the club.