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Online Indemnity Form 

INDEMNITY AND RELEASE: APPLICANT/PLAYER

 

I, the above Applicant/Player, in consideration of being allowed to participate in cricket matches, training and associated events (“Activities”) organised and/or supervised by Herbert River Cricket Association (Juniors) or its Affiliates (“Association”), hereby acknowledge, agree and confirm the following:

 

(a)       There are inherent risks associated with the Activities which may result in personal injury (even of a serious nature) to participants. I fully accept and agree to bear these risks.

(b)       To the full extent permitted by law I absolve, release, discharge and indemnify the Association, its officers, employees, representatives and agents (“Indemnitees”) from any and all liability, loss, cost, charge, expense or damage suffered by me however caused, arising from or incurred directly or indirectly as a result of my participation in the Activities, including without limitation, where caused by an act, omission, default or negligence of the Indemnitees.

 

CONSENT TO DISCLOSURE – PRIVACY ACT: APPLICANT

I acknowledge and agree that the personal details relating to me set out on this form, including without limitation my name and address, may be provided to the Queensland Cricket Association Limited for the use by that organisation as it sees fit in the course of its administration of cricket in Queensland.

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