2010 Registration

Join Albany Creek GPS Now

Please complete the form below, submit it, and print the PDF document that is created and bring it with you when you register.

Please note registrations have now closed for this year. Please contact the registrar for further information.

Please note that your details will not be available to anyone other than committee members.

Note: Required fields are marked with an asterisk (*)

Club Details

Club Name *

Club Number *

Previous Club

Previous Union

Year

Conditions

Release and Waiver *

In consideration of the Australian Rugby Union Limited (the "ARU") agreeing to accept and register you as a participant, you: undertake to be bound by the Laws of the Game, the By-Laws (including the ARU Code of Conduct), rules and regulations of the IRB and ARU; warrant that you have fully disclosed any suspension you may be serving imposed on you by any sporting body, and will disclose any suspension imposed in the future; undertake to pay all subscriptions and fees; acknowledge that the Game is a potentially hazardous sport and that incidents can and may happen; and to the extent permitted by Law, and not withstanding any ineligibility, you hereby waive all claims for liability against any participants and release every participant from all liability, provided that such liability arises while you are participating in any football activity. You agree that the ARU will hold the benefit of the above release and waiver on trust for all participants. The ARU makes no warranties regarding services associated with the Game or the fitness for purpose of materials provided. For the purpose of the release and waiver contained in this clause: the "Game" shall mean the game of Rugby Football, which for the purpose of this release and waiver shall include Mini-Rugby, Midi-Rugby, Walla Rugby and the game of Rugby Football under the special under-19 laws; "participants" shall mean the ARU and any other rugby union, rugby club or referees' association in Australian and any member, officer, official, administrator, executive, coach, manager, selector, referee, touch judge, physiotherapist, trainer, ball boy or girl or unqualified first aid officer associated with such body; liability shall mean liability in tort or contract for any death, personal injury or damage to property including vicarious liability for assault but excluding other liability for assault; "football activity" shall mean playing the Game or engaging in training for the Game or in other sporting or physical activities as directed or recommended by a participant.

Anti-Doping *

The ARU condemns the use of performance enhancing substances in Rugby Football as both dangerous to health and contrary to the ethics of sport, and prohibits the taking or use of drugs or stimulants or involvement in other doping methods prohibited by World Anti Doping Code. Refusal to provide a sample for testing also incurs sanctions. A copy of the ARU's Anti-Doping By-Laws is available on both ARU's website and on request from the ARU. You agree to observe the ARU's Anti-Doping By-Laws, to provide samples for testing wherever requested by the Australian Sports Anti-Doping Authority or the ARU (both in and out of season), and to observe the protocols for taking and verifying samples and for providing whereabouts notifications. You also agree to the publication of the results of any sample tested and of any findings of fact by an ARU judicial committee or Board and its decision whether or not to impose a sanction and release the ARU and the members of the judicial committee and Board from liability as a result of, and waive all claims you may have as a result of or in relation to, the publication of their findings of fact and decisions as to sanctions.

Minors *

In the case of the participant being a minor, a Parent or Guardian is requested to read and complete this form. In executing this document, the Parent or Guardian of the above minor (the "Minor"), agrees to indemnify and keep indemnified all participants in respect of any claims for the liability arising while the Minor is participating in any rugby football activity and acknowledges that the ARU will hold the benefit of this indemnity on trust for all participants.

Privacy Statement *

The ARU respects the privacy of the individuals on whom the ARU collects, uses and discloses personal information. The ARU is bound by the Privacy Act 1988 (Cth) and has a Privacy Policy that safeguards your privacy. For full details of the ARU Privacy Policy please see our website www.rugby.com.au or contact the Privacy Officer, Australian Rugby Union, Level 6, 29-55 Christie Street, St. Leonards NSW 2065 or via email at privacy@rugby.com.au.

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