Become a Member

Please fill in the form below to submit your application for Membership :-)

(or download PFD Membership form 2014 here)

"I, (your name - required)...

(your email - required)

of, (your address - required)

(your postcode - required)

(your phone - required)

"... hereby apply to become a member of the above incorporated association. In the event of my admission as a member, I agree to be bound by the rules of the association for the time being in force. I hereby, waive all claims whatsoever against the organisation and/or promoters in the event of any loss or damage of, or to, personal property or in the event of personal injury or death, and recognise that said organisation and/or promoters can and will not be held responsible. I have read and agree with the terms and conditions listed below" **

Divisions (Enter number per division)
Groms ($40.00) Juniors ($50.00) Open B ($60.00) Girls ($50.00) Cadets ($50.00) Open A ($60.00) Over 49 ($60.00)

* If under the age of 18 years, this application must also be approved by a parent or legal guardian. "The undersigned, being the parent/legal guardian of the above-named applicant hereby certify that I consent to the applicant becoming a member of the Association and that the applicant has sufficient water safety skills and knowledge to be involved in the events conducted by the association.

Parent or Guardian Name

Parent or Guardian Phone Number

** APPLICATION AND DECLARATION

I hereby apply for membership to the Cabarita Boardriders Club Inc. In so applying and in consideration of my application for entry in the Club being accepted I acknowledge and agree that:

  1. “Club Organiser” for the purposes of this application and declaration means and includes Cabarita Boardriders Club,and includes where the context so permits, its members (including State Surfing Associations), and their respective directors, officers, officials, members, servants or agents; “Claim” means and includes any action, suit, proceeding, claim, demand, damage, penalty, cost or expense however arising including but not only limited to negligence but does not include a claim against the Event Organiser under any right expressly conferred under the Event Rules.
  2. If my application is accepted I will be permitted to participate in the Club subject to my complying with the rules and regulations for the Club, this declaration, and any reasonable direction issued by the club Organiser or their representatives. I have read, understood and agree to the club Rules.
  3. This document cannot be amended. If I do amend it my application will be null and void and cannot be accepted.
  4. Insurance is in place that provides limited cover to me whilst I am participating in the club. I understand that this insurance may not cover me for all injury, loss or damage sustained by me and I can, in my own interests, seek and obtainpersonal insurances over and above the cover provided.
  5. This declaration comprises a contract between the club Organiser and me. It is necessary and reasonable for promotingand conducting the club.
  6. Warning: Participation in the club can be inherently dangerous. I acknowledge that I am exposed to certain risks duringthe club including but not limited to physical hazards, unpredictable and dangerous surf and weather conditions, equipment contact and use and actions by other competitors. I acknowledge that accidents can and often do happen which may result in me being injured or even killed, or my property being damaged. I have voluntarily read and understood this warning and accept and assume the inherent risks in the club.
  7. Exclusion of Liability: I acknowledge that where I am a consumer of recreational services, as defined by any relevant law, certain terms and rights usually implied into a contract for the supply of goods or services may be excluded. I acknowledge that these implied terms and rights and any liability of the club Organiser flowing from them, are expressly excluded to the extent possible by law, by this declaration. To the extent of any liability arising, the liability of the club Organiser will, at the discretion of the relevant organisation, be limited to the resupply of the services or payment of the cost of having the services supplied again.
  8. Release and Indemnity: In consideration of the club Organiser accepting my application for entry to the club I:
    1. (a)  release and will release the club Organiser from all Claims that I may have or may have had but for this releasearising from or in connection with my participation in the Event; and
    2. (b)  indemnify and will keep indemnified the club Organiser to the extent permitted by law in respect of any Claim byany person arising as a result of or in connection with my participation in the club.
  9. Fitness to Participate: I declare that I am medically and physically fit and able to participate in the club event’s. I willimmediately notify the club Organiser in writing of any change to my medical condition, fitness or ability to participate. I understand and accept that the club Organisers will continue to rely upon this declaration as evidence of my fitness and ability to participate.
  10. Rescue, First Aid & Medical Treatment: I consent to receiving any rescue assistance, first aid or medical treatment that the club Organiser or authorised representatives consider necessary or desirable during the club Events. I will accept the assistance, first aid or medical treatment from the club Organiser or authorised representatives. I agree to reimburse the club Organiser for any costs or expenses incurred in providing me with medical treatment.
  11. Privacy: I understand that the information I have provided overleaf in this application is necessary for the conduct of the club and for the objects of SAI. I acknowledge and agree that the information will only be used by the club Organiser to facilitate the conduct of the club and future Events conducted by the club Organiser and will only be provided to third parties to provide me with promotional material from club sponsors and third parties. I understand that I will be able to access my information through SAI. If the information is not provided my entry may be rejected. I acknowledge that if I do not wish to receive promotional material from club sponsors and third parties I must advise SAI in writing.
  12. Right to use image: I acknowledge and consent to photographs and electronic images being taken of me during my participation in the club. I acknowledge that such photographs and images are owned by SAI and that it may use the photographs for promotional or other purposes without my further consent being obtained. Further, I consent to the club Organisers using my name, image, likeness and also my performance in the club, at any time by any form of media, to promote the club.
  13. Prevailing conditions: I acknowledge and agree that:
    1. (a)  the club Events can and will be effected by the weather conditions; and
    2. (b)  the club Organiser cannot control the weather and that the weather conditions may change without warning;
    3. (c)  there is an element of the “luck of the prevailing conditions” in undertaking the club Events; and
    4. (d)  If the club’s Events is cancelled due to weather or other ‘Act of God’ conditions or other factors beyond the control of the club Organiser, my entry fee shall be non-refundable.
  14. I have provided the information required and signed both sides of this form. I warrant that all information provided is true and correct.

I have read, understood, acknowledge and agree to the above declaration including the warning, exclusion of liability, release and indemnity. I acknowledge that if my application to enter the Cabarita Boardriders Club Inc. is successful I will be entitled to participate in the Club’s Events.