Our sport activities (listed below) has its inherent risks and can potentially cause injuries. These injuries
include but are not limited to:
1) Torn ankle/knee ligaments; Broken Ankles, Legs, Arms, Wrists, Hands, Feet and Ribs; Facial/Head
2) Shoulder, Soft Tissue, Eye, Dental, Whip lash/Neck injuries; Other Unforeseen Sports Injuries
The sport activities we run and organise include:
1) Bubble Games (Bubble Soccer, Bull Rush, Last Person Standing using bubble suits)
2) Human Foosball, Quidditch, Soapy Inflatable Soccer, Floorball, Beach Olympics
3) Chicken Run, Super Soakers, Flag Grid Iron, OzTag, Ultimate Frisbee, Soccer

I acknowledge that I wish for my child/myself to participate in the above activities at  on 

My organisers name is  

I understand that certain risks are inherent in the sport activities mentioned above in which my child/myself will participate and I fully accept those risks. These risks include, but are not limited to, injury, and other physical harm to my child/myself. I understand that there may be a great variety of other risks not known or reasonably foreseeable. I acknowledge that Ultimate Bubble Soccer, Evgeni Routman and other supervisors who run these sport activities are not responsible for any harm that may occur.

I understand and agree that Ultimate Bubble Soccer, Evgeni Routman and other supervisors do not provide medical cover expenses for any injuries occurred.

I fully release and discharge Ultimate Bubble Soccer, Evgeni Routman and other supervisors from all liability in connection with my childs/my participation in these events/sport activities mentioned above.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Change fonts

• Draw Signature
  
• Type In Signature
  

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

Insert Signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Signature Certificate

Document name: injury waiver form 1

Unique Document ID: b2f2755860e9b285191026c7b07cea3c9e54268c

Build. Track. Sign Contracts.

Timestamp	Audit
June 18, 2021 11:05 am AEDT	injury waiver form 1 Uploaded by Yevgeny Routman - eroutman@hotmail.com IP 203.221.39.144

This audit trail report provides a detailed record of the online activity and events recorded for this document.

http://ultimatebubblesoccer.com.au/

Audit Trail Serial# a11a9448cc9c82e3dd2366928da46ef7