Our sport activities (listed below) has its inherent risks and can potentially cause injuries. These injuries
include but are not limited to:
1) Ankle, Knee, Leg, Arm, Wrist, Hand, Ribs, Face, Head, Shoulder, Neck, Whiplash, and other unforeseen 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 Date

My individual/family private health insurance provider (must include hospital and ambulance cover) is  

The organisers name of the event 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 confirm that I and/or my child DO NOT have any pre-existing injuries

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.

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Document name: Ultimate Bubble Soccer Injury Waiver Contract

Unique Document ID: c81586e02d3e35d166cae886fdafc09c2d1d96d8

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Timestamp	Audit
March 4, 2023 12:40 pm AEDT	Ultimate Bubble Soccer Injury Waiver Contract Uploaded by Yevgeny Routman - eroutman@hotmail.com IP 110.141.223.232

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https://www.ultimatebubblesoccer.com.au/

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