David "Goose" Gosby Memorial Entry Form

I understand and acknowledge that surf activities are dangerous and that there are inherent risks, which may result in serious injury to myself. Additionally, waves/ocean can act in a sudden and unpredictable (changeable) way.

I declare that I have the experience and skills required for the surf event activity. 

I declare that I do not have any medical or physical conditions that would affect my participation in the activity (e.g. asthma, previous broken bones, dislocated joints, diabetes, allergic reactions, wear contact lenses/hearing aids, any disabilities etc.) I agree not to drink alcohol or take prohibited drugs before or during surf activities.*

I understand that my signature to this document constitutes a complete and unconditional release or all liability of the Committee of the Club, Surfing Australia and its' employees and agents to the greatest extent allowed by the law in the event of me and/or the children under my care, suffering injury or death. I authorise the Club to arrange medical or hospital treatment as necessary and I agree to pay for all associated costs.* 

I authorise Port Macquarie Bodyboarding Club to film me surfing and that the footage taken to be used to promote the event on social media and movies.