Port Macquarie Bodyboarding Member Registration

PMBA INC Membership Application Form 2022

Entry Form

If you're under 16, please provide parent/guardian details

In consideration of my acceptance as a member of PMBA I intend to be legally bound and do hereby formyself, my heirs and administrators, waive, release and forever discharge all rights to claims for damageswhich may hereafter accrue against the PMBA, its officials, employees, agents and sponsors of any liability orresponsibility arising from, and injury received or incurred by, participating in PMBA events.
I further acknowledge that I voluntarily assume all risks arising from conditions related to the use of the contest siteand surfing area by myself and others.
I will comply with any and all rules announced at the events orattached to the event notice board.
I also give permission for myself and/or my child to be photographed for thepurposes of promotion and record keeping by the clubs sanctioned photographers.
I give permission for photos,interviews etc to appear on social media such as facebook, print or TV media.

Please sign below.
If you are under 18 then a parent or legal guardian must sign instead

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