Participant declaration

Penrith Valley Regional Sports Centre Limited · ABN 55 003 495 583
Version 2026-10-07

Participant

Full name
Date of birth
Email
Mobile
Sport(s) registering for

Declaration

  1. Warning and acknowledgement of risk

    I understand that playing organised sport — including basketball, netball and volleyball — involves inherent and obvious risks, and that I may suffer physical injury, loss or damage to property while participating in, training for, travelling to or from, or watching a PVRSC competition or program. I accept those risks.

  2. Release and indemnity

    To the extent permitted by law, I release Penrith Valley Regional Sports Centre Limited, its directors, staff, volunteers, referees and officials from liability for any injury, loss or damage I suffer arising from my participation, and I will indemnify them against claims arising from my own conduct. This does not exclude any right I have under the Australian Consumer Law or any liability for the Centre's own negligence that cannot lawfully be excluded.

  3. Medical treatment

    If I am injured or become unwell and cannot make the decision myself, I consent to PVRSC staff or officials arranging the medical treatment they reasonably consider necessary, including transport by ambulance. I agree to pay the costs of that treatment and transport. I have given the emergency contacts and medical information on my profile and will keep them up to date.

  4. Insurance cover

    I understand that PVRSC holds limited group personal accident and public liability insurance for registered participants, and that my registration fee contributes to it. I understand the cover is limited: sports injury insurance in Australia can only reimburse certain non-Medicare expenses (for example ambulance, physiotherapy, dental or private hospital accommodation) and by law cannot cover any expense for which a Medicare benefit is payable, including the "Medicare gap". If I make a claim, I am responsible for any policy excess. I should consider my own circumstances and whether I need private health, income protection or other insurance. Details of the cover are available from the PVRSC office on request.

  5. Fitness to participate

    I am medically and physically fit to take part in the activities I am registering for, and I will tell PVRSC immediately if my fitness or medical condition changes in a way that affects my ability to participate safely.

  6. Rules and code of behaviour

    I will abide by the PVRSC competition rules, by-laws, code of behaviour and venue conditions of entry, including the Terms of Service at https://pvrsc.com.au/members/terms.php, and I accept that breaches may lead to suspension or exclusion without refund.

  7. Privacy

    I understand that PVRSC collects and holds my personal information to run its competitions and programs, and may give relevant information to third parties such as its insurer, a governing body, emergency services or medical providers, as described in the Privacy Policy at https://pvrsc.com.au/members/privacy.php.

  8. Photographs and images

    Photographs and video may be taken at PVRSC competitions and events. Whether my image (or my child's) may be used for promotion is a separate, optional consent on the portal profile, and I can change it at any time. Ticking this box does not grant that consent.

  9. Fees and refunds

    I understand that registration and competition fees are refundable only as set out in the refunds section of the Terms of Service — including where I am injured and unable to play for an extended period — and that fees paid to a governing body on my behalf are not refundable by PVRSC.

  10. Acknowledgement and agreement

    I have read and understood each point above and agree to them. If the participant is under 18, I confirm that I am their parent or legal guardian and I make this declaration on their behalf.

Signature

Tick every box above, then sign. If the participant is under 18 their parent or legal guardian signs.

Participant signature (18+)
Date
Parent / guardian name (under 18)
Parent / guardian signature
Date
Office use — filed in the portal by: ______________________   date: ____ / ____ / ________   (Admin → member → Record memberships → "Participant declaration signed on paper")
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