Maximum Adventure :: Volunteer Proforma

Volunteer Proforma : :

Volunteers

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Kathmandu
Adventure Series

Kathmandu
MAX 24 Hour

Alps Epic

Tough Bloke Challenge

Dirt Works 100km

BMC Classic

The Great Adventure Challenge

Go Natural Multisport

Urban MAX Adventure Series

Adventure Paddle

Interested in Volunteering at one of our events, please fill in and submit the form below.

Note: The information collected below is used for contacting you prior to the event, during the event and for future volunteering opportunites with regards to the event you are volunteering for.

* denotes required field

* event name:
* first name:
* last name:
* gender:
notifiable medical conditions:
* address:
* state:
* postcode:
* contact phone:
mobile:
* email:	This is the email address we will use to contact you closer to the event.
* age:
* emergency contact name:
* emergency phone:
t-shirt size:
relevant skills, experience or qualifications:	eg. first aid
team/person associated with:	(if applicable)
additional comments:	e.g. times available, dietary requirements
Waiver Volunteer Disclaimer ACKNOWLEDGEMENT, WAIVER AND RELEASE VOLUNTEERS WARNING: THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR RIGHTS. PLEASE READ ALL OF THE DOCUMENT CAREFULLY. 1. I understand and acknowledge that volunteering at this Event is a dangerous activity. The Event may involve mountain biking, kayaking, trekking, running, navigation, traversing isolated and remote tracks, and other unspecified surprise activities. I am aware of the hazards involved and acknowledge that there is always risk of injury (including permanent injury, mental injury, paralysis and death) and damage to my property. The hazards include, but are not limited to remoteness from assistance or medical aid, the extremely strenuous nature of the Event including volunteer becoming lost, vehicle traffic, actions of participants and spectators, weather conditions, hypothermia and heat exhaustion, condition or suitability of volunteer's equipment. In my judgment I have sufficient competence, experience, survival skills and equipment to volunteer in all Event activities in a manner safe to myself and others. 2. I certify that I am physically fit for volunteering in the Event and have not been advised otherwise by a qualified medical person that I can not volunteer in the Event and that I have been given the opportunity by the organiser to attend a pre event briefing session. 3. In consideration of being allowed to volunteer in the Event, I (on my own behalf and on behalf of my executors, administrators, heirs, next of kin, successors and assigns): a. WAIVE, RELEASE AND DISCHARGE from any and all liability for death, disability, personal injury, property damage, property theft and all other risks, claims or actions of any kind (including breach of contract, acts of negligence to the fullest extent permitted by law) whatsoever and however occurring, together with any legal fees incurred as a result of any such claim whether it is valid or not, which I at any time had or have as a result of or in connection with, directly or indirectly, my volunteering in and my travelling to and from the Event the following person or entities: Maximum Adventure Pty Ltd., Event sponsors, Event producers, volunteers, community organisations, all State, Federal and Local Government authorities in which the Event may be staged and the owners, licensees or occupiers of any property upon which I enter and their (its) respective officers, directors, employees, independent contractors, sponsors, representatives, agents, members and participants, including medical and paramedical personal appointed for the Event; b. INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned in paragraph 3(a) from any and all liabilities, claims or actions (including negligence) whatever or however caused arising as a result of or in connection with, directly or indirectly, my volunteering in and travelling to and from the Event, including any claim by any person assisting me; 4. I acknowledge that I am responsible for my personal possessions and equipment during the Event. 5. I accept the communications, search, rescue and medical aid arrangements put in place by the organisers. I understand and agree that in the first instance I am responsible for the provision of first aid to myself and those around me. As a volunteer I am responsible for timely removal of myself from the course to a medical facility. I give my consent to receive any first aid and medical treatment which may be deemed advisable in the event accident, injury and/or illness as a result of my involvement in the Event. 6. I certify that the medical information supplied by me on the entry form is true and I consent to and authorise that information to be provided to any medical practitioner, ambulance officer or any person involved or associated with any medical treatment or assistance that may be given to me as a result of my volunteering in the Event, regardless of whether the treatment is given. 7. I agree to allow my photograph, video, multimedia or film likeness and or name to be used for any legitimate purpose by Maximum Adventure Pty Ltd., it's sponsors or assigns without payment or compensation. 8. I acknowledge that the Event arranged insurance covers public liability and not myself whilst volunteering in this event. I am responsible for my personal accident insurance and ambulance cover. * Please check if you agree with the above disclaimer