Member Acknowledge Risk Form

Acknowledgement of Risk for Members

 

SUNRAYSIA BUSHWALKERS INC.                                                                          

Acknowledgement of Risks and Obligations of Members 

This Acknowledgement of Risk applies to all club activities I may undertake as a member of Sunraysia Bushwalkers Inc.

 

In voluntarily participating in activities of the Club which are described to me by the activity leaders, I am aware that my participation in the activities may expose me to hazards and risks that could lead to injury, illness or death, or to loss of or damage to my property. I also acknowledge that I may encounter weather conditions that could lead to hypothermia and being in locations where evacuation for medical treatment may take hours or days.

 

In particular, when participating in abseiling or above the snowline activities, I am aware that these activities could expose me to additional hazards and risks described to me by the activity leader.

 

To minimise risks, I will endeavour to ensure that:

  1. Each activity is within my capabilities.
  2. I am carrying food, water and equipment appropriate for the activity.

 

In addition:

  1. I will advise the activity leader if I am taking any medication or have any physical or other limitation that might affect my participation in the activity.
  2. I will make every effort to remain with the rest of the party during the activity.
  3. I will advise the leader of any concerns I am having.
  4. I will comply with all reasonable instructions of club officers and the activity leader.
  5. I understand that if I am a parent, carer or guardian of a child/children on a club walk, event or activity I will fully supervise the child/children at all times.

 

I have read and understood the above requirements. I have considered the risks before choosing to sign this Acknowledgement of Risk. I still wish to join the activities of the Club. I acknowledge that I will take responsibility for my own actions and that signing this form or the payment of my subscription will be deemed as full acceptance and understanding of the above conditions.

 

 

Name: ______________________________________________

                                   

 

Signed: ______________________________________________

 

 

Date:    ______________________________________________