Please detail below any important medical information that our coaches/club should be aware of (e.g. epilepsy, asthma, diabetes, a recent injury, allergies, etc). Medical condition (s) and recommended treatment/actions to be taken if symptoms appear: If you have any concerns about participating in any form of physical activity then please consult your GP before taking part in cycling activities or sessions

In Case of Issue with Member, Please supply contact details.

It is part of the Ratoath BMX Club Code of Conduct to ensure that reasonable steps are taken to establish a safe environment where all people can enjoy developing their cycling skills. Parents/Guardians are expected to stay and watch over their child during open practice at the track, due to the nature of the tracks and trails at the park this is recommended for young people under the age of 16 (dependant on maturity of child etc) as it is impossible for club officials /coaches to look over all participants during general cycling activities at the track. It is the members responsibility to participate in cycling activities in a sporting manner. Any young riders who persistently misbehave or put others in danger will be asked to leave the track. It is the parent’s/Guardian’s responsibility to ensure that their child’s bike is in a safe condition to ride. A correctly fitting cycling helmet (preferably full face) must be worn at all times during the cycling activity sessions in addition to long sleeved top and gloves. Track safety procedures Please fully read and adhere to all health and safety rules detailed on the track display boards and notices for your own safety and the safety of others at the track.

I AGREE to abide by Ratoath BMX club code of conduct and understand that failure to do so will void my membership. I, (above named applicant) have read the information contained on this form and hereby WAIVE, RELEASE AND DISCHARGE the Ratoath BMX club and its committee, volunteers, sponsors and members from any and all claims, losses, or liabilities howsoever arising in contract law, tort or otherwise in the event of any injury, damage or property loss, partial or permanent disability, medical/hospital bills or death, resulting from activities at the BMX track, suffered by me or persons under eighteen years of age, for whom I am legally responsible. I UNDERSTAND this is a legal document, and that I have been offered the opportunity to take same to legal advisor, and this has been explained to me, and I hereby waive my right to do so now. I UNDERSTAND AND AGREE that participating in cycling activities has its risks. I have considered the nature of such activities and have considered/discussed them with those for whom I am responsible, I assume these risks with the full understanding that serious injury could result from my participation in any event at the track. I intend this release to discharge Ratoath BMX club and its associations from any and all liability arising from or connected in any way with my participation. I AGREE to wear a bicycle helmet properly adjusted and fastened and which meets European safety standards. I GRANT permission for the use of my name and /or likeness relating to my participation at the track, and I WAIVE all rights to any future compensation to which I may otherwise be entitled as a result of the use of my name or likeness. I UNDERSTAND that in the event of any injury or illness all reasonable steps will be taken to deal with that injury/illness appropriately and parent/guardian will be contacted where required.

Ticking the check box below means you have read this waiver and release, you have entered details on this form accurately at below date and you fully understand its terms and conditions and agree that it shall be binding on your heirs and assigns.