Registration

Username * This is your unique user name

User Email *

User Password *

Confirm Password *

Membership Field * Skatepark User - 16 & Over Free Skatepark User - Under 16 Free

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Select Payment Gateway

First Name *

Last Name *

Address & Postcode *

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Date of Birth *

Phone Number *

Age *

Proof Provided (STAFF TO COMPLETE)

Emergency Contact Name *

Emergency Contact Phone Number * If necessary and we are able we will try to utilise any emergency contact features on your phone

Medical Information

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Failure to inform us of any existing medical condition puts you at risk; we accept no liability.

GiftAid *

I am a UK taxpayer and give permission to Southsea Skatepark Trust to submit my details to HMRC to redeem gift aid on my entry fees

Confirm reading of the skatepark Terms and Conditions of Use

I Have Read the T&Cs

UNDER 16 - Parent/Guardian/Carer Name If 16 & over please leave empty

UNDER 16 - Parent/Guardian/Carer Relationship If 16 & over please leave empty

UNDER 16 - Date Signed If 16 & over please leave empty

Signature Accepting Terms & Conditions *

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UNDER 16 - Parent/Guardian/Carer Signature | 16 & OVER - Your Signature

16 & OVER - Safety Equipment Opt Out - Name If under 16 please leave empty

16 & OVER - Safety Equipment Opt Out - Date If under 16 please leave empty

16 & OVER - Signature Confirming Opt Out

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I hereby declare that I am aged 16 years or over and I may choose not to wear safety equipment. Southsea Skatepark Trust has informed me of the risks of participating in extreme sports without safety equipment and I understand that I would therefore be participating at my own risk.

Registration

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