Skatepark User Registration Form

Southsea Skatepark Trust is a registered charity and we take safety very seriously.

We are advised by our insurers that we must obtain contact and consent forms for all users of the skatepark.

Once complete online, you will need to show proof of age at skatepark reception on arrival.

Please ensure you read the full Terms and Conditions before completing this form, then tick the box below before signing the form.

Please note that a parent/guardian must sign this form for under 16 users.

SAFETY EQUIPMENT – ALL SKATEPARK USERS UNDER 16 YEARS OF AGE ARE REQUIRED TO WEAR SUITABLE HELMETS AT ALL TIMES

Do not worry if you do not own a helmet or pads, we offer them for hire.

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

Total 0

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.

Skatepark User Registration Form

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