Outside Devon • Once West Waiver Form

ONCE WEST PLAYER WAIVER

Name

First Name *

Last Name *

Date of birth *

Day *

Month *

Year *

Email address *

By taking part in Once West, I acknowledge that I am participating entirely at my own risk. We have made every effort to level and prepare the football pitch, however the ground is uneven in places and may contain holes, bumps or other natural hazards. Outside Devon Ltd accepts no responsibility for any injury, loss or damage sustained during the event. Participants are responsible for ensuring they are physically fit and able to take part.

I agree to the below..
- No food or drinks purchased off-site may be consumed at Outside

- Please be respectful of the venue, staff, neighbours, campsite and other guests at all times

- Outside is a cafe and public venue, please be mindful of customers using the space

- Noise curfew at Outside is midnight, please keep noise to a minimum when moving between Outside and the campsite, and whilst on the campsite

- Dogs must be on leads at all times

- Please take care around the skate bowl and surrounding areas

- Please keep the campsite clean and tidy, All litter must be placed in bins provided or taken home with you

Children attending the event must be supervised at all times, parents and guardians are fully responsible for the safety and wellbeing of any children on site.

Medical History

Have you a history or receive medication for any of the following:

 Select as approppriate

Asthma

Diabetes

Epliepsy

Stroke / Heart Attack

More info on the above or other medical conditions not listed

Emergency Contact

Name

First Name *

Last Name

Phone Number *

Declaration

Todays date *

Day *

Month *

Year *

For players under the age of 16

Todays Date

Day

Month

Year

Relationship

Parent

Legal Guardian

Name

First Name

Last Name