Skatebowl Waiver Form

Please complete this waiver if you are aged 16 or over. For skaters under 16, the waiver must be completed by a parent or legal guardian.

Skater Information

First Name *

Last Name *

Date of birth *

Day *

Month *

Year *

Mobile number (of adult skater or parent/guardian) *

Skater Medical History

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

 Select as approppriate

More info on the above or other medical conditions not listed

Emergency Contact

Name

First Name *

Last Name

Mobile Number *

Declaration

Signed *

Date *

Day *

Month *

Year *

I confirm that I have read and agree to the Outside Skating Rules & Terms and Conditions, understand the risks associated with skateboarding and other wheeled sports, and agree to use the Skate Bowl responsibly and within my ability.
If the skater is under 16: I confirm that I am their parent or legal guardian, have read and agree to the Skate Rules & Terms and Conditions on their behalf, and give permission for them to use the Outside Skate Bowl.