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2023 SITE REGISTRATION & INDEMNITY FORM

To register your site for the 2023 Hungerford Field Day please fill out the registration and indemnity form below and pay your registration fee.

REGISTRATION FORM
HUNGERFORD FIELD DAY
FRIDAY 2nd JUNE 2023

SITE INFORMATION:

Select an item (AU$)
Do yo need access to power?
Do yo need access to water? (Please note this limited and can indicate site location)
INDEMNITY, WAIVER & INSURANCE

Participation, including passive participation, in events or activities at the Hungerford Field Day contains elements of risk, both obvious and inherent. The risk involved may result in property damage and/or person injury including death.

  1. I the signatory acknowledge, agree, and understand that participation, including passive participation, in events and activities at the Hungerford Field Day contains an element of risk of injury and I agree that I undertake any such risk voluntarily of my own free will and at my own risk.

  2. I the signatory acknowledge, agree, and understand that the risk warning at the top of this form constitutes a ‘risk warning’ for the purposes of division 5 of the Civil liability Act 2002 (NSW).

  3. I the signatory acknowledge the risk referred to above and agree to waive any and all rights that I, or any other person claiming through me, may have against the Hungerford Progress Association in relation to any loss or injury (including death) that is suffered by me as a result of the undersigned’s participation in any event held at the Field day.

  4. The signatory must continually indemnify the Hungerford Progress Committee on a full indemnity basis against any claim or proceeding that is made, threatened or commenced and any liability, loss (including consequential loss and loss of profits, damages or expenses (including legal costs on a full indemnity basis) that Hungerford Progress Association incurs or suffers, as a direct or indirect result of the participant’s participation in any event held at the Hungerford Field Day.

 

I have read this indemnity and Waiver form and acknowledge and agree with its contents. I have made any further enquires which I feel are necessary or desirable and fully understand the risk involved in this activity.

Please upload your current Public Liability Insurance certificate. And ensure it is current for the field day.

Upload File

Thanks for registering for the Hungerford Field Day 2023. See you there!

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