2019 Bathurst NRL Club Parade Saturday 30 March Carrington Park, Bathurst REGISTRATION FORM
Western Rams

Western Rams



2019 Bathurst NRL Club Parade
Saturday, 30 March, Carrington Park, Bathurst
REGISTRATION FORM


All Group 10 Junior Clubs are invited to participate in a "Club Parade" around Carrington Park before the Penrith Panthers take on Melbourne Storm. Registered Group 10 Junior Clubs can give their junior players the chance to experience the buzz and excitement of an NRL game in Bathurst.

Please read the following details to ensure all requirements of participants and accompanying adults are understood

MATCH DETAILS: Penrith Panthers v Melbourne Storm, Carrington Park, Bathurst.

DATE: Saturday, 30 March, 2019.

WHERE TO MEET: Clubs to assemble on the grassed area at the southern (Howick St) end of the field behind the big screen TV at 6:25pm parade to commence at approximately 6:40pm.

WHAT TO WEAR: Junior Players must wear club uniform/tracksuit/colours and joggers. Bring along any club flags and banners to represent your club.

TICKETS: All 2019 registered members of Group 10 JRL (players 5-15 years, volunteers and coaches) have access to redeem their FREE ticket to the fixture through the PlayNRL Rewards program. For more information and to claim your tickets, please visit PlayNRL Rewards.

U16s are welcome to attend the Parade, but will have to purchase their ticket through Ticketek along with any accompanying adult/parent/guardian.

ADULT CLUB REPRESENTATIVE: All junior rugby league clubs that wish to attend must be supervised by an adult club representative. The number of supervisors required for each club will be dependent on the numbers of participants from that club that register for the club parade. Your club will be notified if more supervisors are required. If you wish to be an adult club representative, please complete this registration form and mark YES to the Club Supervisor question.

JUNIOR CLUB PARTICIPANTS: All Group 10 Junior players are invited to participate in the club parade. Parents and guardians are to complete this registration form to register a junior player for the parade.

PLEASE READ THE TERMS AND CONDITIONS AT THE BOTTOM OF THE FORM AND COMPLETE THIS ONLINE REGISTRATION FORM BY MONDAY 25 MARCH 2019.

Parade Participant Details
Compulsory Field
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Emergency Contact Information
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Junior League Details
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Are you registering as an Adult Supervisor for your club?
Compulsory Field
The information on this form is being collected to allow Bathurst Regional Council to process your application and/or carry out its statutory obligations. All information collected will be held by Bathurst Regional Council and will only be used for the purpose for which it was collected. An individual may view their personal information and may correct any errors.

Bathurst NRL Junior Rugby League Parade Terms and Conditions

1. These terms and conditions have been compiled by Bathurst Regional Council staff, for distribution to participants in the NRL entertainment during the Penrith Panthers home game at Carrington Park.

2. Bathurst Regional Council requires a parent/guardian of each participant to sign the waiver provided by Council staff and attached to these Terms and Conditions prior to entry onto the field to participate in the NRL On-Field Promotion entertainment. This waiver absolves Bathurst Regional Council and any affiliated partners of any injury to a person or damage to personal property sustained during the NRL On-Field Promotion entertainment.


Risk Warning
Bathurst Regional Council is conducting the On-Field Entertainment at the above NRL fixture. I acknowledge that persons entering this On-Field Entertainment are responsible for their physical condition and fitness for this On-Field Entertainment and enter and participate at their own risk. I acknowledge that this On-Field Entertainment may involve a risk of injury or loss of life from various causes including, but not limited to; overexertion, contact with other participants or people or on field fixtures or signage or equipment, uneven and/or slippery playing surface, and slipping or tripping.

Approval for Publications
1. I irrevocably consent and agree that Bathurst Regional Council has the right to take or use photographs of me and to use these and my name in any and all media, advertising and promotion whatsoever.
2. I agree that Bathurst Regional Council owns all rights in these images or photographs of me.
3. To the extent that I may own any, I assign all present and future copyright owned by me in the images and photographs of me.
4. I release and indemnify Bathurst Regional Council, its staff, assignees and licensees from and against any claims arising from any breach of this warranty and the exercise of the rights granted by me.
5. I have read and understand this statement.


Parent/Guardian Agreement Waiver
1. I acknowledge that there is a risk that I may suffer personal injury or loss of life by my entry to or participation in the On-Field Entertainment.
2. I acknowledge the above risk warning given to me by Bathurst Regional Council.
3. I authorise Bathurst Regional Council staff to organise reasonable and appropriate medical or hospital treatment for me as they deem necessary as a debt due and owing by me to Bathurst Regional Council.
4. In consideration of my entry and participation in the On- Field Entertainment, I, my heirs, executors and administrators hereby release and indemnify Bathurst Regional Council from all and any claims, rights or causes of action against Bathurst Regional Council and any affiliated partners which I may otherwise have had for, or arising out of any personal injury or loss of life that I may sustain in the course of my entry or participation in the On-Field Entertainment.


Club Representative Agreement Waiver
1. I acknowledge that there is a risk that I may suffer personal injury or loss of life by my entry to or participation in the On-Field Entertainment.
2. I acknowledge the above risk warning given to me by Bathurst Regional Council.
3. I authorise Bathurst Regional Council staff to organise reasonable and appropriate medical or hospital treatment for me as they deem necessary as a debt due and owing by me to Bathurst Regional Council.
4. In consideration of my entry and participation in the On- Field Entertainment, I, my heirs, executors and administrators hereby release and indemnify Bathurst Regional Council from all and any claims, rights or causes of action against Bathurst Regional Council and any affiliated partners which I may otherwise have had for, or arising out of any personal injury or loss of life that I may sustain in the course of my entry or participation in the On-Field Entertainment.