Waiver & Registration Form

🔹 Please complete this form once per skater—you do not need to fill it in before every session.

🔹 This form ensures your safety and allows us to provide essential information to emergency services if needed.

🔹 If the skater is under 18, this form must be completed by a parent or legal guardian.

🔹 Longboarding and surfskating, like all exciting activities, come with inherent risks. By participating, you acknowledge these risks and agree to the terms outlined below.

All personal information is stored safely in line with GDPR requirements.

Participant Details (Required)

Skater's First Name

Skater's Last Name

Skater's Date of Birth

Day

Month

Year

Full Name of Parent/Guardian (if under 18)

Mobile Number

(Parent/Guardian’s number if under 18)

Skater's Gender

Address

Required by paramedics in case of emergency

Emergency Contact Details (Required)

Emergency Contact First & Last Name

Emergency Contact Relation to Skater

Emergency Contact Mobile

Preferably someone nearby we can contact in case of emergency.

Medical & Safety Information (Required for safeguarding & safety compliance)

Medical Conditions, Allergies, Injuries, Medications, etc.

Any injuries or medical history important for us to know or mention to emergency services.

Do you have any disabilities or additional support needs?

Helps ensure accessibility

Protective Gear Agreement

I understand that wearing appropriate protective gear (including a helmet, knee pads, elbow pads, and wrist guards) is essential for reducing the risk of injury.

Helmets are mandatory for all under-18 participants.
Adult participants are strongly encouraged to wear helmets and other protective gear.

Photography & Videography Consent

I grant permission for Soulful Skate Co. to take and use photographs and videos of me (or my child) during lessons and events for promotional purposes.

I do NOT wish to be photographed or filmed during lessons/events. (If this box is checked, Soulful Skate Co. will make reasonable efforts to respect this preference.)

Additional Skater Information

(Optional but encouraged! Helps improve sessions & funding applications.)

Where are you based?

Helps us track participation areas

Have you skated before?

Do you speak English as a first language?

Yes

Are you eligible for free school meals / do you receive financial assistance?

Helps secure funding for community programs

Stay in Touch & Feedback (Optional but encouraged!)

Would you like to receive updates about future events & sessions?

Yes, subscribe me to your newsletter.

Once submitted, check your inbox (and junk folder) for a confirmation email and click the button to complete your subscription. This ensures you receive our updates!

Can we contact you for feedback on your experience?

Yes

Helps improve sessions & secure funding

Waiver & Agreement (Required to participate)

1. Assumption of Risk

I understand that participating in longboarding and surfskating lessons involves inherent risks, including but not limited to falling, collisions, loss of control, and potential injuries such as sprains, fractures, or concussions. While every effort is made to ensure a safe learning environment, I acknowledge that accidents may still occur. I voluntarily assume all risks associated with my participation, including unforeseen risks.

2. Physical Fitness & Health

I confirm that I (or my child) am physically fit and have disclosed any relevant medical conditions that could impact safe participation. I understand it is my responsibility to consult a healthcare professional before engaging in longboarding or surfskating if I have any concerns about my physical condition.

3. Release & Indemnity

To the fullest extent permitted by law, I, on behalf of myself (or my child), agree to release, discharge, and hold harmless Soulful Skate Co., its instructors, owners, affiliates, and any event venues from any and all claims, liabilities, or demands related to injuries, damages, or losses sustained during participation in the lesson.

I understand that this waiver applies regardless of whether the injury results from my own actions, those of other participants, or unforeseen circumstances.

4. Data Protection & Privacy (GDPR Compliance)

Soulful Skate Co. stores all personal information securely in compliance with GDPR regulations. Your data will only be used for lesson administration, safety purposes, and essential communication regarding your sessions.

We do not share your information with third parties. You may request the deletion of your personal data at any time by contacting us.

5. Governing Law

This waiver is governed by the laws of England and Wales. Any disputes arising from participation shall be subject to the exclusive jurisdiction of the courts of England and Wales.

Final Agreement & Submission

I confirm that I have read and understood this waiver, and I voluntarily agree to the terms outlined above. (Required before submitting the form.)

Today's date

Signature

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