Cooroora's Got Talent

Please complete the form below to register for this event.

EVERY competitor is to complete an entry form. Competitors Under 18 must have entry form signed by a Responsible ADULT

Fields marked with * are required.

REGISTRATION FORM

* First Name:		* Last Name:
* Gender:	Male Female	Date of Birth:
Address:		Suburb:
State:		Postcode:
Phone:		Email:
* School you currently attend:		Name of Group (if applicable):
* Description of Performance:	Enter description of performance here.

I, the undersigned, in consideration of and as a condition of acceptance for myself, heirs, executors and administrators hereby waive all and any claim, right of cause of action which I or they might otherwise have for arising out of injury, damage or claim of any description whatsoever which I may suffer or sustain in the course of or consequent upon entry or participation in the said event.
This waiver, release and discharge shall be and operate separately in favour of all persons, corporations and bodies involved or otherwise engaged in promotions staging the event and the servants, agent representatives and officers of any of them, and shall so operated whether or not the loss, injury or damage is attributable to the act or neglect to any or all of them.
I hereby waive my right to compensate as a result of any publicity shots made in connection with the event.
The Judges decision is final and no correspondence will be entered into.
Any photographs taken & used will be copy right to the King of the Mountain Committee.

This is to prevent machines from entering data automatically. Please enter the characters you see below.

I have read and agree to the above declaration.

Please bring signed entry form with you on the day.

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