Thank you for your interest in the ‘CARNIVAL WEEKEND’ Event.

Please complete the Combined REGISTRATION and PARTICIPATION WAIVER Acknowledgement form below and we look forward to welcoming you.


    PARTICIPANT Details

    Please enter your home address


    Best Contact Number

    Please provide an Emergency CONTACT PERSON

    Please provide an Emergency CONTACT NUMBER

    Please select your age bracket
    20 - 2930 - 3940 - 4950 - 5960 - 6970 - 7980 +
    Have you played competitive Soccer before?
    yes (a lot)yes (a little)not at all
    Are you a player with limited or advanced soccer skills?
    LIMITED Soccer SkillsADVANCED Soccer Skills
    Do you currently play at an existing playing location?
    GlenorchyKingboroughLauncestionInterstateNo where at present


    PLAYING PREFERENCES
    How many games would you like to be included within?
    (select all preferred)
    Saturday - 10am-12.30pm (3 games)

    For those with limited soccer skills

    For those with no soccer playing experience

    For those with advanced soccer skills

    lunch break

    Saturday - 1pm-3.30pm (3 games)

    For those with limited soccer skills

    For those with no soccer playing experience

    For those with advanced soccer skills

    Sunday - 10am-12.30pm (3 games)

    For those with limited soccer skills

    For those with no soccer playing experience

    For those with advanced soccer skills

    lunch break

    Sunday - 1pm-3.30pm (3 games)

    For those with limited soccer skills

    For those with no soccer playing experience

    For those with advanced soccer skills


    Photography Consent
    I consent for myself to be photographed and/or videoed for possible use within the facilitator's promotional material.


    Whilst participating in this Walking Football Event I will abide by any advice and/or instruction given by the Organisers and their Assistants.

    I have read and fully acknowledge the 'Participant Waiver with Walking Football Tasmania Inc'
    Please accept the 'Terms | Privacy' for this site (To view click here)

    Please prove you are human by selecting the truck.

    After you Send this Registration you will receive an email with a link to our 'Online Payment Facility'

    PARTICIPATION WAIVER
    In consideration of Walking Football Tasmania Inc. (Walking Football) accepting my application to participate in the program/activity,

    I acknowledge, understand and agree that:

    1. Walking Football for the purposes of this declaration means Walking Football Tasmania Inc and includes, where the context so permits directors, officers, members, servants or agents.

    2. Participating in this Walking Football program/activity carries with it the inherent risk of physical injury, including serious injury such as permanent disability, paralysis and even death. These risks arise from the activity which can result in falls, collisions and unintended body contact. The actions of other participants can be unpredictable. I acknowledge and understand the risks and I participate entirely at my own risk.

    3. I am medically and physically fit and able to participate in the Walking Football Activity and I will immediately notify Walking Football of any change to my fitness and ability to participate. I understand and accept that Walking Football will continue to rely on this declaration as evidence of my ongoing fitness and ability to participate.

    4. I will at all times comply with the instructions and safety procedures of Walking Football.

    5. If required, Walking Football will arrange medical or hospital treatment (including ambulance transportation) for me. I authorise such actions being taken by Walking Football and agree to meet all costs associated with such action and indemnify Walking Football for any outlay made for my benefit.

    6. I acknowledge and agree Walking Football may in good judgement record part of a playing session for promotional purposes and I release and indemnify Walking Football and its photographers from any claims for remuneration associated with any form of damage, foreseen or unforeseen, associated with image use. I also understand I have the right to revoke permission for use.

    7. I have read and fully understand this Waiver and agree to release and indemnify Walking Football Tasmania from liability for any injury or other losses I incur or cause, including acts of negligence, to the fullest extent permitted by law.