TEMPORARY ACCESS AGREEMENT

Between the

and

______

(NAME) (“the Athlete”)

FOR THE PERIOD …8…./…12…/ 2014…… to …14…/…12…/…2014…

SASI PROGRAM or Event: NATIONAL DIVING CHAMPIONSHIPS

THIS AGREEMENT is made on (Today’s Date):______by the SOUTH AUSTRALIAN SPORTS INSTITUTE (SASI) and THE PERSON named above.

This agreement is to be signed and returned to the South Australian Sports Institute before the Athlete is allowed to access any SASI coaching or sport science services, facilities or equipment, or undergo a fitness assessment.

  1. ACKNOWLEDGEMENT
  2. The Athlete acknowledges that:
  3. This agreement does not indicate in any way that the Athlete is considered a Scholarship holder or employee of the SASI.
  4. The Athlete may be provided with access to coaching or sport science services, under an approved SASI Talent Identification, Talent Search or Talent Development program.
  5. With regards to any SASI equipment that is used by or in the care of the athlete, which is damaged, lost and /or stolen, the Athlete will:
  • Be responsible for and pay the cost of repair or replacement for any damage / loss caused by the Athlete’s negligence.
  • Be responsible for and make good or pay for any damage to other property caused by the equipment / incident.
  1. FITNESS ASSESSMENT
  2. Where applicable, the Athlete consents to participating in a fitness assessment conducted by SASI.
  3. Where a fitness assessment is required, the Athlete consents to participation under the terms outlined in the Fitness Assessment Consent Form attached as Appendix A.
  4. Where a fitness assessment is required, the Athlete has read the Explanation of Fitness Assessment Procedures – Appendix B.
  5. Where a fitness assessment is required, the Athlete has completed the Physical Activity Readiness Questionnaire (PAR-Q) attached as Appendix C.
  6. EXCLUSION OF LIABILITY AND INDEMNITY
  7. The Athlete agrees:
  8. That SASI (and its employees, agents and contractors) will not be liable for any injury or illness that the Athlete may suffer (including death) or for any loss or damage to their property or property for which the Athlete is responsible, arising out of or in connection with the Athlete’s access to coaching services, facilities or equipment, or undergoing a fitness assessment including that caused by the negligence of the SASI’s employees, agents and/or contractors.
  9. To indemnify SASI (and its employees, agents and contractors) against all costs, damages, or losses that may be suffered as a result of any action, proceeding, claim or damage which may be brought or made against them (or any of them) by any person in respect of any injury, illness (including death), loss or damage referred to in Paragraph 2 (a) (i) of this clause.

Name of Athlete: ______

Residential Address of Athlete: ______

Email______Mobile ______

Emergency contact name:______Mobile ______

SIGNED BY ATHLETE:SIGNED BY PARENT / GUARDIAN (if Athlete is under 18 years):

______

Signature of athlete Signature of Parent / Guardian

Date ______Date ______

PROVISIONS UNDER THIS AGREEMENT:

The following provisions, services and access are provided under this Agreement:

VENUE ACCESS : as determined by the SASI coach