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1. I am aware of the need to seek appropriate medical advice if I have any concerns as to the state of my health. I have not been informed by any medical practitioner and I do not have any knowledge of any medical condition which would make it inadvisable for me to participate in Masters Swimming events or any other associated activities. Accordingly I hereby certify that I am physically fit and well to participate in any such training and events.
2. I am aware of and appreciate the inherent risks involved in such training and competition including the possibilities of injury and accident. I undertake to always conduct myself in a responsible and professional manner.
3. I undertake at all times to use my best endeavours to train and compete in a safe and proper manner and not to do anything which would expose myself or fellow swimmers to unnecessary risk of injury.
4. I further undertake at all times to take all reasonable safety measures for the protection of myself and fellow swimmers and to inform the Referee of any concerns I may have as regards safety.
5. I acknowledge that the Welsh Amateur Swimming Association cannot be held responsible for any loss or damage to personal belongings and that I must take all reasonable steps against any such loss or damage.
6. I hereby agree to abide by and be governed by the rules of WASA and all other laws and regulations applicable including the Safety Laws.
I have read and understand the above provisions and agree to abide by them.
Signature of Competitor ________________________________ Date ________________
Please return your completed form, with the correct fee to:
WASA ADMINISTRATOR, WASA OFFICE, WALES EMPIRE POOL, WOOD
STREET, CARDIFF CF1 1PP.
Cheques should be made payable to WASA and crossed.
CLOSING DATE FOR ENTRIES FRIDAY FEBRUARY 6TH 1998