MWAS ATHLETE AGREEMENT & TALENT RELEASE FORM

Athlete Agreement & Talent Release Form

This is a legal agreement and by consenting you will be bound by the terms and conditions within. Consenting is complete when you tick the relevant boxes and submit the form. You will not be able to participate in MWAS activities without consent and acceptance of the conditions in this agreement. To view all relevant policies follow this link https://www.mwaswa.com.au/policies-governance/ or contact the MWAS CEO.

Name*
Athletes name?
First Last
Address*
Athletes address
Phone*

Athletes mobile number (if no mobile please put parents number).
Email
Please use best email address for contact with the athlete.
Code of Conduct Policy acceptance and general information*
You accept this Athlete Agreement by ticking the box and the Athlete acknowledges receipt of the MWAS Athlete Agreement Terms and Conditions. In addition, the Athlete acknowledges receipt and and acceptance of all applicable policies which are available on the MWAS website (www.mwaswa.com.au). A hard copy of all policies will be provided to athletes at no cost if requested.
By ticking this box the athlete agrees that they have read and understood the code of conduct for MWAS Athletes and all relevant policies.
Private Heath Cover*
Athletes are required to have private health insurance that at a minimum covers; physiotherapy, ambulance and surgery for sports injuries. The Athlete’s policy must be used to cover claimable MWAS services. All MWAS medical and physiotherapy services provided through the scholarship are for injury and illness prevention. The Athlete is responsible for coordinating and meeting all costs of any illness or injury treatments that they require.
- The athlete has private health insurance
- The athlete does not have private health insurance
Talent release consent for photographic and video images*
If my image is used, I hereby consent, without further consideration or compensation to the use (full or part) of images and video taken of me for the purposes of illustration, broadcast or distribution of any manner. I understand that the images remain the property of the Mid West Academy of Sport and that there will be no restrictions on the number of times the image is used. I accept that no payment is due in respect of this authority and that no further payments to me are required at any time.

Upon ticking the box of this form I understand that I have no rights to the said material.

I give my permission for the Mid West Academy of Sport to use any photographic image and video taken of me to be used by the Mid West Academy of Sport in printed publications, to be provided to media outlets, on the internet or in other electronic formats for press or print purposes. I understand that my name may be published with such photo/s / video.
Is the athlete under 18 years of age?*
- Yes - complete section below.
- No
If the athlete is under 18 all areas of this form must be completed and accepted by their parent / legal guardian. If so please complete the section below with the name of the parent completing the form.
Name of parent completing this from.
First Last
Name of the parent / legal guardian who agrees with the policies and accepts all of the terms and conditions set out in this form.
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