SIGN UP – 180 Gold Coast

180 Gold Coast

FUTURE EVENTS
PURCHASE
MUSIC
MOVIES
FAMILY
SPORT
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MAN-UP
CONTACT

FUTURE EVENTS
PURCHASE
MUSIC
MOVIES
FAMILY
SPORT
- SIGN UP
MAN-UP
CONTACT

Name

Email *

Phone *

Team Name *0 / 200

Names of Players *Max 4 Players0 / 200

How old are the players *Age0 / 200

This event will be held at: *Yes

This is a open event - Recommended age 15+. *There is no age limit set. I confirm my team may be playing against teams that are older / younger. The organiser will do its best to mach teams accordingly. As the competition progresses it will not be matched with age.Yes

This is a competition where teams of 3 face off against each other. Each player must pay a $10 fee to participate. *One reserve aloud. Extra player to be paid on the day of the event.Yes

Arrive by 2:30 on day of event. *The competition will begin at 3pm.Yes

Waver and Consent *

LIABILITY DISCLAIMER

By submitting this form, I acknowledge that I have read and agree to the terms outlined below regarding participation in the Sporting Competition organised by The Potters House Christian Church (PHCC).

178.250.184.152:50:13 pm, AEST21/12/2025

Disclaimer & Release of LiabilityI understand that I participate at my own risk and release PHCC from any liability for injury or damage, except as required under Queensland Law.

Conduct & SafetyI agree to follow all safety guidelines, and understand that failure may result in dismissal from the program.

Medical DisclaimerI confirm I am physically capable of participating and will disclose any medical concerns.

Medical DisclaimerI authorise emergency medical treatment at my own cost if necessary.

Photography & PublicityI consent to the use of photographs and videos of me for promotional purposes.

Personal PropertyI accept full responsibility for my personal belongings during the event.

Waver and Consent *

LIABILITY DISCLAIMER

Participant Acknowledgement

I have read and understood the terms and conditions outlined above. I agree to abide by all safety protocols and accept personal responsibility for my participation in this event.

178.250.184.152:50:13 pm, AEST21/12/2025

Currency *3 Players (Pay 4th on Day)

AUD

Credit / Debit Card *