Consent to Ride Form


Please read carefully before signing. This document affects your legal rights.

This waiver must be completed by all participants. If the participant is under 18, it must be signed by a parent or legal guardian.

Activities Covered:
This waiver applies to use of the StreetLight skatepark, including:
- Skateboarding
- Scootering
- Inline skating
- BMX riding
(Under 6s only) Scooting, skating and balance bikes in designated areas
These activities involve ramps, rails, rails, ledges and purpose-built obstacles. Participation carries inherent risks.

Acknowledgement of Risk:
I understand that skatepark activities involve inherent risks, including falls, collisions, and contact with obstacles or other users. Injuries may range from minor cuts and bruises to more serious harm. Serious injuries including fatalities are rare but possible. I accept that participation is at my own risk (or the risk of the minor named below) and agree to take reasonable care for safety at all times.

Health & Safety Declaration:
- I confirm that I (or the named minor):
- Am physically fit and able to participate.
- Have disclosed any relevant medical conditions.
- Will wear a properly fitted helmet at all times.
- Understand that additional protective equipment is strongly recommended.
- Will only use equipment that is safe and in good working order.
- Will not ride with any cast, brace, sling or medical support.
- If a head injury occurs, I understand that I must not return to the park without appropriate medical guidance.
- I agree to follow all staff instructions and safety signage.

Additional Requirements for Children Under 6 yrs:
- Use is limited to scooting, and balance bikes only.
- Only designated age-appropriate areas may be used.
- A responsible adult (18+) must provide active supervision at all times.
- Maximum supervision ratio: 5 children per adult (5:1).
- Full responsibility for the child remains with the supervising adult.

Supervision of Minors (Under 18 yrs):
If signing on behalf of a minor, I confirm:
- I am the parent or legal guardian.
- I accept responsibility for their conduct and safety while on the premises.
- If I choose to leave a child aged 6–17 unattended, I do so at my own risk.

Medical Assistance:
I consent to first aid being administered by trained staff or volunteers if required. I authorise StreetLight Centre to seek emergency medical treatment where necessary.

Photographs, Video, and CCTV:
CCTV is used throughout the Centre for safeguarding and monitoring purposes. Photos and videos may be taken by staff for promotional use on StreetLight’s website and social media. If you do not wish to be included, please speak to a staff member. Personal photography is permitted in public areas but must respect others’ privacy.

Limitation of Liability:
To the fullest extent permitted by law, I release StreetLight Centre, its trustees, staff and volunteers from liability for injury, loss or damage arising from participation, except where caused by proven negligence. Personal belongings are brought onto the premises at the owner’s risk.

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Rider Details

Must be in DD/MM/YYYY format
Email Address - Please provide your email address if you wish to receive latest news, updates, holiday club info etc... If you do not wish to received such information please leave blank. We will not pass on email address to any 3rd party unless we are required to by law.

Medical Information

Failure to inform us of any medical condition puts you at risk and we accept no liability

Emergency Contacts

First Contact

Second Contact


By signing below, I confirm that:
- I have read and understood this waiver.
- I accept the inherent risks involved.
- I agree to comply with all StreetLight rules and instructions.
- I am signing freely and voluntarily.
- I am over 18 yrs and providing consent for myself, or that I am the parent/legal guardian of the named minor and have the authority to provide consent on their behalf


Terms and Conditions of using the park, our Video/photo and social media policy can be viewed at
https://www.streetlightproject.org.uk/termsandconditions

Declaration

You must tick at least one checkbox


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