

ROLLER SKATING RISK WARNING
(Section 5M Civil Liability Act 2002)
Roller skating is a recreational activity which can be fast moving and strenuous and has risks. You are warned that you (and any person under your control or accompanied by you) are at risk of having an accident or suffering an injury to your person or property from participating in this recreational activity. These injuries could include but are not limited to broken bones, cuts and abrasions, head injuries, concussion, twisted or dislocated joints, dental damage, strained ligaments or muscles and other injuries inherent in this and other fast moving strenuous sports and activities and could arise from falling over, colliding with other participants or colliding with the skating rink.
You and the persons under your control or accompanied by you should only participate in this activity if you accept the risk of injury or loss. By engaging in this activity and using the roller skating rink you accept all risks of injury and loss to your person and your property and agree that the owners, operators and landlords of Luna Park and the roller skating activity do not have and do not accept any liability for any injury suffered or loss incurred as a consequence of you participating in this activity.
Persons who are pregnant or suffer any medical conditions should not participate in this activity before seeking advice from an independent medical practitioner.
Please sign this document to acknowledge this risk warning on behalf of yourself and any person (including children under the age of 18 years) under your control or accompanied by you. If you are under 18 years of age this document needs to be signed by your parent or a person over the age of 18 years who is accompanying you.
Please complete the form below and take a screenshot of the successfully submitted form to show to our staff once arrived at and ready for your roller skating session at Lavender Green. You must show our staff proof of your completed form to permitted enter the rink.
By entering this form you confirm you have read and agreed to this Roller Skating Risk Warning and read the Roller Rink Conditions of Entry