Unisport Nationals

PURPOSE

The Participant Declaration (including medical disclosure form) is designed to ensure you can participate in an SSA approved event or activity containing one or more of the following activities:

• Camps or overnight trips.

• Events outside of metropolitan Melbourne (unless otherwise waived by the Clubs and Sports Manager).

• Events that involve hiking, bouldering, rock climbing or other wilderness activities.

• Sporting competition or activity in connection with a sporting club. This includes participation in the UniSports Nationals and or intervarsity competitions.
  

You are unable to participate in any of the above activities without completing this disclosure and related form.

1. DEFINITIONS AND INTERPRETATION
   

In this Agreement, unless the context requires otherwise:

• "SSA" means Swinburne Student Association Limited (ACN 682 527 448), 14 Wakefield Street, Hawthorn, VIC, 3122

• "SSA Sports" is responsible for organising and reporting the event(s), trip(s), or activities affiliated with the SSA and Swinburne University of Technology.

• "Participant" means the undersigned individual participating in events, trips, or activities coordinated by the SSA or Coordinating Club.

• "Trip" means any travel, event, or off-campus activity organised or endorsed by the SSA or SSA Sports.

• "Agreement" means this Declaration of Financial Responsibility, Insurance, and Property Risk.

• "Property" includes both real and personal property, including but not limited to clothing, gear, electronics, and documents.

• "Force Majeure" means an event beyond the control of a party, including but not limited to natural disasters, pandemic, government restrictions, strikes, or acts of God.
  

2. FINANCIAL RESPONSIBILITY WAIVER

The Participant hereby acknowledges and agrees to the following:

2.1. All costs not expressly covered or subsidised by the SSA Sports are the sole responsibility of the Participant, including but not limited to:

• Personal travel arrangements, food, or medical treatment.

• Damages to accommodation, vehicles, or facilities used during the Trip caused by the Participant.

2.2. The Participant indemnifies and agrees to keep indemnified, the SSA, Swinburne University of Technology and SSA Sports from and against any liability, loss, claim, or expense resulting from:

• Their breach of this Agreement;

• Damage to any third-party property;

• Any act of misconduct or negligence during participation in a Trip.

3. INSURANCE DECLARATION

The Participant acknowledges that:

3.1. It is their sole responsibility to obtain appropriate travel insurance and medical insurance (including but not limited to ambulance cover and international medical insurance) where relevant.

3.2. The SSA, Swinburne University of Technology, and or the SSA Sports do not provide personal insurance for students, and are not liable for any medical, legal, or financial consequences resulting from lack of coverage.

3.3. Proof of insurance may be requested prior to participation in Trips or high-risk activities. Failure to provide such documentation may result in cancellation of participation.

4. MEDICAL DISCLOSURE & EMERGENCY TREATMENT CONSENT

The Participant acknowledges that:

4.1. It is their sole responsibility to obtain appropriate travel insurance and medical insurance (including but not limited to ambulance cover and international medical insurance) where relevant.

4.2. The SSA, Swinburne University of Technology, and or the SSA Sports do not provide personal insurance for students, and are not liable for any medical, legal, or financial consequences resulting from lack of coverage.

4.3. Proof of insurance may be requested prior to participation in Trips or high-risk activities. Failure to provide such documentation may result in cancellation of participation.

5. LOSS/THEFT OF PERSONAL PROPERTY DISCLAIMER

The Participant understands and agrees that:

5.1. The SSA, Swinburne University of Technology and SSA Sports will not be held responsible for any lost, stolen, or damaged property during Trips or associated events.

5.2. The Participant bears full responsibility for safeguarding personal items at all times.

5.3. Claims relating to personal losses must be pursued directly through the Participant’s chosen insurance provider.

6. OBLIGATIONS TO FOLLOW CLUB POLICY AND GUIDELINES

The Participant understands and agrees that:

6.1. They will abide by SSA’s Club Policy and Guidelines at all times, particularly around drug and alcohol use, anti-harrassment and sexual misconduct, and the SSA’s Code of Conduct for approved events and activities.

6.2. They have a positive obligation to report any behavio

7. LIMITATION OF LIABILITY

7.1. To the fullest extent permitted by law, the SSA, Swinburne University of Technology and or the SSA Sports shall not be liable for:

• Any indirect, incidental, or consequential loss;

• Loss of enjoyment, income, or opportunity;

• Delay or cancellation due to Force Majeure.

7.2. The SSA, Swinburne University of Technology and SSA Sports maximum liability for any breach of this Agreement shall not exceed the portion of fees or levies paid directly to them for the event.

8. ENTIRE AGREEMENT

8.1. This document constitutes the entire understanding between the Participant and SSA. No oral representations or external statements shall alter or affect its terms. Modifications must be in writing and signed by both parties.

Acknowledgement/Declaration

By signing this document, I confirm: 

• I have read and understand my obligations ; and

• I consent to the relevant declaration(s) set out in this agreement. 

MEDICAL DISCLOSURE & EMERGENCY TREATMENT CONSENT FORM

This form acts as both a medical disclosure document and a formal consent for emergency medical care, ensuring your safety and the preparedness of event organisers. 

All personal and medical information will be treated confidentially and only disclosed as necessary to ensure your health and safety. 

1. Personal and Emergency Contact Details

2. Medical Disclosure 

3. Medicare/Insurance Details 

4. Emergency Medical Treatment Consent 

In the event that I require urgent or emergency medical attention and am unable to provide informed consent, I authorise: 

• The designated trip leader(s), Swinburne Student Association (SSA) staff, or event organisers to seek and consent to medical treatment on my behalf, including transportation, hospitalisation, surgery, and medication administration. 

• Registered medical professionals to administer treatment they deem necessary for my wellbeing. 

• The release of medical information included in this form to emergency personnel for continuity of care. 

• Contacting my nominated emergency contact as needed. 

I understand that: 

• All reasonable efforts will be made to contact my emergency contact prior to major medical interventions. 

• Any costs not covered by Medicare or insurance are my responsibility. 

• I must carry required medications in their original packaging along with prescriptions or letters from a medical professional. 

5. Acknowledgement & Declaration 

   
   

I confirm that: 

• The information I have provided is accurate to the best of my knowledge. 

• I will update the organisers if my medical condition changes prior to the trip. 

• I understand the nature of this consent and agree to the responsibilities outlined above. 

• I have read and agree to the SSA Terms and Conditions , SSA Unisports Terms and Conditions, and  SSA Privacy Policy.