Complete an Online Waiver Form

Date: 04/03/2026 (DD/MM/YYYY)

To Roller's Roller Disco, The Organiser Paula Nash

I completely understand and realise that the participation in the above event/activity could include actions and tasks which might be hazardous and dangerous to me.

By signing below. I agree to the fact of participation can cause any harm or injury to myself. I release the Rollers Roller Disco above from all liability, cost and damages which could arise from the named event/activity above. I agree to accept financial responsibility for the emergency treatment and I give confirmation of the same by signing this document.

Rollers Roller Disco will not accept any liability for personal property that may get lost, damaged or stolen.  If the named participant(s) below hires skates and may cause harm to their selves whilst using these skates Rollers Roller Disco does not accept liability for this.

If the participant(s) does not follow the code of conduct they may be asked to leave without a full refund.  We aim to provide a fun safe environment for all skaters and anyone who is involved.