Please fill out this form to complete your team’s registration in our Macpac Rogaine Series.

Macpac Rogaine - School Medical/Consent Form

  • If combining with another school to form a team, please include both names.
  • Choose the correct event/date that this medical/consent form is being filled out for.
  • Please provide the details for all students who are participating in the event. It is important that this is done accurately as we need to capture this information as part of our safety management system. To add additional students click the small plus sign at the end of each column. NOTE – if you have a large number of student names to input, you can opt to ‘Save and Continue’ through the link at the bottom of this form.
    Student first name/surnameParent phone no.Parent emailYear levelMedical conditionsCurrent/pre-existing injuries 
  • Disclosure of Risk

    Hillary Outdoors Rogaines are non-profit events organised by Hillary Outdoors Education Centres. Hillary Outdoors plans out the courses and coordinates the entries from schools and arranges staff/volunteers to help run the events as required. Each Rogaine event is slightly different and designed to be accessible for schools. Some locations are based in ‘Urban’ environments with the checkpoints scattered around parks, walkways and suburban streets and other events slightly more ‘Rural’ possibly on farms, or in forest/bush settings. A Rogaine is essentially a navigation based challenge for teams of 2-4, with a set time limit during which participants try to visit as many checkpoints as possible. There is always an element of risk and it is important to realise that due to the changeable and unpredictable nature of the outdoors, that the risks can never be reduced to zero. Hazards exist in terrain where the activities take place that may result in serious injury or even death. The types of hazards include: slippery conditions, uneven/rough ground, steep slopes/banks/cliffs, man-made obstacles, changeable weather, hypothermia, hyperthermia, sunstroke/sunburn, dehydration, collisions with other users of the area, vehicle/traffic on streets and carparks. These risks are mitigated by conducting course checks prior to the event so any significant hazards can be identified, then either avoided completely or marked accordingly on the course maps that the participants receive. Safety information is then delivered to the participants through a briefing and/or course notes prior to the start of the event, disclosing all known hazards on the course area. It is important for safety purposes that students follow instructions given to them in the briefings and/or race notes.
  • Acknowledgement of the Risks

    It is understood that there are certain risks associated with participating in the Hillary Outdoors Rogaine events that cannot be reduced to zero. We know that we are able to ask any questions of Hillary Outdoors to gain a better understanding of the course and environment before deciding whether to take part, and that the final decision about whether to take part or not, is over to each individual. If we decide to take part, we understand that the course briefing and/or notes will disclose any significant hazards that are likely to be encountered out on the course and advise the correct procedures to deal with these, and that it is necessary for us to follow these. If we act outside of this advice, then we acknowledge that we do so at our own risk and we release Hillary Outdoors and all staff/volunteers from liability for the consequences of our actions. It is understood that photos and/or videos may be taken of us during the event and possibly used for general promotion and in social media posts by Hillary Outdoors and event sponsors.