Event Registration Form - EsportsAble Cairns

Complete this form to register your interest in attending/participating in your local EsportsAble tournament.

Led by Queensland University of Technology (QUT), and co-designed with key stakeholders in each community, the EsportsAble tournaments provide a platform for high school students to learn about esports and develop valuable life skills like teamwork, communication, and problem-solving.

Section 1: Applicant details

This registration form is for existing members of the EsportsAble Academy. If you have friends that you want to invite to join your team, please provide their details below and we will contact them directly.

Name: *

Date of Birth: *

Email associated with your Academy account *

EsportsAble Username: *If you are unsure what your Academy Username is, Go to https://esportsable.circle.so/, sign in and click the profile button in the top right corner. Your Username will appear under the profile picture.

I consent to QUT using image or photograph/video/audio recording of me with or without my name, in any media, for commercial or non-commercial purposes such as education, marketing, advertising, publicity or general display. Media may include QUT or third party publications, websites and broadcasts.

By filling this out, you're helping EsportsAble Academy show how awesome our community is.

What it means:
You’re giving EsportsAble Academy permission to use your photo, video, drawing, writing, or other cool stuff you create. It might show up on their website, posters, or in videos!

Your privacy:
If we can see your face in a photo or video, EsportsAble Academy will take care to follow privacy rules and use it respectfully.

Your permission:
You’re saying it’s okay for EsportsAble Academy to use your content in fun and positive ways, like sharing your work or showing people what QUT does. You also say it’s okay even if EsportsAble Academy edits or changes the content a little bit.

If you are under 16 years old a parent/guardian will also still need to give consent for any images to be used by EsportsAble Academy.

No payment:
You won’t be paid for sharing, but it helps others see your great work and support EsportsAble Academy.

By checking the Above box, you agree to all of this. You can change your mind anytime by telling EsportsAble Academy in writing.

Marvel Rivals Username *Please place N/A if you have not played Marvel Rivals.

Marvel Rivals Level *Please place N/A if you have not played Marvel Rivals.

Marvel Rivals RankPlease place Unranked if you have not played Marvel Rivals.

Rocket League Username *Please place N/A if you have not played Rocket League.

Rocket League Level *Please place N/A if you have not played Rocket League.

Rocket League RankPlease place Unranked if you have not played Rocket League.

How would you like to support you local esports tournament? Please select all that apply: *

I want to improve my social gameplayI want to compete in my local tournamentI want to try broadcasting and live-streamingI want to learn about esports coachingI want to learn about team managementI want to learn about esports careersI want to help run my local esports eventI want to attend as a spectator

Do you have any teammates you wish to play with during the event? *

YesNo

Please note - All teammates must be existing EsportsAble Academy Members by the close of registrations and completed their own team registration form. To Invite new members to the EsportsAble Academy they will need to register at https://www.esportsable.net.au/register.

Use the fields below to add details of your team members. You can add details for up to five additional team members.

Full Name:

Email:

EsportsAble Username:Leave BLANK if you do not know their Academy Username

Do you have a requested Team Name?

Section 2: Background information

In line with our commitment to safety and inclusiveness, we will try to provide effective support for all attendees and participants. Can you please confirm if any of the following apply to the applicant?

Do any of these apply to you? *

Intellectual disability (e.g., Developmental Delay, Down Syndrome, Acquired Brain Injury)Neurodiversity (e.g., Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, Specific learning disability)Psychosocial disability (e.g., Depression, Anxiety, Schizophrenia, Bipolar Disorder)Physical disability (e.g., Muscular Dystrophy, Cerebral Palsy, Spina Bifida, Spinal Cord injury)Sensory Disability (e.g., Vision Impairment, Hearing Impairment)None of the above

Depending on your answer to the question above, we may reach out to better understand and accommodate any needs that you might have. Please use the text box below if you would like to provide additional information that think might be helpful.

Additional information (please also use this box to let us know if you have any special dietary requirements):

Section 3: Confirm Parent/Guardian Consent

Please provide details for your primary parent/guardian to contact to confirm your attendance/participation in your local tournament.

Full Name *

Relationship to applicant *

Phone Number (Parent/Guardian) *

Other...

Email address (Parent/Guardian) *

Will this parent/guardian be attending with you? *

YesNoNot sure

Would you like any additional spectators to attend?

YesNo

Please ensure any Parent's, Grand Parent's, Guardians, Friends or Family members who wish to attended are listed below as a spectator outside of your above primary guardian.

Full Name (spectator):

Email address (spectator):

Spectator Relationship

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