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2019 ATTACK Event Waiver Form
US Lacrosse Membership Number
WAIVER of LIABILITY, ASSUMPTION of RISK, & INDEMNITY AGREEMENT Please read this form carefully and be aware in registering your minor child/ward for participation in the lacrosse clinic, private lesson, or training you will be waiving and releasing all claims for injuries you or your minor child/ward might sustain arising out of this program. In consideration of permission to use, today and on all future dates, the property, facilities, staff, equipment and services of California Attack Lacrosse, Inc., and any other associated training facility, I, for myself, my heirs, personal representatives or assigns do hereby release, waive, discharge and covenant not to sue the directors, owners, officers, employees, and agents of above named, from liability from any and all claims arising from, but not limited to, participation in activities of California Attack Lacrosse, Inc. Lacrosse Clinics, Tournaments, Clubs, and Camps. As a participant, or parent/guardian of a participant, in the lacrosse program, I acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence of others, rules of play or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time. I assume all foregoing risk and accept personal responsibility for damages following such injury, permanent disability or death as a result of participating in any and all activities connected with, or associated with, this program. I assert that my/my minor child/ward’s participation is voluntary and that I/we knowingly assume all such risks. I further agree that the participant has been examined by a physician and is physically fit and able to participate. As the parent(s) and or legal guardian(s), I will instruct the minor participant that prior to participating he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she should immediately advise his or her coach or supervisor of such condition(s) and rectify before participation. I agree to indemnify and hold harmless the officials of California Attack Lacrosse, Inc., or the officials of any other affiliated field/facility, its staff, coaches, and volunteers from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities as a result of participating in the program. It’s necessary to bring a bottle full of water and any medications, such as inhalers, to every clinic, competition, practice, training session, and/or game. I will instruct my daughter to do so, and will insure that she arrives to any session, practice or lesson with water and related medication. Protective equipment and gear are the responsibility of the player and parent of the player. I attest that her gear fits properly and is in proper working condition, and in compliance with manufacturer specifications. I will instruct my daughter to inspect her gear, correct if necessary for safe play, and properly wear it during the entirety of any training sessions, practice, clinic or camp.
I have read the waiver of liability, assumption of risk, and indemnity agreement, and fully understand the release of all liability and all claims. By signing this waiver, you verify that you are 18 years of age or older.
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