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Key City Foundation February 27, 2021 Lacrosse Skills Clinic
Elementary & High School (basic skills): 10:00am - 11:30am
Middle& High School (intermediate/advanced skills): 11:30am - 1:00pm

All participants should wear masks. Intermediate level, please bring full pads and cleats.

Please bring your own water bottle. Clinic participants will keep their water bottles with them, so they can hydrate whenever they need to. Please hydrate before the clinic as well.

We will notify of any weather cancellations 90 minutes prior to the start of the first session via email. All inquiries can be directed to info@keycityfoundation.com.

Coaches:
If you are a coach that would like to attend, contact us at the same email provided above.
For any videos taken for your own knowledge, we just ask you share them with us, and provide any feedback to help us improve our clinics for coaches and the athletes!


Email address *
Parent/Guardian Phone Number *
First Name of Athlete *
Last Name of Athlete *
Current Grade Level *
Current School *
First Name of Additional Athlete
Last Name of Additional Athlete
Current Grade Level
Clear selection
Current School
First Name of Additional Athlete
Last Name of Additional Athlete
Current Grade Level
Clear selection
Current School
Skill Level(s)
Position(s), if known
In consideration of being allowed to participate in the event or activity referenced above, I acknowledge, appreciate, and agree that: 1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, 4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS the Releasees, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("RELEASEES"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. *I agreeThe athlete named in this reservation has requested permission to participate in activities sponsored by the Key City Foundation (KCF). For the purposes of this Agreement extracurricular activities are optional noncredit activities, where the activities include, but are not limited to, practices, training sessions, jamborees, meetings, games, tournaments, any other competitive endeavor, engaging in projects, any related KCF transportation to and from the foregoing, and entering and remaining in premises leased or owned by KCF at the time when the extracurricular activity is being held (collectively, “Activity”).In consideration for being permitted to participate in the Activity, I hereby acknowledge, affirm and agree to the following: 1. I am familiar with the Centers for Disease Control and Prevention (“CDC”) guidelines regarding the Novel Coronavirus Disease (“COVID-19”). I acknowledge and understand that the circumstances and symptoms regarding COVID-19 are changing from day to day and that, accordingly, the CDC guidelines are regularly modified and updated, and I agree to accept full responsibility for familiarizing myself with the most recent CDC modifications and updates. 2. I affirm that neither I, nor any person residing in my household, have been diagnosed with, demonstrated any symptoms of, or have in any way knowingly been exposed to COVID-19, within the past fourteen (14) calendar days. I further affirm that I have not been notified within the past fourteen (14) calendar days that I, nor any person residing in my household, has been exposed to COVID-19. 3. I agree that if I, or any person residing in my household, begin to experience symptoms similar to COVID-19, or if I, or any person residing in my household, are notified that I/they have been exposed to or infected with COVID-19 that I will immediately cease participating in the Activity. Furthermore, if I, or any person residing in my household, are notified that I/they have been diagnosed with COVID-19 and I have participated in the Activity within the last fourteen (14) calendar days from the date of diagnosis, that I will immediately notify FCPS of the diagnosis. 4. I acknowledge that I am aware that by participating in the Activity that there is a risk of being exposed to COVID-19, and/or any mutation or variation thereof. I am also aware that such an exposure can occur either directly or indirectly whether or not a mask and/or gloves are worn and that FCPS cannot guarantee that by participating in the Activity that there will be no exposure to COVID-19. I further acknowledge that while certain individuals are more susceptible to becoming seriously ill if they contract COVID-19 (such as people over 65, people with serious underlying health conditions, and those with compromised immune systems), anyone, including a healthy person, is susceptible to contracting COVID-19. I have independently evaluated and reviewed the risks of being exposed to or infected by COVID-19 and have determined to participate in the Activity with full knowledge and acceptance of the risks. 5. I understand and acknowledge that FCPS cannot eliminate the risk of exposure to COVID-19 and by signing this HOLD HARMLESS, RELEASE AND WAIVER OF LIABILITY AGREEMENT, I fully and knowingly agree to ASSUME ALL RISKS associated withHOLD HARMLESS, RELEASE AND WAIVEROF LIABILITY AGREEMENT RELATED TO COVID-19 participating in the Activity and the exposure to or the infection of COVID-19, including any risk of illness, bodily injury, permanent disability and/or death related, directly or indirectly, to COVID- 19. 6. I hereby voluntarily and knowingly agree to RELEASE, WAIVE, DISCHARGE and COVENANT NOT TO SUE KCF, including its officers, directors, employees, agents, and/or volunteers, (hereinafter “Releasees”) for any and all losses or damages resulting from illness, bodily injury, temporary or permanent disability, and/or death, whether caused by negligence of Releasees or which might occur as a result of my participation in the Activity that are related, directly or indirectly, from exposure to or infection with COVID-19. 7. To the maximum extent allowed by law, I hereby agree to INDEMNIFY AND HOLD HARMLESS the Releasees from and against any and all claims, demands, suits, judgments, losses or expenses of any nature whatsoever (including, without limitation, attorneys’ fees, costs and disbursements, whether of in-house or outside counsel and whether or not an action is brought, on appeal or otherwise), arising from or out of, or relating to, directly or indirectly, my exposure to or the infection of COVID-19, or arising from or out of, or relating to, directly or indirectly, me exposing or infecting others with COVID-19. 8. I agree that this HOLD HARMLESS, RELEASE AND WAIVER OF LIABILITY AGREEMENT is to be binding upon my spouse, children, heirs and assigns, and that the provisions contained herein shall be construed, interpreted and controlled according to the laws of the State of Washington. 9. I ACKNOWLEDGE THAT THIS HOLD HARMLESS, RELEASE AND WAIVER OF LIABILITY AGREEMENT WAS EXPRESSLY NEGOTIATED AND IS A MATERIAL INDUCEMENT FOR THE PERMISSION GRANTED BY KCF TO PARTICIPATE IN THE ACTIVITY. IN SIGNING THIS HOLD HARMLESS, RELEASE AND WAIVER OF LIABILITY AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the AGREEMENT, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written Agreement, have been made. I, the undersigned parent/legal guardian, certify that I am the parent/legal guardian of the above named student, who is a minor child, and that I am requesting that my minor child be able to participate in the Activity and that I agree, on my own behalf and on behalf of my minor child, including my and/or the minor child’s representatives, executors, administrators, heirs and assigns, that I am bound, and that my child, is bound by each and every term of this HOLD HARMLESS, RELEASE AND WAIVER OF LIABILITY AGREEMENT. * *
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