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CT80 Waiver and Emergency Contact Form
In consideration of being allowed to participate in any way in 2017 CT80 Fall Lacrosse Showcase and related events and activities, I, the undersigned, acknowledge, appreciate and agree that:
1. The inherent risk of injury from the activities involved in the CT80 Fall Lacrosse Showcase can be significant, including the potential for permanent paralysis and death. 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, 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 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, INDEMNIFY, AND HOLD HARMLESS SFN LLC, and Yale University and each of its officers, officials, agents, and/or employees (collectively, “Releasees”) from any and all claims, demands, losses, and liability arising out of or related to any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property, arising out of or in connection with my participation in the BoneYard Scrimmage, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Parent or Legal Guardian FIRST Name
Parent or Legal Guardian LAST Name
Participant FIRST Name
Participant LAST Name
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incident to my minor child’s involvement or participation in the Program as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
I am 18 years of age and I agree to the terms laid out by this form.
My son is NOT 18 years of age, and I, as parent/guardian agree to the terms laid out by this form.
Age of Participant
18 or older
Emergency Contact Person
Emergency Contact Number
Critical information that we may need (allergies, etc.)
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