2025 November Knockout - Individual Waiver
Thank you for participating in the 17th Annual Holiday Tournament.  All participating team members are required to complete and submit the individual release form below prior to the event.
Sign in to Google to save your progress. Learn more
Team Name *
Participation: *
Required
Division *
Required
Player's Name *
Player's US Lacrosse Number *
Phone Number
Player's Full Address *
Include town, state and zip code
Emergency Phone Number *
Parent/Guardian Email Address *
WAIVER AND RELEASE:
AMATEUR ATHLETIC MINOR WAIVER AND RELEASE OF LIABILITY: *
In consideration of being allowed to participate in any way in NJ Total Lacrosse LLC sports and events: I certify that the above-named applicant is in good health and is given my permission to participate in this program. I understand that there is some risk in playing and assume those risks. I certify that my child has no ailments or disabilities that would prevent my child from participating in NJ Total Lacrosse LLC activities and thereby, agree to hold NJ Total Lacrosse LLC, its agents, employees, and contractors harmless from any and all claims for injury or illness incurred by my child during participation in this program.  I grant permission to have my child given emergency treatment at a local hospital if emergency treatment is needed. I have read the above waiver and sign it voluntarily. (Please initial below to acknowledge athletic release and offer electronic consent)
Name of Individual Offering Consent *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report