PARTICIPANT GENERAL RELEASE AND AGREEMENT Participant’s Name: For Above Named Participant. ___________________________________________________ In consideration of permission to participate in Captain’s Practices through Duxbury Lacrosse, Participant, individually and on behalf of Participant’s family, relatives, heirs, successors, and assigns (collectively, “Participant”) hereby agrees: 1. To release and forever discharge all entities and persons associated and affiliated with Duxbury Lacrosse, including but not limited to Duxbury Lacrosse Team Captains, their family, relatives, heirs, successors, and assigns (collectively, the “Released Parties”), from any and all claims or liabilities, in equity and in law, including but not limited to personal injuries (including death) and/or damages Participant and/or Participant’s property may sustain in connection Captain’s Practices, even if those claims or liabilities arise out of the negligence or carelessness of one or more of the Released Parties. Participant understands that the number and magnitude of the claims and liabilities released hereto may not currently be fully known, but nevertheless to release those unknown claims; 2. To defend, indemnify and hold harmless the Released Parties from and against any and all demands, claims, disputes, actions, causes of action, losses, damages, penalties, recoveries, judgments or executions, costs and expenses (including attorney’s fees), or any and every kind, arising from or in connection with Participant’s participation in Captain’s Practices; 3. If any portion of this Agreement is deemed void or unenforceable for any reason, such provision shall be limited or modified so as to make it enforceable and if such provisions cannot be modified to be enforceable, the unenforceable portion shall be deemed severed from the remaining portions of this Agreement, which shall otherwise remain in full force and effect. If, as of today’s date, Participant has not reached 18 years of age, this form must be signed by Participant’s parent or legal guardian on behalf of Participant. The parent or legal guardian further agrees that this Agreement remains legally binding as though the parent or legal guardian was named as the Participant. Electronic Signatures: The words “execution,” “signed,” “signature,” and words of like import in this Agreement shall be deemed to include electronic signatures or the keeping of records in electronic form, each of which shall be of the same legal effect, validity or enforceability as a manually executed signature. I hereby attest that I have read, fully understand, and agree to without exception all of the provisions, releases, and waivers outlined in this Agreement. I understand that this Agreement is a legally binding document that limits the legal liability of the Released Parties. I attest under penalty of fraud that I am at least 18 years of age and if I am signing for a minor that I am that minor’s parent or legal guardian. Electronically Signed & Dated through your acknowledgment *
