2020 Great Western Indoor Lacrosse League Registration
Please fill out the following forms leaving no areas blank.
Player Information
Players First Name *
Players Last Name *
Address *
City *
State *
Zip Code *
Phone Number *
Please use this format - XXX-XXX-XXXX
Parent Email *
Players Email *
Grade *
What grade are you in as of September 1st, 2020
Date of Birth *
Use this format - ( 00/00/0000 )
Name your Indoor Position *
Are you a goalie or a field player?
School / Team *
What School / Team do you play for in the Spring?
Name your regular Lacrosse Position *
What position do you play in field lacrosse?
What is your US Lacrosse Membership Number? *
Please omit the 6 leading zeroes...
What is your US Lacrosse Membership Expiration date *
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Are you interested in playing for the San Diego Spiders Tournament Team in October 2020 *
Six day commitment. Practices on October 20th, 22nd and the Pacific Lacrosse Festival on October 24th & 25th in Temecula. 2 Practices and 1 tournament.
Great Western Indoor League Player Release Form
I understand that:
1) My child is in good physical condition and has had a physical examination in the last 365 days;
2) I am hereby waiving and releasing Great Western Lacrosse, the Great Western Lacrosse indoor lacrosse League, its Director and all staff, the Poway Sportsplex, and any sponsors, of any and all liability for injuries incurred by my child while playing in the league even if arising from negligence;
3) I understand that this League is run at a facility with artificial grass and that a $3.00 fee is charged by the facility upon entering, for any person 16 years of age or older;
4) I am aware that this league is a "play at your own risk" league and that I must have primary medical insurance coverage that blankets my child, the participant;
5) I am aware that this is a "no hit" league, I have discussed this with the participant. I am also aware that any disregard of the rules will result in expulsion from the league without refund and that the Director, the Coaches and/or the Referee have the irreversible right and judgment to expel any player.
6) I am aware that all the coaches work for Great Western and not for the individual teams.
7) I am aware that my child must adhere to all league rules, arena rules and health rules mandated by health officials due to Covid-19.
8) I understand that the Great Western Indoor Lacrosse League does not allow disrespect or negativity from the fans/parents watching the games, either towards opponents, the referees or other fans/parents.

In the event that my child is injured and I am unable to give parental consent, I hereby authorize the Physician/Hospital Staff at any Hospital to provide care to include diagnostic procedures and medical treatment as necessary to my child, who is a minor.
By signing below, I am entering into a contract willfully and without coercion. I am aware that the League fee of $200.00 is non-refundable for any reason after the first game, not even for an injury. (Except if the league does not play, then all fees are refunded in full).
Parent Signature *
Date Release was signed *
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Great Western Indoor League Player Waiver & Release of Liability Form
Great Western Lacrosse Programs
AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY FORM
READ CAREFULLY BEFORE SIGNING

In consideration of being allowed to participate in any way in a Great Western Lacrosse athletic sports programs, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. The risk of injury from activities involved in this program is significant, including the potential for permanent injury and death, and while particular rules, equipment, and personal discipline may reduce the 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 Great Western Lacrosse Company, its Director, 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 NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

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 inducement.

PARENT’S SIGNATURE REQUIRED FOR ALL PARTICIPANTS
{ ESPECIALLY UNDER THE AGE OF 18 AT THE TIME OF REGISTRATION }
This is to certify that I, as parent / guardian with legal responsibility for this participant, do consent and agree to his 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 liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.

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Required
US Lacrosse Participant Waiver & Release of Liability
For participation in the Great Western Indoor Lacrosse League.

Instructions:
1.) each Player should read the statement below before completing and signing this Waiver & Release Form.
2.) Parents / Guardians should read the statement below before completing this Waiver & Release Form.

Agreement:
In consideration of my membership in US Lacrosse and of my participation in the sponsored activities of the Great Western Indoor Lacrosse League, I acknowledge, agree to and understand that:

1.) Readiness to Compete: Voluntary and of my own free will, I elect to participate in the Great Western Indoor Lacrosse League. I will only participate in those US lacrosse competitions and activities sponsored by Great Western Lacrosse for which I believe I am physically and psychologically prepared to compete.

2.) Rediness to Compete: I hereby give consent to US Lacrosse and to Great Western Lacrosse, the Poway Sportsplex and the hostr organization of any US Lacrosse sponsored event to provide through a medical staff of its choice, customary medical/athletic training attention, transportation and emergency medical services as warranted through the course of my participation in sponsored lacrosse activities.

3.) Waiver & Release of Liability: I am fully aware of and appreciate the risks associated with participation in a lacrosse event, including the risk of catastrophic injury, paralysis and even death, as well as other types of damages and loss. I further agree on behalf of myself, my heirs, and personal representatives, that US Lacrosse, Great Western Lacrosse, the Poway Sportsplex, the host organization, and sponsors of any US Lacrosse event, along with their coaches, volunteers, employees, agents, officers and directors of these organizations, shall not be liable for any injury, loss of life or other loss or damage occurring as a result of my participation in the event(s). My signature below is my acknowledgement that I have read and understood every provision of this Waiver and Release of Liability, and that I agree to abide by it.
Covid 19 Waiver
• By indicating your acceptance, you understand, agree, warrant and covenant as follows:
• 1. Agreement. In consideration of my child's participation, I hereby release and covenant not to sue San Diego County, the San Diego Unified School District, Marshall Middle School, Russ Olsen, Great Western Lacrosse Camps and any instructors, coaches or agents, from any and all present and future claims resulting from ordinary negligence on the above named player/s for property damage or personal injury arising as a result of engaging in or receiving instruction in lacrosse associated with the youth clinic.
• 2. Waiver. YOU UNDERSTAND THAT PARTICIPATION IN THE EVENT IS POTENTIALLY HAZARDOUS, AND THAT A REGISTERED PARTY SHOULD NOT PARTICIPATE UNLESS THEY ARE MEDICALLY ABLE AND PROPERLY TRAINED. YOU UNDERSTAND THAT EVENTS MAY BE HELD OVER PUBLIC ROADS AND FACILITES OPEN TO THE PUBLIC DURING THE EVENT AND UPON WHICH HAZARDS ARE TO BE EXPECTED. PARTICIPATION CARRIES WITH IT CERTAIN INHERENT RISKS THAT CANNOT BE ELIMINATED COMPLETELY RANGING FROM MINOR INJURIES TO CATASTROPHIC INJURIES INCLUDING DEATH. YOU UNDERSTAND AND AGREE THAT IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THE EVENT, YOU AND ANY REGISTERED PARTY, THE HEIRS, PERSONAL REPRESENTATIVES OR ASSIGNS OF YOU OR THE REGISTERED PARTY DO HEREBY RELEASE, WAIVE, DISCHARGE AND CONVENANT NOT TO SUE FOR ANY AND ALL LIABILITY FROM ANY AND ALL CLAIMS ARISING FROM PARTICIPATION IN THE EVENT BY YOU OR ANY REGISTERED PARTY.
• 3. Severability. You further expressly agree that this Agreement and Waiver is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any provision of this Agreement and Waiver shall be found to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and Waiver and shall not affect the validity and enforceability of any remaining provisions.
• 4. COVID-19: I acknowledge, understand, and appreciate that the novel coronavirus infection (“COVID-19”) has been confirmed throughout the United States, including several cases within California and surrounding states. I understanding that COVID-19 extremely contagious and, although the state of medical knowledge is evolving, it is general believed that the virus is spread from person-to-person contact, by contact with contaminated surfaces and objects, and/or in the air. I understand and agree that (i) despite reasonable efforts Great Western Lacrosse cannot prevent me from becoming exposed to, contracting, or spreading COVID-19 while participating in an Great Western Lacrosse Program; and (ii) that due to the nature of the facilities, services, and programs offered by Great Western Lacrosse, social distancing may not be possible. Therefore, I understand that if I participate in a Great Western Lacrosse Program I may be exposing myself to, or increasing my risk of contracting or spreading, COVID-19.
• I further understand that if infected with COVID-19 I could be seriously injured, quarantined, disabled, or even die. Moreover, in accordance with guidance and protocols issued by the Centers for Disease Control and Prevention (CDC) and the State of California, regarding slowing the transmission and spread of COVID-19, I agree, represent, and warrant, that I shall not participate in a Great Western Lacrosse Program or visit any facility where a Great Western Lacrosse event is being held if I:
• (i) have experienced symptoms of COVID-19 (including without limitation, fever (100º or higher), cough, shortness of breath, excessive tiredness, diarrhea, nausea, loss of smell, or other flu and cold like symptoms) within the last 14 days; (ii) have been in close contact with anyone who has been a confirmed carrier of the COVID-19 virus; or (iii) have a suspected or diagnosed/confirmed case of COVID-19.
• I hereby forever release and waive my right to bring any suit, action, or proceeding against San Diego Unified, Great Western Lacrosse and its owners, officers, directors, managers, officials, trustees, agents, employees, or other representatives in connection with the exposure, infection, and/or spread of COVID-19.
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BY INDICATING YOUR ACCEPTANCE OF THIS AGREEEMENT AND WAIVER, YOU ARE AFFIRMING THAT YOU HAVE READ AND UNDERSTAND THIS AGREEMENT AND WAIVER AND FULLY UNDERSTAND ITS TERMS. YOU UNDERSTAND THAT YOU ARE GIVING UP SUBSTANTIAL RIGHTS, INCLUDING THE RIGHT TO SUE. YOU ACKNOWLEDGE THAT YOU ARE SIGNING THE AGREEMENT AND WAIVER FREELY AND VOLUNTARILY, AND INTEND BY YOUR ACCEPTANCE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
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Required
Parent Signature for all Above Waivers and Release of Liability forms *
Date Signed *
Parent Email *
Parents Phone Number *
Click submit below and stop. Do not pay for indoor at this time. You will be sent an email with a link to pay when we are fully approved to have the league. An email will be sent as updates occur. Keep your fingers crossed.
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