Spider Tournament Team Player Application
Please fill out the form below if you wish to be a member of one of our 2020 Fall/Winter Spiders Teams.
All players must be members of US Lacrosse to be eligible for the Spiders.
Players Name *
Team he plays for in School *
Please list the school/team he plays for in the Spring. Do not list Clubs or other travel teams.
Parents Names *
Please list one or both parents names please
Address *
City *
State *
Zip Code *
Phone Number *
Please use the following format xxx-xxx-xxxx
What size uniform does your child need? *
Parent Email *
Player Email *
Put N/A if player does not have a separate Email
Date of Birth *
Please use the xx/xx/xxxx format
Players Position *
I am a Face-Off Specialist *
Required
What is your grade
Clear selection
US Lacrosse Membership Number *
All players MUST be members of US Lacrosse
US Lacrosse Membership Expiration Date *
All players MUST be members of US Lacrosse
San Diego Spiders Tournament Team Waiver and Release Form
I understand that:

1) My child is in good physical condition and has had a physical examination within one year;
2) I am hereby waiving and releasing Great Western Lacrosse, its Director and its coaches, from any and all liability for injuries incurred by my child while attending and participating in practices or the Tournaments even if arising from negligence;
3) I will provide my own transportation to and from the tournament / practices;
4) The coaches are not responsible for my child while attending the tournaments. Whoever I select to transport them to and from the tournaments is responsible for them during transportation and while at the tournament;
5) I am aware that all fees are non-refundable unless the team is canceled due to Covid-19.

In the event that I am unable to give parental consent, I hereby authorize the Physician/Hospital Staff at the nearest Hospital to provide care to include diagnostic procedures and medical treatment as necessary to my child, who is a minor.
Parents Electronic Signature *
Date *
Great Western Lacrosse Waiver and Release of Liability for Spiders
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.

US Lacrosse Participant Waiver and Release of Liability
For participation on the Great Western Spiders Tournament Team

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 and signing 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 Lacrosse Program,
I acknowledge, agree to and understand that:
1.) Readiness To Compete: Voluntary and of my own free will, I elect to participate as a member of the Great Western Spiders Tournament Team. 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.) Readiness To Compete: I hereby give my consent to US Lacrosse and to Great Western Lacrosse and the host 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 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 Waiver and Release of Liability
• 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.
• *
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.
YES...I have read the above Waivers and agree to their terms *
All above Waivers & Releases
Required
Parent's/Guardian's Signature *
for all Waivers & Releases
Date Signed *
for all Waivers & Releases
Parent Email Address *
Parent Cell Number *
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