2018 Farmer Fall Harvest
Lacrosse Tournament Individual Registration Form
Email address *
Player first name *
Your answer
Player Last Name *
Your answer
Team *
Player E-Mail
Your answer
Player Cell Phone
xxx-xxx-xxxx
Your answer
Player Date of Birth *
MM
/
DD
/
YYYY
Parent / Guardian First Name *
Your answer
Parent / Guardian Last Name *
Your answer
Parent / Guardian Email Address *
Your answer
Parent / Guardian Cell Phone Number *
xxx-xxx-xxxx
Your answer
2018 Fall Harvest Waiver and Release of All Claims *
I do hereby assume full responsibility for any and all damages, injuries (including death), or losses that I may sustain or incur, if any, while attending, engaging, practicing, participating or witnessing activity and/or certain event(s) occurring in or about the premises or at any offsite location. I hereby assume full risk, waive all claims and release and hold 2018 Farmer Fall Harvest / Wheat Ridge High School Lacrosse / Farmer Lax / APEX Parks & Rec, individually or otherwise, harmless for any and all liability, claims, suits, damages, expenses, fees, actions, or rights of action or judgments as a result of injury or death to myself or members of my family or heirs, or my guests, or damage, destruction or loss to my property, which in any way relates to, arises out of, or is in any way connected with my presence on the premises, or my participation in events of activities thereon, or the negligent acts or omissions of the releases or any other third party. I agree to wear all protective equipment required while participating in the activity, and I am fully aware and understand that 2018 Farmer Fall Harvest / Wheat Ridge High School Lacrosse / Farmers Lax / APEX Parks & Rec does not have on or about the premises, or employ or contract with any medical services, provisions for ordinary or emergency medical services. In consideration of my participation in and the use of the 2018 Farmer Fall Harvest / Wheat Ridge High School Lacrosse / Farmers Lax / APEX Parks & Rec premises or facilities, I hereby release and covenant not to sue the owner of the premises (releases), shareholders, directors, officers, employees, representatives, agents, affiliates and lessees from any and all claims resulting from any physical injury that may occur to me while participating in any program or event sponsored by 2017 Farmer Fall Harvest / Wheat Ridge High School Lacrosse / Farmers Lax / APEX Parks & Rec. I HAVE READ AND FULLY UNDERSTAND THE ABOVE RELEASE/WAIVER AND FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS WAIVER VOLUNTARILY. Parents or guardians must sign if applicant is UNDER 18.
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