Top of the Bay Tournament Check
This form must be completed 24 hours before any participation in any Top of the Bay event you attend. Required for participation in 2020
Email *
First and Last Name *
Team Name and Grad date (IF not player put parent, staff, official...) *
USLacrosse Number (if not a player or official put 0000000) *
Current Temperature (degrees F) *
Date of Activity you are participating in: *
Tournament Location:
I certify that I am free of the following symptoms and have had no close contact with anyone with COVID-19. * *
Participant Acknowledgement: There will be enhanced risks of all participants to all parents, parents and guardians for participants being in direct contact with anyone for 14 days after participating in a sport event or practice. * *
Waiver/Release for Communicable Diseases Including COVID-19In consideration of being allowed to participate in a Top of the Bay Sports Inc. event, the undersigned acknowledges, appreciates, certifies and agrees that: 1. My participation includes possible exposure to and illness from infectious diseases, including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness, injury, and death does exist. 2. If I have a pre-existing health condition, exposure to COVID-19, or any other infectious disease may be more likely to cause serious illness, injury, or death; 3. Top of the Bay Sports Inc. cannot ensure that all other participants, including coaches and volunteers, are taking precautionary measures to mitigate risks to ensure the health and safety of other participants, coaches, and volunteers, and therefore, participation in a Top of the Bay Sports Inc. Event involves risk of exposure to infectious disease; and, 4. 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, 5. I certify that I have not recently tested positive for, and am not exhibiting symptoms of COVID-19, which include a cough, shortness of breath or difficulty breathing, loss of taste or smell, headache, chills, muscle or body aches and/or sore throat.6. I certify that I do not have a household family member/roommate who has recently tested positive for or exhibited the above-referenced symptoms of COVID-19. 7. I willingly agree to comply with all recommendations provided by Top of the Bay Sports Inc. to ensure safe play. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest coach, staff member or volunteer, or official immediately; and, 8. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Top of the Bay Sports Inc., and their officers, officials, agents, and/or employees, other participants, volunteers, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 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 ANY INDUCEMENT. This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law. Please acknowledge these statements, acknowledgement is your legal signature. *
RELEASE FORM: In consideration of my, or my child's or ward's participation in The Top of the bay, Inc., tournament(s), I agree to assume the risks incidental to such participation and use (which risks may include, among other things, muscle injuries and broken bones) and, on my own or my child's or ward's behalf, and on behalf of my or my childs or wards heirs, executors and administrators, I hereby release and forever discharge the Released Parties defined below, of and from all liabilities, claims, actions, damages, costs or expenses of any nature arising out of or in any way connected with my or my childs or my wards participation in such activity, and further agree to indemnify and hold each of the Released Parties harmless against any an all such liabilities, claims, actions, damages, costs or expenses including, but not limited to, all attorneys fees and disbursements. For any and all Top of the Bay, Inc. events, the Released Parties are Cedar Lane Sports Foundation, Harford County Parks and Recreation, Maryland Polo Club, Ladiew Topiary Gardens, Harford County Government and Top of the Bay, Inc., together with its officers, directors, employees and volunteers. I understand that this Release and Indemnity Agreement includes claims based on the negligence, action or inaction of any of the above Release Parties and covers bodily injury (including death) and property damage, whether suffered by me or my child or ward, before, during or after such participation. I declare that I, or my child or ward are physically fit and have the skill required to participate in this particular Event. I further authorize medical treatment for myself, or my child or ward, at my cost, if the need arises. I also understand that my child or ward or I may be required to leave the Field of Play or Facility, should my child or ward or I exhibit undesirable conduct. I further grant the Release Parties, the right to photograph and/or videotape me or my child or ward and further to display, use and/or otherwise exploit my or said childs or wards name, face, likeness, voice, and appearance forever and through the world, in all media, where now known or hereafter devised, throughout the universe in perpetuity (including, without limitation, in online webcasts, television, motion pictures, films, newspapers and magazines) and in all forms including, without limitation, digitized images, where for advertising, publicity or promotional purposes, including, without limitation, publication of Event results and standings, or for any other purposes whatsoever, without compensation, reservation or limitation. The Released Parties, are, however, under no obligation to exercise said rights herein granted. This Agreement shall be governed by the laws of the State of Maryland. A current US Lacrosse number is mandatory to participate in this event. Please acknowledge these statements, acknowledgement is your legal signature. *
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