Maine LaxFest Waiver
All LaxFest participants must have a parent/guardian fill out the below player waiver in order to participate.
Player Name *
Your answer
Email *
Your answer
Address *
Your answer
Phone number *
Your answer
School Name *
Your answer
Year of Graduation *
US Lacrosse Number *
Your answer
Team Name *
Your answer
Uniform # *
Required
Emergency Contact Name *
Your answer
Emergency Phone Number *
Your answer
Health Insurance Company *
Your answer
Health Insurance Phone Number *
Your answer
Consent: Please read this form carefully and be aware that by registering for and having your child participate in the Maine LaxFest Tournament, you will be waiving all claims for injuries your child might sustain arising out of her participation. I, the undersigned parent, certify that my child, named adjacent to my signature, has permission to participate in the games and related activities of the Maine LaxFest Tournament. I recognize and acknowledge that there are certain risks of physical injury to participation in lacrosse programs and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward may sustain as a result of said participation. I further agree to waive and relinquish all claims against Maineiax Lacrosse Club, LLC, its affiliates and Wainwright Sports Complex, its officials, agents, volunteers, and employees that I or my minor child/ward may have (or may accrue to me or my minor child/ward) as a result of her participation. I do herby fully release and forever discharge Maineiax Lacrosse Club, LLC, its facilities and Wainwright Sports Complex from any and all claims for injuries, damages or loss that my child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associate my child’s lacrosse participation. I have read and fully understand the above waiver and release of all claims. *
Parent Guardian Name *
Your answer
Parent Guardian Electronic Signature *
Your answer
Date *
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