2019 Hawaii Youth Lacrosse Classic - Medical Waiver
2019 Hawaii Youth Lacrosse Classic - July 1st-2nd, 2019

Thank you for planning to attend our 2019 Hawaii Youth Lacrosse Classic Tournament. All players must sign the medical waiver to participate in the tournament - No exceptions. Once you fill out this form, you are set to participate in the tournament. All tournament teams are "team paid" so please follow up with your team organizer for more tournament info. We will release the schedule to the team organizers and online at least 10 days prior to the event. See you in a few weeks!

Best,
Hawaii Youth Lacrosse Classic
http://www.encorelacrosse.com/hawaii-classic/

Player's Jersey # *
Your answer
Player's First Name *
Your answer
Player's Last Name *
Your answer
Player's Position *
Required
Player's Grade *
Current (Fall 2018)
Player's School *
Please list player's fall 2018 school.
Your answer
Player's Phone Number *
Your answer
Player's Email Address *
Your answer
Player's Birthdate? *
MM
/
DD
/
YYYY
Family Address *
Your answer
Main Parent's Email Address *
Your answer
Player's Tournament Team *
Which club is your son playing on in THIS tournament
Emergency Contact Info *
Emergency contact's full name
Your answer
Emergency Contact's Relationship to Player *
Emergency Phone # *
Phone # for contact or injury follow up
Your answer
Medical Provider *
Your answer
Medical Provider Number *
Your answer
Medical Waiver/ Release of Liability *
In consideration of being allowed to participate in the event or activity referenced above, I acknowledge, appreciate, and agree that: 1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this 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 Releasees, 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 WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE 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. Sign below to agree (Print name below)
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