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Waiver: I/We, the parent(s)/guardian(s) of the above named registrant, or the above registrant, hereby give my/our approval of his participation in any or all activities involving The Falls Lacrosse during the current season. I/We understand that Lacrosse can be a physical game with contact and injury may occur. I/We assume all risks and hazards with respect to my/his participation in these activities from personal and/or any other injury, as well as all risks and hazards incidental to the conduct of the activities and transportation to and from the activities. I/We further hereby release, absolve, indemnify and hold harmless all organizers, coaches, supervisors, and supplier of the field appointed by the organizer mentioned above. I/We likewise release from responsibility any person transporting our child to and from the activities. I/We likewise waive, to the extent not covered by liability insurance, any claim against any person transporting the registrant to or from the activities. I/We know, understand and realize that there are risks involved in playing lacrosse which include physical contact, running, throwing and catching a ball with a lacrosse stick, and use of a lacrosse stick to contact and restrain players. I/We know and understand that a lacrosse organization is available to explain these risks if I/We should so wish to be made more fully aware of any information. I herby release The Falls Lacrosse, its organizers, and the field owner of any injury that may occur due to my/his/their negligence.
This registration and waiver must be signed by a fully authorized and responsible parent or guardian.
Date: ____________________, 20______
Signature of Guardian (if under 18): ________________________________
Signature of Player: _______________________________ (Must be 17+)
Please Print: _____________________________
Mailing / Contact Information:
Joshua White 209 Harrison Ave Buffalo Ny 14223
jwhite@fallslax.com
*NO REFUNDS AFTER THE LEAUGE HAS BEGUN. NO EXCEPTIONS!* |