Skyline Lacrosse Events Assumption of Risk, Waiver Release of Liability and Covenant Not to Sue

Child's Name *
Child's Name
Date of Birth *
Date of Birth
Parent's Name *
Parent's Name
Person who is filling out this form *
Person who is filling out this form
Today's Date *
Today's Date
Waiver 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 ("RELEASEES"), 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. I have read, understand and agree to the terms of the Skyline Lacrosse waiver.
Photo Release *
I agree to give Lakeshore Lacrosse and any Lakeshore Lacrosse business entities (DBAs) express written consent to use my or my child's likeness in any or all marketing including but not limited to Facebook, Instagram, SnapChat and our website. Lakeshore Lacrosse will not distribute or post this likeness to outside entities, companies or business outside of the ones detailed above.