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COMPLETE LACROSSE LLC

WAIVER, RELEASE OF LIABILITY, AND PHOTO RELEASE

 

INSTRUCTIONS:

1)    Each player must read the statements below before completing and signing this waiver and releases.

2)    Parents/Guardians must read the statements below before signing this waiver and releases.

3)    References to “I” or “we” refer to both the minor participant and/or the adult/guardian affirmation for the minor, including all who sign below unless otherwise clearly indicated.

In consideration of being allowed to participate in the personal fitness, group training, and/or

lacrosse training activities and programs of Complete Lacrosse LLC

(including without limitation, Complete Lacrosse LLC, and each of its affiliates, parents, subsidiaries, related entities, successors or assigns, employees, volunteers, collectively referred to as the “Company”) and to use its owned or rented facilities, equipment and services, in addition to the payment of any fee or charge, I do hereby forever waive, release and discharge the Company and each of their officers, agents, members, managers, employees, representatives and all others acting on their behalf, from any and all claims or liabilities for injuries or damages to my person and/or property, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf, arising out of or connected with my participation in any activities, programs, education, or services of the Company or the use of any equipment or facilities provided by and/or recommended by the Company.

I have been informed of, understand, and am aware that strength/weightlifting activities, conditioning, mobility, intense aerobic exercise, lacrosse drills and games, group sports, exposure to indoor and outdoor environmental conditions such as heat, air quality, and other weather conditions, including the use of equipment, is a potentially hazardous activity. I also have been informed of, understand, and am aware that these activities involve a risk of injury, including a risk of death or serious disability, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or damages, known or unknown, which I might incur as a result of my participation and/or use of equipment, including but not limited to falls, contact with action of others, effects of weather, equipment, hydration, injuries. I further understand that all information and guidance provided is for educational purposes only and all choices are my own.

I declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation in these activities or use of equipment or machinery. I acknowledge that I have been informed of the need for a physician’s approval for my participation in the exercise activities, programs and use of exercise equipment. I acknowledge that it has been recommended that I have a yearly or more frequent physical examination and consultation with my physician as to physical activity, exercise and use of exercise equipment. I acknowledge that either I have a had a physical examination and have been given my physician’s permission to participate or I have voluntarily decided to participate in the exercise activities, programs and use of equipment without the approval of my physician and do hereby assume all responsibility for my participation in said activities, programs and use of equipment. I understand that the Company’s provision and/or maintenance of an exercise/fitness program for me does not constitute acknowledgement, representation or indication of my physiological or psychological well-being or a medical opinion relating thereto.

I agree to comply with all rules and procedures imposed by the Company regarding the use of the facilities and equipment. I agree to conduct myself in a controlled and reasonable manner at all times, and to refrain from using any equipment in a manner inconsistent with its intended design and purpose. I understand and agree that my inability or unwillingness to comply with any of the Company’s rules or procedures, engaging in conduct which is deemed unreasonable or offensive, and/or using equipment in a manner which is inconsistent with its intended design and purpose, can result in my being disallowed to participate in the personal fitness activities or to be present on the premises, in the sole discretion of the Company and the Company’s staff.

I hereby irrevocably consent to and authorize the reproduction, publication, and any other use by the Company, its representatives and employees, the right to take photographs/audio/video of me and my property for any lawful purpose, including illustration, promotion, advertising, social media, or web content without any royalty or compensation. I hereby irrevocably assign to the Company any and all rights of ownership to the photographs/audio/video, the transparencies or digital files thereof, and agree that the Company has full right of lawful disposition in any manner. I waive the right to notice, inspection, or approval of any use of the photographs/audio/video image and likeness.

I further expressly agree that the foregoing Waiver, Release Of Liability, and Photo Release is intended to be as broad and inclusive as permitted by the law of the jurisdiction of my participation and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

I have read the above release, waiver of liability and photo release and fully understand its contents. I voluntarily agree to the terms and conditions stated above. 


First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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