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ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT

In consideration for permitting Participant to participate in the TVYLL 2025 Oregon Cup Lacrosse Tournaments as directed by the relevant staff, the undersigned, for themselves, and for their respective heirs, personal representatives and assigns, agree as follows:

Assumption of Risk: The undersigned hereby acknowledge and agree that they understand the nature of the Event; that Participant is qualified, in good health, and in proper physical condition to participate therein; that there are certain inherent risks and dangers associated with the Event; and that, except as expressly set forth herein, they, knowingly and voluntarily accept and assume responsibility for, each of these risks and dangers, and all other risks and dangers that could arise out of, or occur during, Participant’s participation in the Event.

Release and Waiver: The undersigned hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Tualatin Valley Youth Lacrosse and its associated organizations, agencies, institutions, or any subdivision thereof, and each of them, their employees, officers, agents, volunteers, other participants, sponsors, advertisers, or owners/lessees of premises, (collectively, the “Releasees”), from and for any liability resulting from any personal injury, accident or illness (including death), and/or property loss, however caused, arising from, or in any way related to, Participant’s participation in the Event, except for those caused by the willful misconduct, gross negligence or intentional torts of the above parties, as applicable. 

Indemnification and Hold Harmless: The undersigned also hereby agree to INDEMNIFY, DEFEND, AND HOLD the Releasees HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities including, but not limited to, attorney’s fees, arising from, or in any way related to, Participant’s participation in the Event, except for those arising out of the willful misconduct, gross negligence or intentional torts of the above parties, as applicable.

Severability: The undersigned expressly agree that the foregoing assumption of risk, release and waiver of liability and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State of Oregon and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Consent to Treat: The undersigned authorizes the Event staff to seek medical treatment for the Participant as they see necessary at a medical facility, and does consent to any x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital care subsequently deemed necessary by a licensed health care provider during the Event. The undersigned understands that this authorization is given in advance of any specific diagnosis, treatment or hospital care, and that it is given to provide the Event staff authority to seek medical treatment, and to provide a licensed health care provider the authority to administer this treatment as he/she judges necessary to the Participant. The undersigned accepts responsibility for payment of all services rendered. The undersigned authorizes any medical facility which renders services to release medical information necessary for the processing of insurance claims.

Acknowledgment of Understanding: The undersigned have read this assumption of risk, release and waiver of liability and indemnity agreement, the undersigned fully understand this assumption of risk, release and waiver of liability and indemnity agreement, that the undersigned are giving up substantial rights in connection therewith, and that its terms are contractual, and not a mere recital. The undersigned acknowledge that they are signing this agreement freely and voluntarily.

Please read the above, and fill out the form below. By doing so, you indicate that you understand and agree with the waiver and release as written above.  

All players over age 18 (or their parent if under 18) on the roster for the tournament/clinic/league must fill out this page. 


Today's Date: July 2, 2025


Tvlax.org
Tualatin Valley Youth Lacrosse is a non-profit 501(c)(3) social services organization dedicated to children and families.

First Player's Name
First Name*
Last Name*
First Player's Age Acknowledgment*
First Player's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Player's Information
Coach's Name
Team Name
Grade*
First Player's Signature*
Second Player's Name
First Name*
Last Name*
Player's Date of Birth*
Date of Birth
Second Player's Information
Coach's Name
Team Name
Grade*
Third Player's Name
First Name*
Last Name*
Player's Date of Birth*
Date of Birth
Third Player's Information
Coach's Name
Team Name
Grade*
Fourth Player's Name
First Name*
Last Name*
Player's Date of Birth*
Date of Birth
Fourth Player's Information
Coach's Name
Team Name
Grade*
Fifth Player's Name
First Name*
Last Name*
Player's Date of Birth*
Date of Birth
Fifth Player's Information
Coach's Name
Team Name
Grade*
Sixth Player's Name
First Name*
Last Name*
Player's Date of Birth*
Date of Birth
Sixth Player's Information
Coach's Name
Team Name
Grade*
Seventh Player's Name
First Name*
Last Name*
Player's Date of Birth*
Date of Birth
Seventh Player's Information
Coach's Name
Team Name
Grade*
Eighth Player's Name
First Name*
Last Name*
Player's Date of Birth*
Date of Birth
Eighth Player's Information
Coach's Name
Team Name
Grade*
Ninth Player's Name
First Name*
Last Name*
Player's Date of Birth*
Date of Birth
Ninth Player's Information
Coach's Name
Team Name
Grade*
Tenth Player's Name
First Name*
Last Name*
Player's Date of Birth*
Date of Birth
Tenth Player's Information
Coach's Name
Team Name
Grade*
Parent or Guardian's Email Address
Email*
Confirm Email*
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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*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Coach's Name
Team Name
Grade*
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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