I, (parent/guardian) hereby request you (Trilogy Lacrosse, LLC, TRILOGY) accept this agreement (Agreement) for my child's enrollment in the TRILOGY event(s) listed on this form (Events). In consideration of TRILOGY acceptance of this Agreement, I hereby agree to release, hold harmless, and indemnify Trilogy Lacrosse, LLC, and all of their respective owners, agents, employees, sponsors, representatives and assigns, from and for any and all claims resulting from any injuries or death sustained by my child while participating in the Events, or in traveling to or from the Events. I acknowledge that lacrosse is a contact sport, and understand that, although rare, there is a risk of serious injury or death associated in playing the sport. I hereby give permission to the coaches, training staff, and other medical professionals to provide medical care as deemed necessary to my child in case of any injury or illness. Photos and video taken of my child while participating at the Events may be used in and for any TRILOGY publications and advertisements. I warrant and represent that I have the authority to sign this Agreement on behalf of my minor child. Signing this Agreement, and registration of my child in the Events, shall act as my consent for any such advertising usage. I acknowledge and agree that I am responsible for outfitting my child with the appropriate equipment (stick, gloves, elbow pads, shoulder pads, mouth guard and helmet for boys; stick, goggles and mouth guard for girls) for the Events, and I agree that my child will wear their helmet and appropriate equipment whenever on the Field during the Events. If you are a non-U.S. resident, you will need to provide a record of vaccination/immunizations.
I am a U.S. resident, and therefore do not need to provide a record of vaccination/immunizations.
I understand that if my child takes any prescribed medication that will either need to be 1) administered by authorized camp health personnel or 2) self-administered by participant, I will need to fill out this information in this waiver. I will bring medication in original packaging to check-in and turn over to designated camp health personnel to administer as I specify in this waiver. Please note that self-administration is not permitted in the state of Massachusetts.