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BOYS LACROSSE TOURNAMENT

November 7, 2020

 

COVID-19 PARTICIPATION WAIVER, RELEASE, INDEMNIFICATION OF ALL CLAIMS & COVENANT NOT TO SUE

 

NOTICE: THIS IS A LEGALLY BINDING AGREEMENT. Read this document carefully and in entirety. By signing the agreement, you give up your right and the named participant's right to bring a court action to recover compensation or obtain any other remedy for any personal injury or property damage however caused arising out of the named participant's participation in any Capital Lacrosse, LLC program, now or any time in the future.

 

Acknowledgment of Risk

 

I, in my legal capacity as the parent/guardian of the participant named, do hereby acknowledge and agree that participation in Capital Lacrosse, LLC activities comes with inherent risks. I have full knowledge and understanding of the inherent risks associated with Capital Lacrosse, LLC participation, including but in no way limited to (1) athletic injuries and (2) illness, including exposure to and infection with viruses or bacteria. I further acknowledge that the preceding list is not inclusive of all possible risks associated with Capital Lacrosse, LLC participation and that said list in no way limits the operation of this Agreement.

 

Coronavirus / COVID-19 Warning & Disclaimer

 

Coronavirus, COVID-19 is a contagious virus that spreads through person-to-person contact. Federal and state authorities recommend social distancing as a means to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in Capital Lacrosse, LLC programs could increase the risk of contracting COVID-19. Capital Lacrosse, LLC in no way warrants that COVID-19 infection will not occur through participation in Capital Lacrosse, LLC programs. 

 

Waiver, Release, Indemnification & Covenant Not to Sue

 

In consideration of the named participant's participation in Capital Lacrosse, LLC activities, the undersigned parent/guardian of the participant named, agree to release and on behalf of myself and the participant named, my heirs, representatives, executors, administrators, and assigns, HEREBY DO RELEASE Capital Lacrosse, LLC, its director, employees, volunteers, agents, representatives and insurers ("Releasees") from any causes of action, claims, or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which I, the named participant, my heirs, representatives, executors, administrators and assigns may have, now or in the future, against Capital Lacrosse, LLC on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to participation in Capital Lacrosse, LLC programs whether that participation is supervised, however the injury or damage occurs, including, but not limited to the negligence of Releasees.

 

In consideration of the named participant's participation in Capital Lacrosse, LLC activities, I, the undersigned parent/guardian of the named participant, agree to INDEMNIFY AND HOLD HARMLESS Releasees from any all causes of action, claims, demands, losses, or costs of any nature whatsoever arising out of or in any way related to the named participant's Capital Lacrosse, LLC participation.

 

I hereby certify on behalf of myself and the named participant that I have full knowledge of the nature and extent of the risks inherent in Capital Lacrosse, LLC participation and that I am voluntarily assuming said risks. I understand that I and the named participant will be solely responsible for any loss or damage, including personal injury, property damage, or death, the named participant sustains while participating in Capital Lacrosse, LLC activities and that by signing this agreement I, on behalf of myself and the named participant, HEREBY RELEASE Releasees from all liability for such loss, damage, or death. I further certify that the named participant is in good health and has no conditions or impairments which would preclude his/her safe participation in Capital Lacrosse programs. 

 

I further certify that I am of lawful age (18 years or older) and otherwise legally competent to sign this agreement, and that I have legal capacity to act as the parent/guardian of the named participant. I further understand that the terms of this agreement are legally binding and certify that I am signing this agreement, after having carefully read it, of my own free will.


IN WITNESS WHEREOF, this instrument is duly executed this day.

Date: October 20, 2020

Please select who will be participating...
AdultMinor
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First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Information

Grade: *

Team Name: *

Coach's Name: *
First Participant's Signature*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy Number*
Travel & Hotel Information
Does your participation in the Colonial Challenge necessitate an overnight stay in the Williamsburg area?*
No
Yes
How many nights will you be staying in the Williamsburg area?*
0
1
2
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.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Grade: *

Team Name: *

Coach's Name: *
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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