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RELEASE OF LIABILITY FOR MINOR PARTICIPANTS




READ BEFORE SIGNING

IN CONSIDERATION OF my child/athlete to participate in any way in LGC Athletics’ related events and activities, the undersigned acknowledges, appreciates, and agrees that:

The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) to my child/athlete from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,

  1. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child’s participation; and,
  2. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from participation and bring such attention to the nearest official immediately; and,
  3. I am aware that although LGC Athletics, its officers, directors, owners, and/or employees make reasonable efforts to make each athlete’s training a safe and productive experience, there are inherent risks that occur as a result of such participation and physical activity.
  4. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE AND HOLD HARMLESS; LGC Athletics, its directors, officers, officials, agents, employees, volunteers, 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, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
  5. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives, and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
  6. I, the parent/guardian, assert that I have explained to my child/athlete: the risks of the activity, his/her responsibilities for adhering to the rules and regulations and that my child/athlete understands this agreement.

I, FOR MYSELF, MY SPOUSE, AND CHILD/ATHLETE, HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

UNDERSTANDING OR RISK

I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulations, and accept them as a participant. 

Date signed: December 21, 2024 

First Child/Athlete's Name

First Name*

Last Name*
First Child/Athlete's Date of Birth*
First Child/Athlete's Information

Club/Organization *
First Child/Athlete's Signature*
Second Child/Athlete's Name

First Name*

Last Name*
Second Child/Athlete's Date of Birth*
Second Child/Athlete's Information

Club/Organization *
Second Child/Athlete's Signature*
Third Child/Athlete's Name

First Name*

Last Name*
Third Child/Athlete's Date of Birth*
Third Child/Athlete's Information

Club/Organization *
Third Child/Athlete's Signature*
Fourth Child/Athlete's Name

First Name*

Last Name*
Fourth Child/Athlete's Date of Birth*
Fourth Child/Athlete's Information

Club/Organization *
Fourth Child/Athlete's Signature*
Fifth Child/Athlete's Name

First Name*

Last Name*
Fifth Child/Athlete's Date of Birth*
Fifth Child/Athlete's Information

Club/Organization *
Fifth Child/Athlete's Signature*
Sixth Child/Athlete's Name

First Name*

Last Name*
Sixth Child/Athlete's Date of Birth*
Sixth Child/Athlete's Information

Club/Organization *
Sixth Child/Athlete's Signature*
Seventh Child/Athlete's Name

First Name*

Last Name*
Seventh Child/Athlete's Date of Birth*
Seventh Child/Athlete's Information

Club/Organization *
Seventh Child/Athlete's Signature*
Eighth Child/Athlete's Name

First Name*

Last Name*
Eighth Child/Athlete's Date of Birth*
Eighth Child/Athlete's Information

Club/Organization *
Eighth Child/Athlete's Signature*
Ninth Child/Athlete's Name

First Name*

Last Name*
Ninth Child/Athlete's Date of Birth*
Ninth Child/Athlete's Information

Club/Organization *
Ninth Child/Athlete's Signature*
Tenth Child/Athlete's Name

First Name*

Last Name*
Tenth Child/Athlete's Date of Birth*
Tenth Child/Athlete's Information

Club/Organization *
Tenth Child/Athlete's Signature*
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 Date of Birth*
Parent or Guardian's Information

Club/Organization *
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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