*** Filled out by each Tournament Coach, Player & Parent ***
Great Western Lacrosse Tournament
AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY FORM
READ CAREFULLY BEFORE SIGNING
In consideration of being allowed to participate in
any way in the Great Western Lacrosse Tournament athletic sports program,
related events and activities, the undersigned acknowledges, appreciates, and
agrees that:
I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without inducement.
PARENTS SIGN FOR PARTICIPANTS OF MINORITY AGE
{ UNDER THE AGE OF 18 AT THE TIME OF REGISTRATION }
This is to certify that I, as parent / guardian with legal responsibility for
this participant, do consent and agree to his release as provided above of all
the Releasees, and, for myself, my heirs, assigns, and next of kin, I release
and agree to indemnify and hold harmless the Releasees from any and all
liabilities incident to my minor child’s involvement or participation in these
programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.
X____________________________________________ Date Signed_____________
( Parent’s / Guardian’s Signature )
( leave nothing blank or this form will be returned for completion)
EMERGENCY PHONE NUMBER________________________________________
HOME PHONE________________________________ CELL PHONE_________________________________
WORK PHONE___________________________________________