*** 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:

  1. The risk of injury from activities involved in this program is significant, including the potential for permanent injury and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist; and,
  2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and, assume full responsibility for my participation; and,
  3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS the Great Western Lacrosse Tournament, its officers, officials, agents, and/or employees, 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, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

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___________________________________________