Achievelax Participant Waiver

Achievelax Participant Waiver 2020

  • Participant Information

  • Safety Guidelines Acknowledgement, Consent to Play and Liability Release

  • I have read the ‘Achieve Lacrosse Safety Guidelines and Protocols’ and will adhere to the policies outlined. I hereby give permission for my daughter to return to Lacrosse participation. I indemnify and hold harmless, Achieve Lacrosse, any individual working as an officer, coach, athletic trainer or official or in any capacity for this organization, for any and all injuries, damages, causes of actions or claims for personal injuries or property damage, arising from my child's participation in this program, or any leagues, teams, or scrimmages associated with Achieve Lacrosse.
    Parent/Guardian First NameParent/Guardian Last NameDate 
  • I acknowledge that lacrosse is a high-speed sport which may involve some contact. I am aware of no medical conditions, illnesses or injuries that would prevent my child from participating in all aspects of this team membership, except as follows (Please state the medical condition and provide a letter from the child’s health care provider indicating the limitations or restrictions for the child’s participation):
  • I hereby give permission to provide emergency medical assistance to my child in case of accident or injury. I agree to indemnify and hold harmless Achieve Lacrosse, Mass Elite Lacrosse, any individual working as an officer, coach, employee, agent or volunteer or in any capacity for this organization, for any and all injuries, damages, causes of actions or claims for personal injuries or property damage, arising from my child's participation in this program, or any leagues, teams or tournaments associated with Achieve Lacrosse and or Mass Elite Lacrosse.
    Parent/Guardian First NameParent/Guardian Last NameDate 
  • Please enter a valid email address for confirmation of waiver submission.

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