Spring Club League Waiver and Release

MASS ELITE ~ ACHIEVE LACROSSE
2021

CONSENT TO PLAY, WAIVER AND LIABILITY RELEASE  

In consideration of being allowed to participate in an Achieve Lacrosse LLC program, the undersigned acknowledges, certifies and agrees that:

  1. 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 me/my child from participating in all aspects of this program.
  2. I have received, read and understand the Achieve Lacrosse LLC Health and Safety Guidelines and agree to comply with the same, as the same may be amended from time to time.
  3. My participation includes possible exposure to and illness from infectious diseases, including but not limited to MRSA, influenza, and COVID-19. I understand that any pre-existing health conditions may lead to greater risks due to exposure to COVID-19 or any other infectious diseases. I willingly agree to comply with all recommendations provided by federal, state and local government concerning infectious diseases, including but not limited to, COVID-19 and Achieve Lacrosse’s Health and Safety Guidelines, as the same may be amended from time to time.
  4. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, and assume full responsibility for my participation in an Achieve Lacrosse LLC program.

I agree to indemnify and hold harmless Mass Elite, Achieve Lacrosse LLC, Synapse Sports Inc, lessors of premises used to conduct any lacrosse event, and any individual working as an officer, coach, employee, agent or volunteer in any capacity for these organizations (individually and collectively the Releasees), for any and all injuries, illnesses, damages, disabilities, causes of actions or claims for personal injuries or property damage, arising from my child’s participation.

FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this CONSENT TO PLAY, waiver AND LIABILITY release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities to the fullest extent provided by law.

IMAGE RELEASE 

(Includes web site, social media, club videos, academic information and College recruiting profiles)
I give permission to Mass Elite, Achieve Lacrosse, and its agents to use photograph(s) taken of my daughter(s) for specific use on its web site and in promotional materials. I understand the photograph(s) will be used in all forms of media including, but not limited to, digital media, social media, portfolios, articles and promotional material for Mass Elite and Achieve Lacrosse.  I give permission for my daughter’s name to be used in conjunction with the photographs.  I hereby have the right at any time to withdraw the permission granted herein by providing written notice of said withdrawal to the Mass Elite and Achieve Lacrosse organization. In giving my consent, I hereby release and hold harmless Mass Elite, Achieve Lacrosse and its agents from any and all responsibility or liability.

Spring Club League Player Waiver

  • Participant Information

  • Please enter a valid email address for confirmation of waiver submission.

©2020 Achieve Lax

Director Login | Player Login

Hosted and Powered by LeagueApps