AMATEUR ATHLETIC MINOR WAIVER AND RELEASE OF LIABILITY FORM

Please mail or bring one per player on or before the day of the Veteran’s Day Lacrosse Classic

PARENTS – Please read the following, sign the form and provide the requested information.

In consideration of being allowed to participate in any way in the TLA Veteran’s Day Lacrosse Classic and related events and activities, the undersigned:

1. Agree that the parent(s) and/or legal guardian(s) will instruct the minor participant that

prior to participating, he or she should inspect the facilities and equipment to be used,

and if the participant believes anything is unsafe, he or she should immediately advise

his or her coach or supervisor of such condition(s) and refuse to participate.

2. Acknowledge and fully understand that each Participant will be engaging in activities

that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, play or the condition of the premises or of any equipment used.

3. Assume all the foregoing risk and accept personal responsibility for the damages

following such injury, permanent disability or death.

4. Release, waive, discharge and covenant not to sue TROJAN LACROSSE ASSOCIATION, WEST SENECA EAST LACROSSE OR WEST SENECA CENTRAL SCHOOL DISTRICT, its affiliated clubs, their respective administrators, directors, agents,

coaches and other employees of the organization, other participants, sponsoring

agencies, sponsors, advertisers, and, if applicable, owners and leasers of premises used

to conduct the event, all of which are hereinafter referred to as “releases”, from any and

all liability to each of the undersigned, his or her heirs and next of kin for any and all

claims, demands, losses or damages on account of injury, including death or damage to

property, caused or alleged to be caused in whole or in part by the negligence of the

releases or otherwise.

I/WE have read the above waiver and release, and I/WE understand that I/WE have given up substantial rights by signing it and I/WE hereby sign it voluntarily.

Parent or Guardian (Signature/Relationship) _______________________Date_______

Printed Name of Parent(s) or Guardian(s): _______________________Date_______

Printed Name of Participant: _______________________Date_______

Full Address of Participant: _______________________

_______________________

_______________________

Institution/Organization: Trojan Lacrosse Association INC.