Ark Valley Lacrosse

Waiver and Release of Liability

I, the parent(s) or legal guardian of the participant, hereby grant my permission to Arkansas Valley Lacrosse Club, Inc., a Colorado nonprofit corporation (“Ark Valley Lacrosse”), for the participant to participate fully in lacrosse practices, scrimmages, games, social events, travel to and from such events, and related activities (the “Program”). In consideration of participant being allowed to participate in the Ark Valley Lacrosse program and its related events and activities, I understand, acknowledge, and agree that:

1. Acknowledgement, Waiver, and Release. The risk of injury from the activities involved in the Program and the sport of lacrosse generally is significant and includes the risk of permanent disability or death. Ark Valley Lacrosse takes steps to mitigate such risks such as imposing rules and requiring protective equipment for full-contact activities, however, such measures do not eliminate the risks associated with the Program and the sport of lacrosse. Further, it is likely that the personal property participant uses to perform the sport will be damaged or broken in the ordinary course of participation or otherwise. Notwithstanding such risks, I desire participant to participate in the Program. Therefore, in consideration of participant’s participation in the Program, I, for myself and on behalf of my heirs, spouse (if applicable), assigns, personal representatives and next of kin, hereby WAIVE ALL CLAIMS AGAINS, release, indemnify, and hold harmless Arc Valley Lacrosse, and it's officers, officials, agents and/or volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (TOGETHER “RELEASEES”), with respect to any and all injury, disability, death, or loss or damage to person or property arising out of participant’s participation, whether arising from the negligence of the releases or otherwise, to the fullest extent by law.
2. Medical Services. If the participant is injured, medical treatment, including emergency medical treatment may be necessary. Therefore, I authorize Ark Valley Lacrosse and the Releasees to:
3. Perform emergency medical first aid, up to and including cardiopulmonary resuscitation (CPR). I understand and agree that the performance of first aid may exacerbate, complicate, or worsen a medical condition. Regardless of such possibility, I expressly understand and agree that the Waiver and Release contained in Section 1 applies to injury caused or worsened by the provision of medical first aid by Ark Valley Lacrosse.
4. Seek emergency medical services, including calling 911 and requesting emergency ambulance services;
5. Take participant to a hospital or other emergency medical facility and release participant into the care of the medical staff at such a facility.

I understand, acknowledge, and agree that the provision of emergency medical services may cause participant, and hence myself and participant’s other parent and/or legal guardian to incur significant expenses. I expressly agree to assume all such expenses and indemnify, hold harmless, and defend the Releasees from any and all costs, expenses, claims or other liabilities incurred in the provision of medical services to participant by the Releasees.

I further understand and agree that, if participant leaves a practice or game for any medical reason, Ark Valley Lacrosse, in its sole and exclusive discretion, may require documentation of medical clearance to participate in the Program before such participant will be allowed to return to the Program.

1. Coaches Discretion. I acknowledge, understand, and agree that, in order to conduct the Program as safely and efficiently as possible, certain Ark Valley Lacrosse may create rules for participants to follow. If any participant, in the sole and exclusive discretion of Ark Valley Lacrosse, fails to abide by such rules, Ark Valley Lacrosse may remove the participant from the Program, temporarily or permanently, and no fees paid for participation in the Program will be refunded.
2. Photo Release. I hereby consent, without further consideration or compensation, to Ark Valley Lacrosse’s use photos, audios or videos made of participant in participant’s participation in the Program, for the purposes of events documentation, promotional materials or web content. Further, I release the Releasees from any liability, which may legally be disclaimed arising from the use of those photos.
3. Governing Law; Forum. In the event any dispute arises from participant’s participation in the Program, such dispute will be governed by the laws of the State of Colorado, and the exclusive forum for any litigation arising out of such dispute shall be the state courts of Colorado located in Chaffee County, Colorado.

I have read this release of Waiver and Release of Liability Agreement. I have read and fully understand its terms, and I have had a reasonable opportunity to consult with an attorney regarding it. I understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

[USE FOR PAPER VERSION - DELETE IF USING ONLINE “CLICK THROUGH”] IN WITNESS WHEREOF, I, for myself and on behalf of my heirs, spouse (if applicable), assigns, personal representatives and next of kin, agree to the terms and conditions of this Waiver and Release of Liability 

[USE FOR ONLINE VERSION – DELETE IF SIGNING ON PAPER] By submitting my acceptance to this Waiver and Release of Liability Agreement, I, for myself and on behalf of my heirs spouse (if applicable), assigns, personal representatives, and next of kin, agree to the terms and conditions of this Waiver and Release of Liability Agreement.

Agreement by affixing my signature below: