Lacrosse Registration Form, Fall 2007
Temecula Valley Lacrosse Association

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Waiver/Release/Assumption of Risk/ Agreement

In consideration of being allowed to participate in any way in Temecula Valley Lacrosse Association (hereinafter referred to as “TVLA”), and related events and activities, the undersigned: 1. Agrees that he or she, or the parent(s) or legal guardian(s) of the minor participant understand and/or will instruct the minor participant, that prior to participating he or she shall inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she shall immediately inform his or her coach or supervisor of such condition(s) and refuse to participate unless and until such condition(s) is cured or removed.
2. Acknowledges and fully understands that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and that severe social and economic loss may result not only from his or her own actions, inactions, or negligence but from the actions, inactions or negligence of others, as well as the rules of play, the condition of the premises or from any equipment used.  Further that there may be other risks not known to the adult and/or minor participant including risks that may not be reasonably foreseeable.
3. Assumes all of the foregoing risks and accepts personal responsibility for any injury, disability or death, and any damages, whether social or economic.
4. Represents that I, or my child, am qualified, in good health and in proper physical condition to participate in activity(ies) with TVLA and hereby authorize any representative of TVLA, or medical provider, to seek medical attention on my behalf, or on behalf of my child, to ensure my well being, or the well being of my child, without any legal liability whatsoever, inclusive of any responsibility for any negligent rescue operations.
5. Releases, waives, discharges and covenants not to sue TVLA, administrators, members, directors, agents, coaches, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors/lessees of the premises used to conduct the event or activity in which I, or the minor participant for whom I am responsible, participate (all of which are hereinafter referred to as “releasees”), from any and all liability to each of the undersigned, his or her heirs and the next of kin, for any and all claims, demands, losses or damages on account of any injury, including death or damage to property, caused or alleged to have been caused, in whole or in part, by the releasees or otherwise.
6. I hereby authorize TVLA to utilize in any promotional materials any photo taken of me, or my child, while participating in any activity with TVLA.

I/WE HAVE READ THE ABOVE AGREEMENT AND UNDERSTAND THAT I/WE GIVE UP CERTAIN RIGHTS BY VOLUNTARILY SIGNING IT AND I/WE NEVERTHELESS DO SO.