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Player Waiver DSG Tournaments

This is not the waiver for the Mountain State Toyota CYLA State Championship


* MINORS AGES 17 & YOUNGER **
DICK’S Sporting Goods Tournament of Champions
December 29-31, 2013


I, the undersigned, hereby agree that I understand and accept the risks, including the risk of catastrophic injury, paralysis, and even death, as well as other losses and damages, associated with the game of lacrosse and with my child's participation in a lacrosse tournament and related events to be held at Wesley Chapel District Park and Wesley Chapel High School in Wesley Chapel, FL on December 29-31, 2013 ("Event"). I certify that my child is in good mental and physical condition.  My child and I understand the inherent risks associated with lacrosse type activities and my child and I also understand the inherent risks of participating in this Event.

I agree, on behalf of myself, my heirs, and personal representatives, that Kroenke Sports & Entertainment, LLC, KSE Lacrosse, LLC (d/b/a NDP Lacrosse), LLC, Dick's Sporting Goods Park and Dick's Sporting Goods, Inc, Pasco County, FL and respective parents, subsidiaries, affiliates, owners, members, directors, officers, agents, employees, volunteers and training staff (collectively the "Covered Parties") shall not be held liable for any injury, damage to personal property, loss of life or other loss or damage as a result of my child's participation in the Event and any activities relating to the Event or conducted by the Covered Parties. It is my specific intention that none of the Covered Parties shall have any liability whatsoever as a result of or in connection with my child's participation in this Event. I hereby waive any claims that I might have against any Covered Parties and release all Covered Parties from any such liability. I agree to indemnify the Covered Parties against any such claims.

In addition, I hereby give my consent to Kroenke Sports & Entertainment and/or Pasco County, their owners and operators and all other Covered Parties to provide, through medical staff of its choice, customary medical/athletic training attention, transportation and emergency medical services as warranted in the course of my child's participation in the Event. Notwithstanding the foregoing, I understand and agree that none of the Covered Parties have any obligation to provide any such medical/athletic training attention and the lack of any such medical/athletic training attention or the provision thereof on a voluntary basis shall be covered by the waiver and release set forth in this paragraph. I further authorize all Covered Parties to obtain necessary medical treatment for my child if he or she is deemed medically unfit by a medical professional and hereby, on my own behalf and on behalf of my child, release and hold harmless the Covered Parties in the exercise of this authority. I further understand and agree that I will be responsible for any and all medical and related bills that may be incurred on behalf of my child for any illness or injury that he or she may sustain during the Event and while traveling to and from the site for the Event, whether or not the Event actually occurs. I represent that any medication to which my child is allergic or medications that he or she is currently taking are listed below. I agree that my child shall bring medications which he or she is currently taking with him or her to the Event and that he or she shall consume the prescribed dosage for such medications.

I further grant the Covered Parties and their respective successors and assign the perpetual worldwide and royalty-free rights to use, with the possibility of sale for the profit of the Covered Parties, my child's voice, photograph, and likeness, in any media related to my child's participation in this Event or any activities relating to the Event conducted by the Covered Parties including, without limitation, a videotape recording, without compensation to me, or my personal representatives, assigns, heirs, children, dependents, spouse and relatives. I also agree that contact information for both myself and my child may be provided to businesses that are contributing to the Event in a supporting role.
 
You may elect to not have your (or your child's ) contact information shared with sponsors of the event. By checking the box below, you are indicating that you do not wish to have your contact information shared with any event sponsors/contributors (other than NDP Lacrosse). Note: NDP Lacrosse will use email addresses provided to relay important announcements and information about the event.
 
I hereby acknowledge that I have carefully read this Liability Waiver and Release of Liability, that I fully understand its content, that I am over the age of 18 years, that I am the legal guardian of the participant, and that I am acknowledging this Liability Waiver and Release voluntarily and intend for it to be legally binding.

Please enter in information below. All fields marked with an asterisk are mandatory. Your waiver & release will not be accepted if any mandatory field is left blank.
 

* Indicates required field.

First Name *

  Last Name *


Date of Birth *
Month
Day
Year

Team Name *


Division *



Parent Information

First Name *

  Last Name *


Email Address *


Confirm Email Address *


Phone Number *


Phone Number 2 *


Address *


City *


Province / State *


Postal / Zip Code *




Emergency/Medical

Secondary Emergency Contact


Phone


Relationship


Current Medications *

(applicant/child)

Allergic to (if any) *


I acknowledge that the Minor suffers from the following conditions *

Contact Information Opt Out *

From time to time, tournament sponsors will send special offers and advertisements to our tournament participants. If you do not wish to receive emails from tournament sponsors, please indicate by checking the box provided. Please note that this excludes you from emails sent from tournament sponsors but does not exclude you from receiving emails from NDP Lacrosse regarding the various events.


Tournament
  

By entering in your name in the "Parent/Guardian" field, you are certifying that you are the legal parent/guardian of the named minor child

Please indiciate that you have read this waiver & release in its entirety and that you agree with the terms and conditions set forth by clicking the check box below and clicking on the "submit" button. Please click "submit" one once.

I Agree


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