Brockport season never ends lacrosse tournament
TEAM REGISTRATION
Assumption of Risk, Medical Release & Waiver of Liability
All players (parents) are required to complete prior to participating in tournament.
The undersigned (on attached waiver registration) have parent/legal-guardian permission to participate in the Brockport Season Never Ends Lacrosse Tournament on Saturday August 3 and/or Sunday August 4. By signing below, the undersigned understand that lacrosse is a contact sport that is inherently dangerous and involves risks of injury or even death. Furthermore, the undersigned acknowledge that there are ever-present risks in life generally and that during their child’s involvement in the Season Never Ends Lacrosse Tournament, there will be such risk. The undersigned knowingly and voluntarily assure these risks, and hereby release and hold harmless Season Never Ends Lacrosse Tournament, Brockport Lacrosse Boosters, its board members, Town of Hamlin, and all coaches and agents, representatives, and assignees, from all liability, claims, rights or causes of action which may accrue as a result of personal injury or property loss or damage sustained by Player arising out of, or as a consequence of, Player’s participation in the Season Never Ends Lacrosse Tournament.
The undersigned hereby authorize Brockport Season Never Ends Lacrosse personnel and coaches to authorize the performance of emergency treatment for children who incur injury or become ill, whose parents or guardians cannot be reached through reasonable efforts under the circumstances. Coaches and representatives will contact parents/legal-guardian by the phone number provided on attached waiver registration.
As a parent/legal-guardian, the undersigned authorize the treatment of their child by a qualified and licensed medical professional, in the event of injury or sickness for which medical and/or surgical treatment is deemed appropriate by a qualified and licensed medical professional. This release is effective during any period of time in which my child is participating in the Brockport Season Never Ends Lacrosse Tournament. The undersigned also hereby acknowledge their full and sole responsibility for payment of fees or costs for any treatment that my child receives pursuant to this Consent.
Team Name Level
Coach Name(must be 21 or older)
Coach Phone Coach E-Mail
Coach Address
Registration Instructions
Please mail registration, waiver form and $150.00 deposit c/o:
Michael Thayer
P.O. Box 126
Brockport, NY 14420
Make Checks Payable to SNE Lacrosse
Remaining balance must be paid prior to the beginning of first game. Schedule of games and registration confirmation will be delivered via E-Mail. Please assure E-Mail listed above is correct! Thanks for joining us!
Team Name Level Coach
Print additional copies of registration if needed.