GREAT WESTERN LACROSSE CAMPS - 2018 PLAYER APPLICATION

I understand that:
1) My child is in good physical condition and has had a physical examination by a certified physician within six months prior to camp;
2) I am hereby waiving and releasing the Great Western Lacrosse Camp, its Director and its Staff from any and all liability for injuries incurred by my child while attending and participating in Camp even if arising from negligence;
3) I will pay all costs incurred by the Camp as a result of any failure by my child to respect and maintain University/Camp facilities and/or observe Camp rules and regulations causing property damage;
4) The Camp and its director/staff are not responsible for my child prior to check-in at the University and after Check-out from the University;
5) If my child is found in possession of any drugs, alcohol, cigarettes, fireworks or weapons on Camp/University premises or commits an act of violence or bullying while attending Camp, I am aware that my child will be sent home immediately without any refund of fees.
6) I am aware that the Camp and its Director is not responsible for my child while being transported to and from the Airport, should I be using the transportation services of the Camp.
7) I am aware that we have a zero tolerance for all bullying while at camp and I have discussed bullying with my child.

I am aware that I MUST remit all remaining fees by July 1st and that failure to do so will result in a late fee of $25.00 being charged.
By signing below, I am entering into a legal contract willfully and faithfully. I am aware that my deposit of $400.00 or that portion of
my full payment is completely NON-REFUNDABLE for any reason after June 15th, not even for an injury or death in the family.

In the event that my child is injured and I am unable to give parental consent, I hereby authorize the Physician/Hospital Staff at any Hospital to provide care to include diagnostic procedures and medical treatment as necessary to my child, who is a minor.
 

Amateur Athletic Waiver and Release of Liability Form Read Carefully before signing In consideration of being allowed to participate in any way in a Great Western Lacrosse athletic sports programs, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from activities involved in this program is significant, including the potential for permanent injury and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and, assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS the Great Western Lacrosse Company, its Director, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event {“RELEASEES”}, WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM NEGLIGENCE OF THE RELEASEES OR OTHERWISE. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without inducement. This is to certify that I, as parent / guardian with legal responsibility for this participant, do consent and agree to his release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, even if arising from negligence.
 

for participation in a Great Western Lacrosse Camp Program Instructions:
1.) Each Player should read the statement below before completing and signing this Waiver & Release Form.
2.) Parents / Guardians should read the statement below before completing and signing this Waiver & Release Form.

Agreement: In consideration of my membership in US Lacrosse and of my participation in the sponsored activities of the Great Western Lacrosse Summer Camp Program, I acknowledge, agree to and understand that:
1.) Readiness To Compete: Voluntary and of my own free will, I elect to participate as a member of a Great Western Lacrosse Summer camp Program. I will only participate in those US Lacrosse competitions and activities sponsored by Great Western Lacrosse for which I believe I am physically and psychologically prepared to compete.
2.) Readiness To Compete: I hereby give my consent to US Lacrosse and to Great Western Lacrosse, California State University San Msrcos and the host organization of any US Lacrosse sponsored event to provide through a medical staff of its choice, customary medical/athletic training attention, transportation and emergency medical services as warranted through the course of my participation in sponsored lacrosse activities.
3.) Waiver & Release of Liability: I am fully aware of and appreciate the risks associated with participation in a lacrosse event, including the risk of catastrophic injury, paralysis and even death, as well as other types of damages and loss. I further agree on behalf of myself, my heirs, and personal representatives, that US Lacrosse, Great Western Lacrosse, California State University San Marcos, the host organization, and sponsors of any US Lacrosse event, along with their coaches, volunteers, employees, agents, officers and directors of these organizations, shall not be liable for any injury, loss of life or other loss or damage occurring as a result of my participation in the event(s). My signature below is my acknowledgement that I have read and understood every provision of this Waiver and Release of Liability, and that I agree to abide by it.
 

In case of injury, I hereby give consent for my child to have initial first aid administered by qualified personnel in charge and to be transported to a Physician or Hospital for further treatment if it deemed necessary. In the event that I am unable to give parental consent, I hereby authorize the Physician/Hospital Staff at any Hospital to provide care to include diagnostic procedures and medical treatment to my child who is a minor.
 

Please answer the following questions regarding your son/ward: