Skyline Lacrosse Events Assumption of Risk, Waiver Release of Liability and Covenant Not to Sue

Event Attending

Club Team

Jersey Number

Player/ Child Date of Birth

YYYY

Parent's Name

First Name

Last Name

Child/ Player Name

First Name

Last Name

Email Address

Person who is filling out this form

First Name

Last Name

Today's Date

YYYY

Waiver of Liability

In consideration of being allowed to participate in the event or activity referenced above, I acknowledge, appreciate, and agree that: 1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this 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 Releasees, 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 THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 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 ANY INDUCEMENT. I have read, understand and agree to the terms of the Skyline Lacrosse waiver. COVID 19 WAIVER AND RELEASE LAKESHORE LACROSSE &; ILLINOIS GIRLS LACROSSE ASSOCIATION ASSUMPTION OF RISKS, WAIVER OF LIABILITY, RELEASE OF CLAIMS, AND HOLD HARMLESS AGREEMENT - INFECTIOUS DISEASES In consideration of being allowed to participate on behalf of Lakeshore Lacrosse and the Illinois Girls Lacrosse Association athletic programs and related events and activities, the undersigned acknowledges, appreciates, and agrees that: 1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE Lakeshore Lacrosse and the Illinois Girls Lacrosse Association, 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 (hereinafter â??RELEASEESâ??) or others, and assume full responsibility for my participation; and 3. I agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or 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 WAIVE ALL LIABILITY AGAINST, RELEASE ALL CLAIMS AGAINST, AND HOLD RELEASEES HARMLESS, WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, arising from or incident to my presence or participation in these activities, whether or not arising from or incident to the negligence of RELEASEES or otherwise, to the fullest extent permitted by law. I HAVE READ THIS ASSUMPTION OF RISKS, WAIVER OF LIABILITY, RELEASE OF CLAIMS, AND HOLD HARMLESS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in the above Assumption of Risks, Waiver of Liability, Release of Claims, and Hold Harmless Agreement to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward, do consent and agree to his/her assumption of risks, waiver of liability against, release of claims against, and holding harmless the RELEASEES for any and all liabilities arising from or incident to my minor child/ward presence or participation in these activities as provided above, whether or not arising from or incident to the negligence of RELEASEES or otherwise, to the fullest extent provided by law.

I have read, understand and agree to the terms of the Skyline Lacrosse waiver.

Photo Release

I agree to give Lakeshore Lacrosse and any Lakeshore Lacrosse business entities (DBAs) express written consent to use my or my child's likeness in any or all marketing including but not limited to Facebook, Instagram, SnapChat and our website. Lakeshore Lacrosse will not distribute or post this likeness to outside entities, companies or business outside of the ones detailed above.

I hereby grant the Skyline Lacrosse Events and Lakeshore Lacrosse permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its web properties and social media, without payment or other consideration.

5 Star Sports Waiver Of Liability

Waiver Resignation contract of risk, responsibilities, assumption, severance agreementsand parental consent. Inconsentofthis.IagreethatthisrepresentsthatIunderstandthenatureofactivitiesofsoccerandthatIamqualified,ni goodhealthandniproper physicalconditiontoparticipateinsuchactivity. Iacknowledgethatthisactivity willbeconductedinpublicorprivatefacilities,wheresuchactivity will be exposed to the risks oftravel and handling. Ifurther agree and guarantee that ifat any time Ibelieve that these conditions are unsafe. I immediately will discontinue myselffrom such activity. Ifully understand that: the summerand winter activities involve risks anddangers ofbodily harm. Including permanent disability. paralysis and death (risks)(B) these risks and dangers mav be caused by mv own actions or inactions and actions and inactions ofother participants in the activitv that took place or to the accuracy of those receiving the releases and arelisted below: (C) there may eb other risks and social and economic losses not known br me or not readily foreseeable at this time. I fully accept and assume all risks and all responsibilities for losses, costs, and damages that incur as a result of my participation or minor. By signing this form. you are acknowledging that you know. understand, and appreciate the risks inherent in the sport of soccer and assume al risks. Furthermore. you agree toaccept and assume those risks. and you agree to release. waive, discharge. and covenant not to sue 5 Stars Sports INC. its officers and directors. the organizers, promoters. volunteers, other participants. officials, sponsors. and everyone else associated with the fields for any loss. claim. or injury that you might suffer by participating. You agree tobe completely responsible for any injuries you sustain as a result of participating ni using of the fields regardless of the cause or nature of those injuries. Ihave read this agreement and fully understandall its terms: Iunderstand that Ihave given up substantial rights bysigning this contract. Ihave signed this agreement freely and without any guarantee ofany kindo fincentive and this contract is intended to be complete and unconditional withdrawal of al execution risk allowedby the law and Iagree that ifany portion of this agreement is heldinvalid, the balance sheet of thecontract continues in full force and effect. 5. Iam aware there are risks to me of exposure ot directly orindirectlyarising out of, contributed to, by, or resulting from an outbreak of any and al communicable disease. including but not limited to. the virus "severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)*. which si responsible for Coronavirus Disease (COVID-19) and/or any mutation or variation thereof. Minor Release And I,the minor's parent and/or legal guardian understand thenature ofthe soccer place activities and the minor's experience and capabilities and believe the minor to be qualified. in good health. andproper physical condition to participate insuch activity. Ihereby release. discharge,covenant not to sue. and agree to indemnify and save and hold harmless eacho fthereleases from all liability claims, demands, losses, ordamages on the minor's account caused or alleged cause to be caused ni whole or ni part by the negligenceof the "releases" or otherwise. includingnegligent rescue operationand further agree that if, despite this release I. the minor, or anyone on the minor's behalfmakes aclaim against any ofthe releases named above. I will indemnify, save, and hold harmless each ofthe releases from any litigation expenses, attorney fees. loss, liability, damage, or cost any may incur as result ofany such claim. I also understand that I am giving permission to my child ot play with older kids on the fields. The person whose signature appears below acknowledges that he orshe has read this form carefullyand has decided to participate on the fields voluntarily and according to the stipulations as described in this document. You acknowledge that your questions and concerns, ifany, have been answered to your satisfaction.

I attest understanding and acknowledgement of the above waiver and release 5 Star sports from all liability

Yes, I Agree to the above waivers

Person Completing above waivers on behalf of the player

First Name

Last Name