Chicago Lacrosse Cup Player Registration


 
Team:
Player Contact Information:
 
First Name:
 *
Last Name:
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Email Address:
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Cell Phone Nr: 555-555-5555
 *
Address:
 *
City:
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State:
 *
Zip Code:
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Date of Birth: mm/dd/yy
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School:
 *
Age:
 *
Graduation Year:
*
Primary Position:
*
Dominant Hand:
*
 
Guardian Information:
Primary Guardian Name:
 *
Father Name:
 *
Mother Name:
 *
Primary Email Address:
 *
Primary Cell Nr: 555-555-5555
 *
Health Insurance Provider:
 *
Health Insurance Policy Nr:
 *
   

READ CAREFULLY: THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE CHICAGO ELITE LACROSSE, LLC AND OTHER PARTIES. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT.

WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

IN CONSIDERATION of Chicago Elite Lacrosse, LLC (“CEL”) allowing my participation in any CEL sanctioned event (the "Event" or "Events"); I, for myself, and on behalf of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns, hereby agree to and make the following contractual representations pursuant to this Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement (the "Agreement");

1. I hereby represent that (i) the participant is in good health and in proper physical condition to participate in the Event; and (ii) the participant is not under the influence of any substance or any illicit or prescription drugs which would in any way impair my ability to safely participate in the Event. I agree that it is my sole responsibility as the legal guardian of the participant to determine whether the participant is sufficiently fit and healthy enough to participate in the Event.

2. I understand and acknowledge the physical and mental rigors associated with lacrosse events are inherently dangerous. I understand that participation involves risks and dangers which include, without limitation, the potential for serious bodily injury, permanent disability, paralysis and death; loss or damage to property; exposure to extreme conditions and circumstances; accidents, illness, contact or collision with other participants, spectators, or other natural or manmade objects; dangers arising from adverse weather conditions; imperfect field conditions; equipment failure; inadequate safety measures; participants of varying skill levels; situations beyond the immediate control of the Event Organizers; and other undefined harm or damage which may not be readily foreseeable, and other presently unknown risks and dangers ("Risks"). I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of others participating in the Event, or the acts, inaction or negligence of the Released Parties defined below, and I hereby expressly assume all such Risks and responsibility for any damages, liabilities, losses or expenses which I incur as a result of my participation in the Event.

3. I agree to be familiar with and abide by the Rules and Regulations established for the Event. I also accept sole responsibility for my own conduct and actions while participating in the Event, and the condition and adequacy of my equipment.

4.I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties: Chicago Elite Lacrosse, LLC, the Event Organizers and Promoters, Sponsors, Advertisers, Host Cities, Host Sites, Local Organizing Committees, Venues and Property Owners upon which the Event takes place, and other Public Entities providing support for the Event, and each of their respective parent, subsidiary and affiliated companies, officers, directors, partners, shareholders, members, agents, employees and volunteers (Individually and Collectively, the "Released Parties" or "Event Organizers"), with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss or expense (including court costs and reasonable attorneys fees) of any kind or nature ("Liability") which may arise out of, result from, or relate to my participation in the Event, including claims for Liability caused in whole or in part by the negligence of the Released Parties. I further agree that if, despite this Agreement, I, or anyone on my behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liability which any may be incurred as the result of such claim.

5. I/we being the legal guardian/s of the applicant authorize the Staff of CEL and its agent’s permission to request treatment to ensure the well being of our dependant.  I/we certify that he/she is in good health and able to participate in the lacrosse activities scheduled during this event.  I am attaching a note explaining any physical limitations and/or required medical attention this is necessary for my dependant.

6. I do hereby grant permission to Chicago Elite Lacrosse, LLC (“CEL”), its owner(s), officers), trustee(s), employee(s), agent(s), representative(s), successor(s), licensee(s) and assign(s) to photograph the image of the registered player herein, likeness or depiction. I hereby grant permission to CEL to edit, crop, or retouch such photographs, and waive my rights to inspect the final photographs. I hereby consent to and permit photographs of the registered player herein and or those of my minor children to be used by CEL worldwide for any purpose, inducing educational and advertisement purposes, and in any medium, including print and electronic. I understand that CEL may use such photographs without associating any names thereto. I further waive any claim for compensation of any kind for CEL use or publication of photographs of me, the registered player or those of my minor children. I hereby fully and forever discharge and release CEL from any claim for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light or misappropriation of name, likeness, or image arising out of the use or publication of photographs of me, the registered player herein or those of my minor children CEL, and covenant and covenant and agree not to sue or otherwise initiate legal proceedings against CEL for such use or publication on my own behalf or behalf of the registered players herein or on behalf of my minor children. All grants of permission and consent, and all covenants, agreements and understandings contained herein are irrevocable.

7. The registered participant is responsible for all registration, player fees, travel, lodging and meals. Player Registration Fees are non-refundable

I hereby warrant that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be giving up substantial legal rights by signing it (including the rights of the minor, my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns), acknowledge that I have signed this Agreement freely and voluntarily, without any inducement, assurance or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this Agreement. This Agreement represents the complete understanding between the parties regarding these issues and no oral representations, statements or inducements have been made apart from this Agreement. If any provision of this Agreement is held to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.

   

You must be over 18 years of age OR the parent/legal guardian of a minor under 18 years of age in order to agree to the text above.

I agree to the above waivers.

 

 

By clicking the button below, you agree to the Waiver of Liability, Treatment / Medical Release Authorization, Authorization to use photographs and images and the Refund Policy

I ACCEPT
Signature of Parent/Guardian::
 *
Date:
 *
* indicates a required field

Contact Us

For any questions regarding the Chicago Lacrosse Cup or the Day Camp please e-mail us a chicagoelitelacrosse@gmail.com


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Until The Chicago Lacrosse Cup
The Midwest's premier Lacrosse Tournament