Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement Form printable pdf download

Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement Form

ALBERTA LACROSSE ASSOCIATION

RELEASE OF LIABILITY, WAIVER OF CLAIMS,

ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

(hereinafter referred to as the “Release Agreement”)

BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN

LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN

ACCIDENT

PLEASE READ CAREFULLY!

Signature:

TO: ALBERTA LACROSSE ASSOCIATION, its member clubs, Local Governing Bodies and officials or

referees,and their directors, officers, employees, instructors, certified coaches, agents, representatives,

volunteers, independent contractors, subcontractors, sponsors, successors and assigns (all hereinafter

collectively referred to as the “Releasees”).

Participant Information:

Name: _______________________________

Age: ______ Birth date: _________________ Club: ____________________

Address: _____________________________

Postal Code: _________________________

City: _________________________________

Province: _______________________________

Phone Number: _______________________

Emergency Contact and Number: ____________________

(herein referred to as the “Participant”)

ASSUMPTION OF RISKS:

I am aware that participating in lacrosse is dangerous. Playing lacrosse exposes me to many inherent risks, dangers and

hazards, including but not limited to severe brain, head and neck injuries that cause mental disability, paralysis or death. I

am also aware that NEGLIGENCE ON THE PART OF THE ALBERTA LACROSSE ASSOCIATION, ITS MEMBER

CLUBS, LOCAL GOVERNING BODIES, OFFICIALS OR REFEREES may expose me to further risks dangers and

hazards. By engaging in any activities or events offered by or associated with the Releasees, I freely accept and fully

assume all inherent risks, dangers and hazards and the possibility of personal injury, death, property damage or loss

resulting there from. All Participants are deemed to know the rules and regulations of the activities and events held by the

Releasees. Any deviation from the rules and regulations is freely accepted by me and I accept all and fully assume all

risks and liabilities associated with same.

I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH THE ACTIVITIES AND I FREELY

ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF

PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.

Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement Form