Centennital Lacrosse Liability Waiver Form In consideration of

Centennital Lacrosse  Liability Waiver Form In consideration of

Centennital Lacrosse Liability Waiver Form
In consideration of participating in the 2019 Centennial Summer Sizzle Youth Lacrosse Tournamanet, the player named below and the parent or guardian do
hereby agree for ourselves, our heirs, executors and administrators, to release, hold harmless and forever discharge the Centennial Youth Lacrosse Association,
their officers, staff, administrators, volunteers, sponsors and representatives and assigns for and against all claims, actions, causes of actions, suits, judgements,
and demands whatsoever arising directly or indirectly in connection with the players participation in the Centennial Youth Lacrosse Summer Sizzlette. By signing
below, I acknowledge that I have read and understand this form and further understand the terms herein are contractual and not a mere recital.

TEAM NAME: ________________________________ TEAM LEVEL: ______________
PLAYER NAME

DOB
M/D/Y

Parent/Guardian
Name

Parent/Guardiand
Signature

1.
3.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Consent to Waiver / Release
Coach

US Lacrosse #

Team Manager
Email Address
Cell Phone

US Lacrosse #

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