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MAD DOGS LAX

WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19
In consideration of being allowed to participate on behalf of Mad Dogs Lacrosse program 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 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 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
RELEASE AND HOLD HARMLESS (insert name of sports organization) 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 ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING
FROM THE NEGLIGENCE OF 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 IF FREELY AND VOLUNTARILY
WITHOUT ANY INDUCEMENT.

This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained
the provisions in this waiver/release 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 release provided above for all the Releasees and myself,
my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all
liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above,
EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

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