BELTWAY LACROSSE (BLX)
BELTWAY VILLAINS HIGH SCHOOL SUMMER LEAGUE
PARENT / GUARDIAN CONSENT, ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY
FOR PARTICIPANTS AGES 13–18
In consideration of my minor child (“Participant”) being allowed to participate in the Beltway Villains High School Summer League, including all games, practices, tournaments, clinics, travel, and related events and activities (collectively, the “Program”), I, the undersigned parent or legal guardian, acknowledge and agree as follows:
1. Parent/Guardian Authority
I certify that I am the parent or legal guardian of the Participant named below and have full legal authority to consent to participation in this Program on their behalf.
2. USA Lacrosse Membership Requirement
I acknowledge and agree that:
- Participation in the Program requires the Participant to maintain an active USA Lacrosse membership for the entire duration of the Program
- I am responsible for obtaining and maintaining this membership
- I must provide the Participant’s valid USA Lacrosse membership number prior to participation
- If the membership expires or becomes inactive, the Participant may not participate until renewed
- Beltway Lacrosse reserves the right to verify membership status at any time
3. Assumption of Risk
I understand that lacrosse is a vigorous contact sport and that participation involves inherent risks, including but not limited to:
- Falls, collisions, and contact with other players, equipment, or playing surfaces
- Sprains, fractures, concussions, paralysis, or death
- Risks associated with weather, field conditions, and travel
- Risks that may not be known or foreseeable
On behalf of my child, I knowingly and voluntarily assume all risks of injury, illness, or damage associated with participation, whether arising from negligence or otherwise, to the fullest extent permitted by law.
4. Health and Fitness
I certify that my child:
- Is physically able to participate in athletic activities
- Has no medical condition that would make participation unsafe, or I have disclosed such conditions to Program staff
- Will use required protective equipment
I agree to inform Program staff of any changes in my child’s health status.
5. Compliance With Rules
My child agrees to follow all Program rules, safety guidelines, and instructions from coaches and officials. I understand that failure to comply may result in removal from participation without refund.
6. Release of Liability
To the fullest extent permitted by law, I, on behalf of myself, my child, and our heirs, executors, and representatives, hereby release and hold harmless Beltway Lacrosse (BLX), its directors, officers, employees, coaches, volunteers, officials, sponsors, affiliates, facility owners, and other participants (collectively, “Releasees”) from any and all claims for injury, illness, disability, death, or property damage arising from participation in the Program, including claims based on negligence.
7. Indemnification
I agree to indemnify, defend, and hold harmless the Releasees from any claims, damages, or expenses arising from my child’s participation or conduct during the Program.
8. Medical Authorization
In the event of injury or illness, I authorize Program staff to obtain emergency medical treatment for my child if I cannot be reached. I understand that I am financially responsible for any medical expenses incurred.
9. Photography and Media Release
I grant permission for Beltway Lacrosse to photograph, film, or otherwise record my child’s participation and to use such images or recordings for promotional, educational, or commercial purposes without compensation.
10. Communicable Disease Acknowledgment
I acknowledge that participation in group sports may expose my child to communicable illnesses, including but not limited to COVID-19, influenza, and other contagious conditions. I assume these risks and agree not to allow participation if my child is experiencing symptoms of illness.
11. Electronic Signature
I agree that my electronic signature is legally binding and equivalent to a handwritten signature.
ACKNOWLEDGMENT
I HAVE CAREFULLY READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND SIGN IT FREELY AND VOLUNTARILY. I UNDERSTAND THAT I AM GIVING UP CERTAIN LEGAL RIGHTS ON BEHALF OF MY CHILD.
