PHOTOGRAPHY RELEASE
By registering here, I hereby consent to the photography of my child by Coast Lacrosse Club and/or its agents. I hereby consent to the use of these photographs singularly or in conjunction with other photographs or video recordings for Coast Lacrosse Club marketing purposes without any compensation.

UNDERSTANDING OF RISK
Furthermore, I, the undersigned parent(s) or legal guardian(s), hereby state that I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulations, and accept them as a participant.

CONSENT FOR MEDICAL TREATMENT, AUTHORIZATION & RELEASE
By registering here, I, the undersigned parent(s) or legal guardian(s), recognize that all activities of a physical nature involve some risk of injury and by registering for an activity of this nature there is an assumption of risk by the participant. While particular rules, equipment and personal discipline may reduce this risk, the risk does exist. Additionally, if my child is injured, I authorize the Coast Lacrosse Club LLC officials, coaches and representatives to obtain immediate medical care for my child. I, the undersigned parent(s) or legal guardian(s) and child, knowingly and freely assume all such risks associated with this program. In the rare event of serious accident or illness, it is the policy of Coast Lacrosse Club to (1) contact emergency dispatch (911) to perform first aid and when necessary recommend transport of the victim to a hospital; (2) contact parent or guardian as soon as possible as the situation allows. I hereby authorize the physicians/providers and staff of any medical facility to provide the above-named Participant with any and all medical treatments including examinations, x-rays, tests, anesthesia, operations and diagnostic procedures, which may be deemed necessary or advisable by the attending physician and/or surgeon. Persons desiring a different procedure must notify Coast Lacrosse Club in writing at the time of registration. Parents who do not agree nor sign the waiver must be in attendance at all games and practices.
Medical insurance: By registering here, I, additionally assume all financial responsibility for any and all medical related costs. I, the undersigned, shall ensure that my player participant is covered under our own medical insurance. All Coast Lacrosse Club program participants are responsible for their own insurance. Coast LC does not provide any medical insurance for players or program participants.

WAIVER AND RELEASE OF LIABILITY FOR MINOR PARTICIPANTS
IN CONSIDERATION of my child being allowed to participate in any way in the Coast Lacrosse Club program, related events and activities, the undersigned parent(s) or legal guardian(s), acknowledges, appreciates, and agrees that:
1. The risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the Coast Lacrosse Club or others, and assume full responsibility for my child's participation; and,
3. I willingly agree to comply with the program's stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child's readiness for participation and/or in the program
itself, I will remove my child from the participation and bring such attention of the nearest official
immediately; and,
4. I, for myself on behalf of my/our heirs, assigns, personal representatives and next of kin, hereby release the
other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of
premises used to conduct the event, hereafter referred to as Releasees, with respect to any and all injury,
disability, death, or loss or damage to person or property incidental to my child's involvement or participation
in these programs, whether arising from the negligence of the Releasees or otherwise, to the fullest extent
permitted by law.
5. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next
of kin, hereby agree to assume the risk and hold harmless, release, and otherwise indemnify Coast Lacrosse
Club, its officers or agents, its affiliated organizations and sponsors and the owners of, in the performance of
said fields and facilities utilized for the programs, from any liability from any and all liabilities incidental to my
involvement or participation in these programs, even if arising from their negligence, 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 it freely and voluntarily without any inducement.
Furthermore, I hereby state that I understand the seriousness of the risks involved in participating in this
program, my personal responsibilities for adhering to rules and regulations, and accept them as a
participant.

COVID-19 WAIVER
IN CONSIDERATION for myself and/or my children listed above being permitted to utilize the services, utilize
the facilities and/or participate in the programs of Coast Lacrosse Club, LLC (the “Organization”), including,
but not limited to, observation or use of facilities or equipment, or participation in or acting as a spectator
during any program affiliated with the Organization, the undersigned, on behalf of himself or herself and
such participating children and any personal representatives, heirs, and next of kin (hereinafter referred to as
"the undersigned") hereby acknowledges, agrees and represents that he or she has inspected and carefully
considered such premises, equipment, and facilities and has considered the Organization’s programs and
that the undersigned finds and accepts same as being safe and reasonably suited for the use or
participation by the undersigned and such participating children.
In addition, the undersigned acknowledges that novel coronavirus (''COVID-19") infections have been
confirmed throughout the United States, including several cases in the undersigned’s own State and locality.
In accordance with the most recent guidance and recommendations issued by the World Health
Organization (WHO), the Centers for Disease Control and Prevention (CDC), undersigned’s own State’s
Department of Health (DOH) for slowing the transmission of COVID19, the undersigned hereby agrees,
represents, and warrants that neither the undersigned nor such participating children shall visit or utilize the
facilities, services, and/or programs of the Organization (other than any exclusively online services and
programs) within 14 days after:
1. returning from highly impacted areas subject to a CDC Level 3 Travel Health Notice,
2. exposure to any person returning from areas subject to a CDC Level 3 Travel Health Notice, or
3. exposure to any person who has a suspected or confirmed case of COVID-19.
The CDCTravel Health Network is continuously updating this list and the undersigned agrees that they are aware of this list and the countries listed. The undersigned agrees to check on a daily basis the CDC Travel Health Notices list (https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html) prior to participating in or utilizing the facilities, services, and programs of the Organization. The undersigned hereby agrees, represents, and warrants that neither the undersigned nor such participating children shall participate in, visit or utilize the facilities, services, and/or programs of the Organization if he or she
1. experiences symptoms of COVID-19, including, without limitation, fever, cough, loss of sense of taste or smell, or shortness of breath, or
2. has a suspected or diagnosed/confirmed case of COVID-19.
The undersigned agrees to notify the Organization immediately if he or she believes that any of the foregoing access/use restrictions may apply. The Organization has taken certain steps to implement certain recommended guidance and recommendations issued by public health agencies for slowing the transmission of COVID-19, including, without limitation, the access/use restrictions set forth above. The undersigned acknowledges and agrees that the Organization may revise its procedures at any time based on updated recommended guidance and recommendations issued by public health agencies and further agrees to comply with the Organization’s revised procedures prior to utilizing the facilities, services, and/or prior to participating in the programs of the Organization. The undersigned further acknowledges and agrees that, due to the nature of the facilities, services, and programs offered by the Organization, social distancing of 6 feet per person among children and their fellow participants or others is not always possible. The undersigned fully understands and appreciates both the known and potential dangers of participating in the programs and/or utilizing the facilities and services of the Organization and acknowledges that use thereof by the undersigned and/or such participating children may, despite the Organization’s reasonable efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, disability, and/or death.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THE ORGANIZATION’S PROGRAMS, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING: THE UNDERSIGNED, ON HIS OR HER BEHALF AND ON BEHALF OF SUCH PARTICIPATING CHILDREN, HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the Organization or its national governing body organization, or any of their respective directors, officers, employees, volunteers and agents, or any of the fellow participants or their family members or guests from all liability to the undersigned or such participating children and all personal representatives, assigns, heirs, and next of kin of the undersigned or such participating children for any loss or damage, and any claim or demands on account of any property damage or any injury to, or an illness or the death of, the undersigned or such participating children (or any person who may contract COVID-19, directly or indirectly, from the undersigned or such participating children) whether caused by the negligence, active or passive, of the Organization or otherwise while the undersigned or such participating children are in, upon, or about the premises or any facilities or using any equipment of or participating in any program of or affiliated with the Organization. To the extent such statute applies, the undersigned also expressly and knowingly waives all rights under California Civil Code Section 1542, which provides: "A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party."
THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS the Organization, or any of their respective directors, officers, employees, volunteers and agents, and each of them, from any loss, liability, damages or costs they may incur, whether caused by the Organization’s negligence, active or passive, or otherwise while the undersigned or any participating child is participating in any program of the Organization or in, upon, or about the premises or any facilities or equipment affiliated with the Organization. The undersigned understands and agrees that the Organization is not required to provide insurance to cover the undersigned or such participating children in the event they suffer illness, injury, death, property loss, theft or damage of any sort upon, or about the premises or any facilities or equipment therein or while participating in any program affiliated with the Organization.
The undersigned agrees and acknowledges that use of the Organization facilities and services, and participation in the Organization programs, may involve inherent danger and risk, including, without limitation, the risk of physical illness or injury, death or property damage. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBIUTY FOR, AND RISK OF ILLNESS, BODILY INJURY, DEATH OR PROPERTY DAMAGE to the undersigned or such participating children due to negligence, active or passive, or otherwise while in, about or upon the premises of the Organization and/or while using the premises or any facilities or equipment thereon and/or while participating in or observing any program affiliated with the Organization. The undersigned acknowledges that any illness or injuries that the undersigned or such participating children contract or sustain may be compounded by negligent first aid or emergency response of the Releasees and waive any claim in respect thereof.
THE UNDERSIGNED further expressly agrees that the foregoing ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the laws of the State in which the undersigned resides or participates and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES FROM THE ORGANIZATION IN CASE OF ILLNESS, INJURY, DEATH OR PROPERTY LOSS OR DAMAGE, INCLUDING, FOR THE AVOIDANCE OF DOUBT AND WITHOUT LIMITATION, EXPOSURE TO COVID-19 AT ANY ORGANIZATION FACILITY OR DURING PARTICIPATION IN ANY PROGRAM AND ANY ILLNESS, INJURY OR DEATH RESULTING THEREFROM. I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE OF AND INDEMNIFICATION FOR ALL CLAIMS. IF SIGNING ON BEHALF OF MINOR: I ALSO UNDERSTAND THAT THIS AGREEMENT IS MADE ON BEHALF OF MY MINOR CHILD(REN) AND/OR LEGAL WARDS AND I REPRESENT AND WARRANT TO THE ORGANIZATION THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT ON BEHALF OF SUCH MINOR(S).

Coast Lacrosse Club

Fall 23/24 Tryout Registration

2027 + Older (HS)