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Kittery Youth Lacrosse

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9

Mar, 2021

Covid waiver

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

In consideration of being allowed to participate at Kittery Youth Lacrosse and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

I am aware there are inherent risks of exposure to and illness from communicable diseases, including but not limited to Coronavirus Disease (COVID-19), by my participation, despite the health and safety measures taken by RELEASEES and others to reduce that risk; and 

 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 all risks related to my participation; and

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Kittery Youth Lacrosse and its officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), from any and all claims, demands, losses, and liability arising out of or related to any ILLNESS, INJURY, DISABILITY OR DEATH I may suffer, WHETHER ARISING FROM THE NEGLIGENCE OF THE 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 IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 

__________________________________   _______

Participant Name                                                 Age

 

__________________________________                    _________________

Participant Signature                                                          Date                       

 

__________________________________                    _________________

Parent/Guardian Signature                                               Date

FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (UNDER AGE 18 AT TIME OF REGISTRATION): I certify that 1) I am a parent/guardian with legal responsibility for the participant; 2) I expressly consent and agree to the participant’s release as provided above, and 3) I, for myself, my heirs, assigns, and next of kin, hereby release and agree to indemnify and hold harmless the RELEASEES from any and all liability incidental to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

__________________________________                    ______________________

Parent/Guardian Name                                                     Parent/Guardian Phone

__________________________________                    _______________________

Parent/Guardian Signature                                                Date                       

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Kittery, Maine 03904
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