Training Waiver

Locked In Lacrosse Training

1. WAIVER & RELEASE OF LIABILITY: I am fully aware of and appreciate the risks, including the
risk of catastrophic injury, paralysis and even death, as well as other damages and losses,
associated with participation in a lacrosse event. I further agree on behalf of myself, my heirs, and
personal representatives, that Locked In Lacrosse, the host organization, and sponsors of any
Locked In Lacrosse training event, along with the coaches, volunteers, employees, agents, officers and
directors of these organizations, shall not be liable for any injury, loss of life or other loss or
damage occurring as a result of my participation in the training event. I understand that this waiver
when signed and turned in, will be used by Locked In Lacrosse for 6 months of training events that I
participate in.

2. MEDICAL ATTENTION: I hereby give my consent to Locked In Lacrosse through a medical staff
of its choice, customary medical/athletic training attention, transportation and emergency
medical services as warranted in the course of my participation in Locked In Lacrosse sanctioned training events.

3. READINESS TO COMPETE: I will only participate in those Locked In Lacrosse
Training events for which I believe I am physically and psychologically prepared to compete.

4. PHOTOGRAPH AND VIDEO CONSENT: I hereby give my permission to Locked In Lacrosse
to use photographs or videotapes of my child for public relations or other purposes consistent
with the purpose and mission of Locked In Lacrosse. I further agree that said materials shall
become the property of Locked In Lacrosse, and I hereby release and discharge Locked In Lacrosse and its representatives from any and all claims that may arise by reason of taking
said photographs or pictures.

5. I hereby acknowledge that I have paid in full to be a participant in
the Locked In Lacrosse Training unless, I have received any discount/promotion
to be a participant from any of the organizing and sponsoring groups.

6. COVID CLAUSE: Players, staff and coaches must self screen for any of the following new or worsening signs or symptoms of possible COVID-19 immediately prior to coming to the field each session and refrain from attending if you are experiencing any of these worsening signs or symptoms: Cough, Sore Throat, Shortness of breath or difficulty breathing, Loss of taste or smell, Chills, Diarrhea, Feeling feverish or a measured temperature greater than or equal to 100.0 degrees Fahrenheit, Muscle pain, Headache, Known close contact with a person who is lab confirmed to have COVID-19; Players must put on equipment prior to coming to the field, leaving all personal items (e.g., equipment bag), other than personal water bottle, at home/in vehicle. Players, coaches and staff should have a face covering (e.g., gaiter) or mask readily available at all times; Players, coaches and staff should wear a face covering (e.g., gaiter) or mask when social distancing is not possible.

Covid-19 Waiver *
READ BEFORE SIGNING

IN CONSIDERATION OF my child/ward being allowed to participate in any way in the Locked in Lacrosse related events and activities, the undersigned acknowledges, appreciates, and agrees that:
The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) to my child from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and
1. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child’s participation.

2. 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.

3. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS, Locked in Lacrosse; its directors, officers, officials, agents, employees, volunteers, 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 INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident 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.

4. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.

5. I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child/ward understands this agreement.

I, FOR MYSELF, MY SPOUSE, AND CHILD/WARD, HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

UNDERSTANDING OR RISK
I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulation, and accept them as a participant.

Tuesday, June 24th, 2025

9:00 AM

SJ Summer Camp - Youth Players (Hartford Crossing) with Locked In Lacrosse

9:00 AM

SJ Summer Camp - Middle School (Hartford Crossing) with Locked In Lacrosse