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Fall 2017 Registration

  • Checks should be made out to Cyclones Lacrosse and mailed to PO BOX 771 Brighton, MI 48116.
  • Please read the Waiver below and in the box below please type in your daughter's Parent/Guardian's Name and Emergency Contact #.
  • As a precondition to my daughter participating in the Cyclones Lacrosse program, I have read the following Release Agreement and agree to its terms. 1. Assumption of Risk. I understand that participating in the Activity entails inherent risks including, but not limited to, the risks described in this Release Agreement. Having read this form, I am fully aware of the risks and hazards associated with the Activity, and hereby elect for my daughter to voluntarily participate in the Activity. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, including death, that my daughter may sustain as a result of participating in the Activity, unless caused by the gross negligence or willful misconduct of Cyclones, Legacy Center, its officers, trustees, agents, employees or volunteers (the "Releasees"). I understand that I am not required to participate in the Activity and that I choose to do so voluntarily and free of duress. 2. Liability Release. In consideration for Cyclones, and the Legacy Center allowing my daughter to participate in the Activity, I agree I will not sue the Releasees and I hereby release and indemnify the Releasees from any and all liabilities, claims, demands, actions, causes of actions, costs and expenses of any nature whatsoever arising out of any loss, personal injury (including death) or property damage, that I may sustain , arising from the Activity or while upon the premises where the Activity is being conducted, unless due directly to the gross negligence or willful misconduct of the Releasees. 3. Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that might result from such emergency medical treatment. In signing this Agreement, I acknowledge that I have read this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am the Parent/Guardian of the Participant. In the space provided above please provide the following: 1. Parent/Guardian Name 2. Emergency Contact #