LAX500 Lacrosse Tournament Player Waiver All players must have a completed waiver to be eligible to participate! Question Title * 1. Select team Majors 7th & 8th Grade Black B Crown Point U14 Red Majors 7th & 8th Grade Black B Lemont Indians Blue Majors 7th & 8th Grade Black B Lincoln-Way Majors Red Majors 7th & 8th Grade Black B Tinley Park Bulldogs 14U Majors 7th & 8th Grade Black B Junkyard Dogs Orange Majors 7th & 8th Grade Black B Cary-Grove Major B Majors 7th & 8th Grade Silver C LALC Seagles Majors 7th & 8th Grade Silver C Crown Point U14 White Majors 7th & 8th Grade Silver C Dunlap Lacrosse Majors 7th & 8th Grade Silver C Oak Forest Park District Fury Lacrosse Majors 7th & 8th Grade Silver C Southside Storm Lacrosse Majors 7th & 8th Grade Silver C Lemont Indians White Majors 7th & 8th Grade Silver C Lemont Indians Gold Majors 7th & 8th Grade Silver C Lincoln-Way Majors Blue Majors 7th & 8th Grade Silver C Junkyard Dogs Blue Majors 7th & 8th Grade Silver C Cary-Grove Major C Majors 7th & 8th Grade Silver C McHenry Township Fire Majors Majors 7th & 8th Grade Silver C Bulls Lacrosse Majors 7th & 8th Grade Silver C Lake Zurich Lacrosse Minors 5th & 6th Grade Black B Crown Point U12 Red Minors 5th & 6th Grade Black B Crown Point U12 White Minors 5th & 6th Grade Black B Oak Forest Park District Fury Lacrosse Minors 5th & 6th Grade Black B Southside Storm Lightning Lacrosse Minors 5th & 6th Grade Black B Lemont Indians Blue Minors 5th & 6th Grade Black B Lincoln-Way Minors Red Minors 5th & 6th Grade Black B Junkyard Dogs Orange Minors 5th & 6th Grade Black B Junkyard Dogs Blue Minors 5th & 6th Grade Black B Arlington Attack Minors 5th & 6th Grade Black B Cary-Grove Minor B Minors 5th & 6th Grade Black B Barrington U12 Minors 5th & 6th Grade Silver C Dunlap Lacrosse Minors 5th & 6th Grade Silver C Southside Storm Thunder Lacrosse Minors 5th & 6th Grade Silver C Lemont Indians Gold Minors 5th & 6th Grade Silver C Lincoln-Way Minors Orange Minors 5th & 6th Grade Silver C Lincoln-Way Minors Blue Minors 5th & 6th Grade Silver C Tinley Park Bulldogs 12U Minors 5th & 6th Grade Silver C Junkyard Dogs white Minors 5th & 6th Grade Silver C Cary-Grove Minor C Minors 5th & 6th Grade Silver C McHenry Township Fire Minors Minors 5th & 6th Grade Silver C Bulls Lacrosse Minors 5th & 6th Grade Silver C Lake Zurich Lacrosse Juniors 3rd & 4th Grade Black B Crown Point U10 Juniors 3rd & 4th Grade Black B Kenilworth Juniors 3rd & 4th Grade Black B Lemont Indians Blue Juniors 3rd & 4th Grade Black B FCA Junior Black Juniors 3rd & 4th Grade Black B Lincoln-Way Juniors Red Juniors 3rd & 4th Grade Black B Junkyard Dogs Orange Juniors 3rd & 4th Grade Black B Attack Junior Blue Juniors 3rd & 4th Grade Silver C Bulls Lacrosse Black Juniors 3rd & 4th Grade Silver C Dunlap Lacrosse Juniors 3rd & 4th Grade Silver C Oak Forest Park District Fury Lacrosse Juniors 3rd & 4th Grade Silver C Southside Storm Lacrosse Juniors 3rd & 4th Grade Silver C Lemont Indians Gold Juniors 3rd & 4th Grade Silver C Lincoln-Way Juniors Blue Juniors 3rd & 4th Grade Silver C Tinley Park Bulldogs 10U Juniors 3rd & 4th Grade Silver C Junkyard Dogs Blue Juniors 3rd & 4th Grade Silver C Arlington Attack Red Juniors 3rd & 4th Grade Silver C Northwest Hawks Juniors 3rd & 4th Grade Silver C Bulls Lacrosse Silver Minis Kindergarten,1st & 2nd FVLC U8 Minis Kindergarten,1st & 2nd Crown Point U8 Minis Kindergarten,1st & 2nd Dunlap Lacrosse Minis Kindergarten,1st & 2nd Southside Storm Lacrosse Minis Kindergarten,1st & 2nd Lemont Indians Minis Kindergarten,1st & 2nd FCA Mini Minis Kindergarten,1st & 2nd Lemont Indians Gold Minis Kindergarten,1st & 2nd Lincoln-Way Minis Red Minis Kindergarten,1st & 2nd Lincoln-Way Minis Blue Minis Kindergarten,1st & 2nd Tinley Park Bulldogs 8U Minis Kindergarten,1st & 2nd Lake Zurich Lacrosse Minis Kindergarten,1st & 2nd Junkyard Dogs Minis Kindergarten,1st & 2nd Junkyard Dogs Minis Kindergarten,1st & 2nd Cary-Grove Mini Minis Kindergarten,1st & 2nd Northwest Hawks Green Minis Kindergarten,1st & 2nd Northwest Hawks Blue Minis Kindergarten,1st & 2nd Bulls Lacrosse Question Title * 2. Player First Name Question Title * 3. Player Last Name Question Title * 4. Player Birthdate Date Date Question Title * 5. Primary Guardian name Question Title * 6. Primary Guardian email address Question Title * 7. Primary Guardian phone number Question Title * 8. Emergency Contact name Question Title * 9. Emergency Contact phone number Question Title * 10. Health Insurance Provider Question Title * 11. Health Insurance Policy Number Question Title * 12. LAX500 Lacrosse Tournament Player WaiverWaiver and Release of All Claims and Assumption of RiskPlease read this form carefully and be aware that in signing up for the LAX 500 lacrosse tournament and participating in the identified programs/activities, you the undersigned (if applicant/ participant is 18 years of age or older) or parent/ guardian of the above listed minor applicant/ participant will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with said programs/activities (including transportation services/vehicle operation, when provided).I recognize and acknowledge that there are certain risks of physical injury to participants in these programs/activities, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I sustain as a result of said participation. I further agree to waive and relinquish all claims my minor child/ward or I may have (or accrue to me or my child/ward) as a result of participating in these programs/activities against Lincoln-Way Lacrosse Club including its officials, agents, volunteers and employees; as well as the Chicagoland Speedway, LLC including its respective parent, subsidiaries, limited liability and affiliated companies and their respective shareholders, officers, directors, members, agents, employees, subsidiaries, trustees, receivers, successors and assigns.I do hereby fully release and forever discharge Lincoln-Way Lacrosse Club including its officials, agents, volunteers and employees; as well as the Chicagoland Speedway, LLC including its respective parent, subsidiaries, limited liability and affiliated companies and their respective shareholders, officers, directors, members, agents, employees, subsidiaries, trustees, receivers, successors and assigns from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with these programs/activities.I have read and fully understand the above important information, warning or risk, assumption of risk and waiver and release of all claims. I agree Question Title * 13. LAX500 Lacrosse Tournament Player WaiverWaiver and Release of All Claims and Assumption of RiskMedical:I the undersigned (if applicant/participant is 18 years of age or older) or parent/guardian of the above listed minor applicant/participant, acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability or death, and severe social and economic loses which might result not only from their own actions, inactions, or negligence, but action, inaction or negligence of others, the rules of play, the condition of the premises, or any equipment used, and further, that there may be other unknown risks not reasonably foreseeable at this time, assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability or death, hereby release, discharge, covenants to indemnify and not sue Lincoln-Way Lacrosse Club including its officials, agents, volunteers and employees; as well as the Chicagoland Speedway, LLC including its respective parent, subsidiaries, limited liability and affiliated companies and their respective shareholders, officers, directors, members, agents, employees, subsidiaries, trustees, receivers, successors and assigns, their affiliated organizations and sponsors, their coaches, managers, employees and personnel officers, directors, agents, including the owners, lesser of premises used to conduct the event, all of which are hereinafter referred to as “releases”, from any and all liability to each of the undersigned, his/her heirs, or next of kin for any claim by or on behalf of the applicant as a result of the applicant’s participation in the programs and/or being transported to or from programs. I hereby give my consent to have an athletic trainer, coach, and/or doctor of medicine or dentistry or associated personnel to provide the applicant/participant with medical assistance and/or treatment. I also agree to save and hold harmless and indemnify each and all parties herein referred to above and release from all liability, loss, cost, claim or damage whatsoever, including death or damage to property which may be imposed upon said release because of any defect in or lack of such capacity to so act or cause alleged or to be caused in whole or in part by the negligence of the release. I have read the above waiver/release and understand that I/we have given up substantial rights by accepting this release. I agree Question Title * 14. LAX500 Lacrosse Tournament Player WaiverWaiver and Release of All Claims and Assumption of RiskI give Lincoln-Way Lacrosse Club or representative, permission to photograph my club, organization, team, child, during practice, games, or other organization sanctioned events and publish the image, photograph, or video of my child on the official Lincoln-Way Lacrosse Club website, www.lincolnwaylacrosse.com or in the print media for promotional purpose. I release all claims against Lincoln-Way Lacrosse Club with respect to privacy or copyright ownership and publication including my claim for compensation related to use of the materials. I understand that the website may be viewed widely by the general public. I understand that photos taken of my child and the rosters created may be used for publicity, including the website. Children in photos will not be identified by name. I agree Question Title * 15. LAX500 Lacrosse Tournament Player WaiverWaiver and Release of All Claims and Assumption of RiskWeather cancellation policy is as follows:Safety is our first priority during the tournament. We will work hard to make sure that all games are played so long as we can maintain that objective. We will play in the rain as long as there is no thunder or visible lightning.In the event of thunder or lightning we will halt all games in process by sounding a long horn from our HQ tent. Games will resume a minimum of 30 minutes from the last observation of thunder or lightning. Once the weather passes we will sound three short horns from our HQ tent to resume games. Weather conditions can change rapidly and all teams should be prepared to play as soon as the inclement weather clears and fields are playable. If a game is terminated due to weather during the second period, the game will be considered complete and the score at that time will be used to determine the winner.If necessary, we will shorten game times to catch up on our schedule and/or move to a festival style event with no playoffs. The tournament staff has final say regarding any cancellation or change in the schedule to accommodate adverse weather. Notices regarding cancellation or schedule changes will be immediately posted on the tournament website and email notification will be sent to each head coach or team admin. It is the coaches or team admins responsibility to check the website and to ensure that we have a valid email address. We will also send text messages if you enable this choice on your registration.The safest place for all participants during thunderstorm conditions is in your vehicle. Please vacate the premises and do not use portable tents or shelters as they will not protect you from lightning strikes. I agree Question Title * 16. LAX500 Lacrosse Tournament Player WaiverWaiver and Release of All Claims and Assumption of RiskConduct Policy is as follows:Only head coaches can address officials. Head coaches are responsible for their players, parents, and fans. Lincoln-Way Lacrosse Club has the right to request the removal of any coach, player, or fan from the tournament. The City of Joliet Police will be called upon to handle such matters.Poor sportsmanship, taunting, fighting or unsportsmanlike behavior will not be tolerated. Please instruct your parents not to come to the event HQ. Only coaches and directors should approach the HQ tent for problems or issues. Safety is our first priority during the tournament. We will work hard to make sure that all games are played so long as we can maintain that objective. We will play in the rain as long as there is no thunder or visible lightning. All decisions regarding cancellations, schedule modifications and refunds are at the sole discretion of the Tournament Directors. Email president@lincolnwaylacrosse.com with any questions.Thank you for your understanding and cooperation. I agree Question Title * 17. By Digitally Signing (typing my Full Name) below I am acknowledging my agreement to the conditions outlined in the above waivers/releases. Done