I acknowledge that lacrosse is a high-speed sport which may involve some contact. I am aware of no medical conditions, illnesses or injuries that would prevent my child from participating in all aspects of this clinic except as follows (Please state the medical condition and provide a letter from the child’s health care provider indicating the limitations or restrictions for the child’s participation):
I hereby give permission to provide emergency medical assistance to my child in case of accident or injury. I agree to indemnify and hold harmless Westwood Girl’s Lacrosse, any individual working as an officer, coach, employee, age agent or volunteer or in any capacity for this organization, for any and all injuries, damages, causes of actions or claims for personal injuries or property damage, arising from my child's participation in this program.
Signature of Parent/Guardian: __________________________Date: ____/____/____