Oakland Lacrosse Club Participant Waiver of Liability_English

AGREEMENT: In consideration of my participation in the sponsored activities of the Oakland Lacrosse Club, I acknowledge, agree to and understand that:


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, personal representatives, that the Oakland Lacrosse Club, the host organization, and sponsors of any Oakland Lacrosse sanctioned 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 event, or as a result of equipment that may have been provided to me for these activities, or in the time and transportation I take to and from lacrosse program.

2. CONCUSSION PROTOCOL: Our coaches are trained on concussion symptoms and management plan consistent with CDC and NFHS (National Federation of State High School Associations) standards. If we suspect any potential concussion you will be notified immediately and we will follow our Concussion Protocol of rest and evaluation before continuing to play.

3. MEDICAL ATTENTION: I hereby give my consent to the Oakland Lacrosse Club to provide, in the case of an emergency, customary medical/athletic training attention, transportation and/ or emergency medical services as warranted in the course of my participation in Oakland Lacrosse events.  Including emergency transport, first aid, CPR, AEDs, and if needed sharing medical information with medical personnel for continuation of care. I agree to assume all costs involved in such medical treatment and care.

4. READINESS TO COMPETE: I will only participate in those Oakland Lacrosse competitions for which I believe I am physically and psychologically prepared to compete.

5. PHOTO & VIDEO RELEASE: I hereby give permission to the Oakland Lacrosse Club to photograph and/or videotape me for educational or promotional purposes. I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or videotape without payment or any other consideration.  I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's image or recording.  I also understand that this material may be used in diverse educational settings within an unrestricted geographic area. There is no time limit on the validity of this release nor is there any geographic limitations on where these materials may be distributed. I hereby release any and all claims against any person or organization utilizing this material for educational or marketing purposes.

6. OUTCOMES & EVALUATION DATA: I hereby grant permission to Oakland Lacrosse Club to share demographic info and impact results externally and internally as needed.  Internally, this data will help drive program, staff and organizational evaluation, strategic projects and impact results. Externally this includes marketing and fundraising materials, as well as with certain Grants that OLC is beholden to. Grantee information includes demographic data, attendance data, and in some cases survey data, but never contact information. I hereby grant permission for Oakland Lacrosse Club submit this data to complete any Grantee requires, including but not limited to CitySpan database via The City of Oakland and our OFCY Grant.

7. COVID: My participation includes possible exposure to and illness from infectious diseases, including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness, injury, and death does exist.  OLC cannot ensure that all other participants, including coaches and volunteers, are taking precautionary measures to mitigate risks to ensure the health and safety of other participants, coaches, and volunteers, and therefore, participation in a OLC Event involves risk of exposure to infectious disease; 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 my participation.  I willingly agree to comply with all recommendations provided by CDC, State of California, Alameda County, Oakland Unified School District, and Oakland Lacrosse Club to ensure safe play. If I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest coach, staff member or volunteer, or official immediately.

8. RELEASE TIMELINE: I understand that this waiver and release of liability and all its clauses is valid until the Participant turns 18 years of age. At which point a new OLC Participant Waiver of Liability will be updated and signed by the participant. 

9. DIGITAL VERIFICATION: I understand that the email that I am logged in as, is my digital signature to match my legal name provided below, and that I am the sole holder of this email account and only individual who can access it. I understand that if the Names and email addresses do not match (i.e. participant email, and Legal Guardian signature required) another Waiver of Liability must be submitted before being eligible to participate in OLC programs and events.

Email *
Participant's Age *
Participant Date of Birth *
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/
DD
/
YYYY
FULL NAME OF PARTICIPANT:  if you are over 18 years old, by typing your name here you agree to the terms of this Waiver of Liability and all it's clauses. *
LEGAL GUARDIAN SIGNATURE: by typing your name here you agree to the terms of this Waiver of Liability and all it's clauses.  *
If you are over 18, write N/A
ADDITIONAL PARTICIPANTS: add any Names (First & Last) for participants, who are also under your Legal Guardianship, and share the same contact info, that you also waiver liability to participate in OLC program and events
ADDITIONAL PARTICIPANTS DATE(S) OF BIRTH
MM/DD/YY (First Name), names should match names added above.
PHONE NUMBER of the Legal Guardian (or Participant if over 18)  *
This will be the first phone number called in the event of an emergency
Additional Emergency Contact Phone Number (###-###-####) *
What is the Name & Relationship of Additional Emergency Contact Phone provided? *
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