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Complete all fields below and click submit to register

** Team captains help draft teams, hand out jerseys, communicate changes/updates to their team, etc.

Please read the statement below and complete this field before finishing registration

I the 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 losses which might result not only from their own actions, inactions and negligence but action, inaction or negligence of other, the rules of play or the conditions of the premises or of any equipment used and further, that there may be other unknown risks not reasonable, foreseeable at the 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 QUEEN CITY LAX , their affiliated organizations and sponsors, their coaches, managers, employees and associated personnel, officers, members of the Board of Directors, agents, including the owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as "releasees," from any and all liability to each of the undersigned, his/her heirs or next of kin for any and all against 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 and agree to be financially responsible for the cost of such assistance and/or treatment. I, also agree to save and hold harmless and indemnify each and all parties herein referred to above as release from all liability, loss, cost, claim or damage whatsoever, including death or damage to property which may be imposed upon said releasee because of any defect in or lack or such capacity to so act or caused or alleged to be caused in whole or in part by the negligence of the releasee. I have read the above waiver/release and understand that I have given up substantial rights by acknowledging this release and check the box in agreement voluntarily.

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