DESERT HAWKS LACROSSE REGULAR SEASON
AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY AND
ASSUMPTION OF RISK AGREEMENT

In consideration of being allowed to participate in any way in the Desert Hawks Lacrosse Fall Ball athletic/sports program and related events and activities, the undersigned:

Agrees that prior to participating, he or she will inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, he or she should immediately advise their coach or supervisor of such conditions) and refuse to participate. Acknowledges and fully understands that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, in actions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.

Assumes all risks and accepts all responsibility for the damages following such injury, permanent disability or death, even if caused in whole or in part, by the negligence of the "releases* named below.

Releases, waives, discharges and covenants not to sue Desert Hawks Lacrosse Club, its affiliates, their respective administrators, directors, agents, coaches and other employees, participants, sponsoring agencies, sponsors, advertisers, owners and lesser of premises used to conduct the event, premise or event inspectors, surveyors, underwriters, consultants and other persons or entities which give recommendations, directions or instructions or engage in risk evaluation or loss control activities regarding the program or premises, all of which are hereinafter referred to as "releases", from demands, losses or damages on account of injury, including death or damage to property whether caused or alleged to be caused in whole or in part by the negligence of the release or otherwise.

We/I have read the above waiver and release, understand that substantial rights have been waived, and agree to sign voluntarily.

Participant_____________________________ US Lacrosse #___________________

Participant Medical/Dental Insurance Co.______________________________

Policy #_______________________

Policy Holder________________________________________________

Signature of Policy Holder________________________________

Policy Holder Address______________________________________________

Phone____________________________________