Lady Dukes CT Player Participation Waiver and Release Form

Team Name: Lady Dukes CT

Organization: Lady Dukes CT, LLC

Age Divisions: 16U Select, 16U Showcase

1. Acknowledgment and Assumption of Risk

I, the undersigned parent or legal guardian of the participating player, acknowledge that participation in practices, games, tournaments, and team travel involves inherent risks of physical injury. I understand these risks and voluntarily assume full responsibility for any injury or illness incurred by my child while participating in activities related to Lady Dukes CT, LLC, at all locations.

2. Waiver and Release of Liability

In consideration of my child’s participation, I hereby release and hold harmless the Lady Dukes CT, LLC, coaches, volunteers, staff, and any affiliated parties from any and all liability, claims, or causes of action arising out of or related to participation in team-related activities including, but not limited to, practices, games, tournaments, and travel.

3. Medical Consent

In the event of an emergency and I cannot be reached, I authorize the coaching staff or designated representative of Lady Dukes CT, LLC to obtain necessary medical treatment for my child, including transportation to a hospital or emergency facility. I assume full responsibility for any and all associated costs.

Primary Contact Name

First Name

Last Name

Relationship to Player

Phone Number

(###)

###

####

Additional Phone Number

(###)

###

####

Alternate Contact Name

First Name

Last Name

Phone Number

(###)

###

####

Known Allergies/Medical Conditions

Player Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Team Age Group

I certify that I am the legal parent or guardian of the participant named above. I have read and understand the terms of this waiver and agree to its contents.

I Agree

Name of Parent/Guardian

Date

MM

DD

YYYY

Electronic Signatures. The Parties acknowledge and agree that this Release Form and all related agreements and documents related to this release form may be executed by electronic signature, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature.

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