I understand that injuries are a possibility as a result of this activity. I agree to hold the Bloomfield Honeoye Pride Youth Lacrosse Club or anyone associated with this program harmless for any responsibility or liability from any injuries or property damage which may arise from my/my child's participation in this program. I also understand that my own medical and /or disability insurance will be used in the event of an injury or that I will be directly responsible for any medical costs.
As the parent/guardian of the above named player, I hereby consent, if I am not present and cannot be reached with reasonable efforts, to emergency medical care prescribed by a duly licensed doctor of medicine or dentistry, under whatever conditions are necessary to preserve the life, limb or well being of the registrant.