Medical Waiver
I authorize the Breakout and medical staff to use their best judgment in allowing my child
to receive emergency medical or surgical treatment if necessary. I understand that every effort will be made to contact me prior to such action. (It is imperative that your child be in good health when arriving to the tryout. The duties of Breakout Lacrosse and the medical staff can not include providing medical care for players arriving at the tryout with a pre-existing medical condition.)
I hereby:
1. certify to the best of my knowledge, the medical information is complete and correct and has been signed voluntarily.
2. agree to assume all risk of personal injury arising from participation in the practices and games with the team, understanding that this sport does involve potential for serious injury, disability and death.
3. agree not to hold Breakout Lacrosse or any of the coaching staff responsible for any injury sustained during the practices, games or any events associated with Breakout Teams.
4. agree not to bring suit against Breakout Lacrosse, or the coaching staff for any injury sustained during the practices or during any subsequent practices or events associated with Breakout Teams. 5. agree to allow Breakout Lacrosse staff, coaches and medical staff to use sound judgment in obtaining necessary medical care, at the expense of the parent/guardian.
6. agree to accept any decisions made by the Breakout staff, coaches and/or medical staff in terminating attendance at the practices or games due to unacceptable behavior on and off the field during the practice or game hours associated with Breakout Lacrosse.
