Contact

Scream Lacrosse
914-879-2392
screamlacrosse@gmail.com

Scream Summer 22

Season goes from late May until mid August!

* Required information

Athlete Detail

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  • Fee

    Type Fee
    $30.00

Parent Detail

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Athletic Background

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  •  characters remaining
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     characters remaining

Scream Lacrosse Liability Waiver Form and Program Policies

  • By indicating your acceptance, you understand, agree, warrant and covenant as follows:

  • 1. Agreement. In consideration of my child's participation, I hereby release and covenant not to sue Mr. Scott Cohen, the Scream Lacrosse program or any instructor, coach or agent of Mr. Scott Cohen or the Scream Lacrosse program, from any and all present and future claims resulting from ordinary negligence on the below named player for property damage or personal injury arising as a result of engaging in or receiving instruction in lacrosse associated activities, including without limitation, practices, clinics, games or tournaments.

  • 2. Waiver. YOU UNDERSTAND THAT PARTICIPATION IN THE EVENTS DESCRIBED ABOVE IS POTENTIALLY HAZARDOUS, AND THAT A REGISTERED PARTY SHOULD NOT PARTICIPATE UNLESS HE OR SHE IS MEDICALLY ABLE AND PROPERLY TRAINED. YOU UNDERSTAND THAT EVENTS MAY BE HELD OVER PUBLIC ROADS AND FACILITES OPEN TO THE PUBLIC DURING THE EVENT AND UPON WHICH HAZARDS ARE TO BE EXPECTED. PARTICIPATION CARRIES WITH IT CERTAIN INHERENT RISKS THAT CANNOT BE ELIMINATED COMPLETELY, RANGING FROM MINOR INJURIES TO CATASTROPHIC INJURIES INCLUDING WITHOUT LIMTIATION DEATH. YOU UNDERSTAND AND AGREE THAT IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THE EVENT, YOU AND ANY REGISTERED PARTY, THE HEIRS, PERSONAL REPRESENTATIVES OR ASSIGNS OF YOU OR THE REGISTERED PARTY DO HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE FOR ANY AND ALL LIABILITY FROM ANY AND ALL CLAIMS ARISING FROM PARTICIPATION IN THE EVENT BY YOU OR ANY REGISTERED PARTY.

  • 3. Severability. You further expressly agree that this Agreement and Waiver is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any provision of this Agreement and Waiver shall be found to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and Waiver and shall not affect the validity and enforceability of any remaining provisions.

  • 4. POLICY: Parents and spectators are not permitted on the field or sidelines during events including, but not limited to, practices, clinics, scrimmages, play days, and tournaments.Waiver/Release for Communicable Diseases Including COVID-19 In consideration of being allowed to participate in a Malibu LAX or Scream Lacrosse event, the undersigned acknowledges, appreciates, certifies and agrees that: My participation includes possible exposure to and illness from infectious diseases, including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness, injury, and death does exist.

  • If I have a pre-existing health condition, exposure to COVID-19, or any other infectious disease may be more likely to cause serious illness, injury, or death. Malibu LAX and Scream Lacrosse cannot ensure that all other participants, including coaches and volunteers, are taking precautionary measures to mitigate risks to ensure the health and safety of other participants, coaches, and volunteers, and therefore, participation in a Malibu LAX and Scream Lacrosse Event involves risk of exposure to infectious disease; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, I certify that I have not recently tested positive for, and am not exhibiting symptoms of COVID-19,

  • which include a cough, shortness of breath or difficulty breathing, loss of taste or smell, headache, chills, muscle or body aches and/or sore throat. I certify that I do not have a household family member/roommate who has recently tested positive for or exhibited the above-referenced symptoms of COVID-19.I willingly agree to comply with all recommendations provided by Malibu LAX and Scream Lacrosse to ensure safe play. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest coach, staff member or volunteer, or official immediately; and, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin,

  • HEREBY RELEASE AND HOLD HARMLESS AND WILL NOT SUE OR HOLD LIABLE MALIBU LAX AND SCREAM LACROSSE, and their coaches, officers, officials, agents, and/or employees, other participants, volunteers, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law. BY INDICATING YOUR ACCEPTANCE OF THIS AGREEMENT AND WAIVER, YOU ARE AFFIRMING THAT YOU HAVE READ AND UNDERSTAND THIS AGREEMENT AND WAIVER AND FULLY UNDERSTAND ITS TERMS. YOU UNDERSTAND THAT YOU ARE GIVING UP SUBSTANTIAL RIGHTS, INCLUDING THE RIGHT TO SUE. YOU ACKNOWLEDGE THAT YOU ARE SIGNING THE AGREEMENT AND WAIVER FREELY AND VOLUNTARILY, AND INTEND BY YOUR ACCEPTANCE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

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    I have read and agree to the terms of the liability waiver.

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$9,999.99

Payment

Payment Method

Payment Summary


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Please keep me updated on the Scream Schedule!

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