HOWARD COUNTY DEPARTMENT OF RECREATION AND PARKS PLAYER WAIVER, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT ROSTER

I, the undersigned parent/player, acknowledge, agree and understand that:

1. Voluntarily and of my/my child’s own free will, I elect to participate

as a member of the team and league indicated below.

2. I understand that there are certain risks and hazards involved

in participating in any sport that may result in injury or death to me

or other players, including, but not limited to those hazards

associated with weather conditions, playing conditions,

equipment and other participants.

Further, I, the undersigned parent/player, agree that in consideration

for the right to play as a member of the team designated below

and in consideration for permission to play on the fields or courts

arranged for by the team or league:

1. I voluntarily elect to accept and assume all risks of injury incurred

or suffered by my child/me (a) while practicing or playing as a

member of the team so designated, (b) while serving in a

non-playing capacity as a team member during practice or

play by other players on my team, and (c) while on or upon

the premises of any and all of the facilities arranged for by my

team or league for practice or play.

2. I release, discharge and hold harmless the team and league

designated below, the facility owner or other entity designated

below, the Howard County Department of Recreation and Parks,

Howard County, its officers, agents, associations, employees,

or any person or entity connected with the team, league, or

facility for any claim, damages, costs or cause of action which

I/my child has or may in the future have as a result of injuries

or damages sustained or incurred by me from any cause related

to my participation as a member of the team.

3. I agree/my child agrees to abide by all rules and regulation of the Howard County Department of Recreation and Parks.

4. I attest that the Howard County Recreation and Parks Concussion Information has been received by players and their parents on this roster, and furthermore if the activity occurs on school facilities, these players and parents have acknowledged receipt of the Department’s concussion information.

Managers and game officials should thoroughly inspect their facility

before each use for safe conditions. Any unsafe conditions must be reported to the Department immediately.

In consideration of participating in the National High School Lacrosse Showcase (NHSLS), the player named above and the parent or guardian do hereby agree for ourselves, our heirs, executors and administrators, to release, hold harmless

I/we being the legal guardians of the applicant authorize the staff of the NHSLS and its agents permission to request treatment to ensure the well being of our dependant. I certify that he is in good health and able to participate in the scheduled games.

No refunds will be given for this event.