Pursuit Field Hockey, LLC, CONSENT RELEASE AND WAIVER OF ALL CLAIMS

In exchange for participation in all activities organized by Pursuit Field Hockey, and/or use of the property, facilities, and services provided by Pursuit Field Hockey, I agree for myself and (if applicable) for the members of my family, to the following:

  1. I acknowledge that I act at my own risk.
  1. Athlete Code of Conduct: I will follow and respect instructions from all coaches and staff members. I will treat my teammates, coaches, and all Pursuit Staff with respect. I will use respectful language and refrain from any unlawful activity and any forms of violence. I will respect others’ belongings and the facilities with are being used.
  1. I agree to observe and obey the Athlete Code of Conduct, and all posted rules and warnings at the facility(ies). I further agree to follow any verbal instructions or directions given by Pursuit Field Hockey, or the employees of any facility being used, or any representatives or agents of Pursuit Field Hockey. I recognize that failure to comply with any of the above stated, will result in my removal from any program / service / tournament.
  1. I recognize that there are certain inherent risks associated with the tournament and associated activities and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Pursuit Field Hockey from any claims for injury, loos or damage arising out of my or my family’s use of or presence upon the facilities of Pursuit Field Hockey, whether caused by the fault of myself, my family, Pursuit Field Hockey, or third parties.
  1. I agree to indemnify and defend Pursuit Field Hockey against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family’s use of or presence upon the facilities of Pursuit Field Hockey, or participation in any service, program, or tournament.
  1. I agree to pay for any and all damages to the facilities or equipment used and/or provided by Pursuit Field Hockey, resulting from my own or my family’s negligent, recklessness, or willful actions.
  1. In my parent’sand/or guardian’s absence, I authorize the Pursuit Field Hockey Staff to act in their best judgment for all emergency and medical treatment which may be needed in the event of an injury. I agree to hold Pursuit Field Hockey Staff and Personnel Members, Physician, and/or Hospital in treating my child harmless.
  1. I understand that primary medical insurance coverage is my own responsibility.
  1. Any legal or equitable claim that may arise from participation in the above shall be resolved under Pennsylvania State Law.
  1. I agree to allow Pursuit Field Hockey to use any pictures, videos, or quotes of myself from field hockey events for marketing purposes.

I confirm that I have read, understand, and agree to sign this document. I understand that by signing this release, I surrender certain legal rights.

Name of Event / Program: ______

Date of Event / Season: ______

Name of Participant (printed): ______

Signature of Participant (if 18 years and older): ______

Name of Parent/Legal Guardian (printed): ______

Signature of Parent/ Legal Guardian: ______Date: ______

Pursuit Field Hockey, LLC

CONSENT RELEASE AND WAIVER OF ALL CLAIMS