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IMPORTANT POLICY INFORMATION: *Read the following information and check the box below to indicate your agreement.

I certify that my child is in good physical condition and is physically and psychologically prepared to participate in a Lacrosse program. I hereby give my consent to Camden Midstate Lacrosse Club to provide my child, through staff of its choice, customary medical/athletic training attention, transportation, and emergency medical services as warranted in the course of my child's participation. I am fully aware of, and appreciate the risks, including the risk of catastrophic injury, paralysis, and even death, as well as other damages and losses associated with my child's participation in a Lacrosse event. I further agree on behalf of myself, my child and my heirs and personal representatives that the Camden Midstate Lacrosse Club, along with the coaches, volunteers, employees, agents, officers, and directors of this organization, shall not be liable for any injury, loss of life, or other loss or damage occurring as a result of my child's participation in the event.

I accept the above

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