Duke Snowflake Lacrosse Tournament
Waiver and Insurance Form

The undersigned being a parent or legal guardian of the child requesting
camp admittance, does hereby affirm that the applicant is in good health, and
suffers from no illness, disability or condition that requires the taking of
medication on a regular basis unless that condition is disclosed and
approved. Furthermore, the undersigned has no knowledge of any reason the
applicant cannot participate in vigorous physical activity.
 

I understand that, as a participant in the camp, the undersigned, on behalf of
all parents guardians, and on behalf of the applicant, hereby release Duke
University, the Duke Lacrosse Staff, the Duke University Athletic
Department, and all other employees or agents of the camp from any liability
from loss or damage of personal property, injury or illness, mental or
physical suffered by the camper during or related to camp.

____________________________________ ____________________
Participant’s Name Team
 

____________________________________ ____________________
Parent/Guardian’s Signature Date
 

Please give this form back to your team coordinator to be handed in at the
tournament. This form must be completed and turned in at registration in
order for participants to participate in camp- no exceptions.