[iphorm id=”3″ name=”Victory Lacrosse Academy Registration”]
As the parent/legal guardian of the above child, I am fully aware of the risks associated in participation in Victory Academy and related activities. I further agree on behalf of myself, my heirs and personal representatives, that Victory Academy along with leadership coaches, volunteers, and directors of these organizations, shall not be liable for any personal injury or any other loss or damage whatsoever occurring as a result of participation in this program. I give consent to Victory Academy to provide, through medical staff of its choice, customary medical attention, transportation and emergency services as warranted in the course of the above named participation. I also give consent for my child to be photographed, videotaped and/or ﬁlmed while participating in activities and for the resulting images to be used by Victory Academy for promotional and website purposes. As the parent/legal guardian, I hereby verify by my submission that I have read and fully understand the conditions for permitting my child to participate in Victory Academy and I accept each condition.