For your convenience, we have now made our waiver form available online!

If you would rather print out your waiver and bring it in person, please download and complete the waiver here.

All players participating in Ultimate Performance Lacrosse Fall Shoot-out 2017 must have their parent or guardian complete and submit this waiver prior to the event. Players will not be allowed to play unless we have a digital record of this waiver. No exceptions.


  • For compliance, your Coach will be emailed a copy of this signed Waiver after you submit it.
  • WAIVER OF LIABILITY

    In consideration of participating in the Ultimate Performance Lacrosse LLC Fall Shoot-Out 2017, the player named above and the parent or guardian do hereby agree for ourselves, our heirs, executors and administrators, to release, hold harmless and forever discharge Ultimate Performance Lacrosse LLC and the Ultimate Performance Lacrosse LLC Fall Shoot-Out 2017, their officers, staff, administrators, volunteers, sponsors and representatives and assigns, for and against any and all claims, actions, cause of actions, suits, judgments, and demands whatsoever directly or indirectly in connection the player’s participation in the Ultimate Performance Lacrosse LLC Fall Shoot-Out 2017.

    By checking the box and providing my name below, I acknowledge that I have read and understand this form and further understand the terms herein are contractual and not a mere recital.

  • TREATMENT / MEDICAL RELEASE AUTHORIZATION

    I/we being the legal guardians of the applicant authorize the staff of Ultimate Performance Lacrosse, LLC and Ultimate Performance Lacrosse LLC Fall Shoot-Out 2017 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. I am attaching a note explaining any physical limitations and/or required medical attention that is necessary for my son.