By checking the box yes below, you agree to the terms of the Waiver: I hereby agree, as a member of the London Field Hockey Club (LFHC) to release LFHC, event organisation bodies, sanctioning bodies and LFHC sponsors and their respective officers, employees, agents, contractors, representatives, successors or assigns (collectively the "Releasees") from any liability for any loss, damage, injury or expense (collectively "Loss") that I may suffer as a result of my participation in any LFHC program, due to any cause, including negligence or breach of contract. I agree to waive any claim that I may have against the releasees regarding any matter, including without limitation, any claim arising out of any LFHC program. I agree to indemnify the releasees from any and all claims, action or Loss resulting in any way from my participation or my child's participation in LFHC programs. I agree that this document shall bind my heirs, executors, administrators, assigns and representatives and will have effect through my membership in LFHC and, to the extent reasonable necessary to give it effect thereafter. I agree that I am (or my child is) physically fit to participate in any LFHC programs. I agree that LFHC is authorised to take photos of me (or my child) for publicity and promotional purposes only. I hereby acknowledge and agree that LFHC may use and disclose the information on this form to enable LFHC to provide membership benefits to all LFHC members. I agree that membership in LFHC may be suspended or withdrawn in accordance with the provision of Code of Conduct By-Laws of LFHC. By submitting this application, I acknowledge I have read, understood and agree to the above Waiver, Release and Indemnity. *
