Danbury PAL Girls Softball Storm 2018

10U: $425
12U: $700
14U: $1300

PLAYER


Parent Information


Emergency Contact Information


Medical Information



To induce the Danbury Police Athletic League to accept registration and permit participation by the above named minor child, I hereby give my permission and consent, agree to release, indemnify, and hold harmless the Danbury PAL, its’ officers, staff, and representatives from any claims arising from any injury to the above named minor. I hereby give my consent for emergency care prescribed by the duly licensed Doctor of Medicine or Doctor of Dentistry. This may be given under whatever conditions are necessary to preserve life, limb or well-being of my dependent. I agree to pay all registration fees on timely basis.

This also gives PAL permission to take photography and/or video of said participant for the purpose of promoting programs on fliers, marketing material, and social media for PAL related purposes.

REQUIRED
REQUIRED

AFTER SUBMITTING THIS FORM YOU WILL BE DIRECTED TO A PAYMENT PAGE WHERE YOU CAN PAY WITH ANY CREDIT CARD OR PAYPAL
THERE ARE OPTIONS TO PAY IN INSTALLMENTS ALSO