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 inquiry 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. A fee of $25 will
be charged for each returned check.
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.