To induce the Danbury Police Activities League Inc. 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 P.A.L, its officers, staff, and representatives from any claims
arising from any injury to above named minor. I hereby give my consent
for emergency care prescribed by duly licensed Doctor of Medicine or Doctor
of Dentistry. This care may be given under whatever conditions are necessary
to preserve the life, limb, or well-being of my dependent.
This also gives PAL permission to take photography and/or video of said
participant for the purposes of promoting programs on fliers, social media,
and other ways PAL sees fit.
I agree to pay all registration fees on timely basis. A fee of $25 will
be charged for each returned check