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   PAL Registration Form
 
     
  Name:
Last, First, MI
  Select one: Boy   Girl
  Address:  
  Home Phone: ( )
     
  School:      Grade:  
  Birthdate:
 		           Height:  
  Returning Player?  Yes No          If yes, name of team
     
  Father's
Name:   		Home Phone:( ) Work Phone: ( )
  Address:
  Mother's
Name:		 Home Phone:( ) Work Phone: ( )
  Address:
     
  I/We, the parents of the above named child, hereby give my/our approval for his/her participation in the PAL League activities. I/We assume all risks and hazards incidental to participation, including transportation to and from activities. I/We hereby waive, release, absolve, indemnify and agree to hold harmless, the Elko Police Athletic League, the National PAL League, the organizers, sponsors, supervisors, participants, volunteers, and person transporting my/our child to or from activities, from any claim(s) arising out of injury to my/our child, except to the extent and to the amount covered by accidental and liability PAL insurance. 
     
  I/We, fully understand that the Elko Police Athletic League Insurance is provided for accidents only when the parents do not have accident insurance that will cover the accident or when expenses incurred exceed parental insurance limits.
     
  Parent Signature
  Parent Signature
     
  Date
     
   
   
     
 
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