_____________________(NAME OF MEMBER) recognize and understand that the use of any
equipment and/ or my participation in any activity sponsored by the Howell PAL will be done
at my own risk, knowing that the use of said equipment and/ or participation in said activities
may subject me to physical injury serious or otherwise. As such I will not hold the Howell PAL,
its members coaching staff/ volunteers and directors responsible for any accident or injury
that may befall me in the use of said equipment and/ or the participation in said activities,
further more I will provide the PAL with a medical certification from my doctor attesting to
my physical ability to participate in certain activities requiring notification.
Date__________________ Signature of Applicant_________________________
Date_________________ Signature of Parent/Guardian______________________
The Howell PAL may take photographs of youth participants to promote, advertise PAL activities
and events. Your child may or may not be photographed or appear in a photograph. In the event
your child is depicted in the photograph the Howell PAL reserves the right to publicize any
pictures taken at or during PAL sponsored activities and events.Howell PAL will not sell these
photographs or the likeness of participants. These photographs will be for the soul use of information
and promotion of PAL sponsored activities and events.
Your signature will authorize the Howell PAL to use any such photographs.
DATE___________ SIGNATURE OF APPLICANT_____________________________
DATE___________ SIGNATURE OF PARENT/GUARDIAN_____________________________