Only players already accepted to a team should register using this form. Questions about trying out for a team should be directed to Chris Benacquista (cbenacqu@westex.org)

I, the parent of the above named candidate for a position on a Packanack Lake Athletic Association team ,hereby give my/our approval to participate in any and all activities. I/We do hereby waive, release, absolve, indemnify, and agree to hold harmlesss Packanack Lake Community Association and Packanack Lake Athletic Association the organizers, sponsors, supervisors, participants and persons transporting my/our child, to or from any activities for any claim arising out of an injury to my/our child, whether the result of negligence or for any other case, except to the extent and in the amount covered by accident or liability insurance.

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Payments Accepted By

Note: Credit Card information can be entered once this form is submitted