Player Name *

First Name

Last Name

Parent / Guardian Name(s) *

First Name

Last Name

Acknowledgement *

All in depth information is located in the forms tab

I / We agree to the terms of the release of liability form

I as the participant, am aware of the risks by participating in any GALYA LLC event

I agree to the materials in the website and social media release form

I have read the privacy policy and terms and conditions

I acknowledge section 4 of this release knowing the potential risk of being exposed to COVID-19

I have read, understand and will comply with section 5 of this waiver.

I willingly agree to comply with the stated and customary terms and conditions for participation include those requirements set forth in the NJDOH guidelines