ATHLETE'S NAME *

First Name

Last Name

Date *

Player's date of birth

MM

DD

YYYY

PARENT PHONE *

(###)

###

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ADDITIONAL PHONE

(###)

###

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WAIVER *

FULL WAIVER INFORMATION CAN BE FOUND HERE: https://www.galya.co/forms OR 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