2026 PARENTAL PERMISSION AND WAIVER OF LIABILITY
To the Nashua Police Athletic League:
This is to certify that my/our child,
(Print STUDENT'S name and date of birth)
(Print SCHOOL NAME)
has my permission to participate in the Nashua PAL Elementary Cross Country Running Program. I/ we further grant permission to the Nashua PAL to transport my/our child to and from athletic activities, and further authorize the Nashua PAL, its agents, servants or employees, to obtain medical treatment from any licensed physician or hospital in the event they deem such treatment necessary as a result of my/our child's participation in athletic activities or as a result of transportation to and from such athletic activities. I/we understand that there is a possibility that my/our child may be injured as a result of participating in the Nashua PAL Elementary Cross Country Running Program, or in being transported to or from said activities. I/we have made the following arrangements for medical and accident insurance to cover doctor and/or hospital bills which may be incurred as a result of injury to my/our child:
My/our child is covered by a medical and accident insurance policy.
I/we do not have medical or accident insurance to pay for doctor and/or hospital bills in the event my/our child is injured, and I/we agree to pay those bills out of my/our own funds.
I/we also understand that there are some costs and damages that may not be covered by any insurance. Regardless of whether I/we have insurance or not, I/we agree that in consideration of my/our child being allowed to participate in the Nashua PAL Elementary Cross Country Running Program, I/we will not hold the Nashua PAL, Nashua Police Department, the Nashua Police Relief Association, nor their agents, servants, employees, officials (elected or not), or Boards or Commissions liable for any accident or injury incurred by my/our child resulting from or arising out of participation in athletic activities, or resulting from or arising out of being transported to or from such activities. I/we further agree that I/we will not bring any claim against the Nashua PAL, its agents, servants or employees, for any injury, loss or damages incurred by me/us or my/our child resulting from or arising out of participation in athletic activities or resulting from or arising out of being transported to or from such activities.
Parent/Legal Guardian Signature
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