MEMBERSHIP APPLICATION NASSAU COUNTY POLICE ACTIVITY
MEMBERSHIP
NASSAU COUNTY POLICE ACTIVITY APPLICATION ENTIRE FORM COMPLETE PRINT PLEASE •
LEAGUE
se
•
Activitv
Unit
[] Ma
e
[}Female
Date of Birth
Last
First
MONTH
DAY
YEAR
Tet
Name Residence
(Zip)
(Town) Grade
School Attended E-Mail
Age
Address
accordingly.
1 will do my best in school. .I will remember that my participation Participant's
in P.A.L
is an opportunity
to learn and have fun.
Signature:
1, THE UNDERSIGNED,
being the parent or guardian
of (Name
(Signature
C
of Participant)
do hereby
of Parent/Guardian) S
I win place the emotional and physical well being of my child ahead of a personal desire to win. I will insist that my child play in a safe and heakhy environment. of being a youth sports coach and that the coach upholds the Coaches' Code of Ethics I will require that my childh coach be trained in the responsibilities will support coaches and officials working with my child, in order to encourage for all. a positive and enjoyable experience I will demand a sports environment for my child that is free from drugs, tobacco, and alcohol, and will refrain from their use at all youth sports events. I will remember that the game is for youth, not for adults. I will do my best to make youth sports fun for my child. I will ask my child to treat other players, coaches, fans, and officials with respect regardless of race, sex, creed, or ability. Parent
(s) Signature (s):
before? activity
[]
Yes
If Yes, Where? Position Played
to be a success.
Field Maint. Equip. Maint. Tearn Parent Time Keeper
Reg. Fee: Date Uniform Returned Was Anything Missing? Collected By-
Uniform
Deposit:
Make Phone Calls Fund Raiser Transportation
[]
Do not
Collected By:
Secretarial
[] [] []
e below
NASSAU COUNTY POLICE ACTIVITY APPLICATION ENTIRE FORM COMPLETE PRINT PLEASE •
LEAGUE
se
•
Activitv
Unit
[] Ma
e
[}Female
Date of Birth
Last
First
MONTH
DAY
YEAR
Tet
Name Residence
(Zip)
(Town) Grade
School Attended E-Mail
Age
Address
accordingly.
1 will do my best in school. .I will remember that my participation Participant's
in P.A.L
is an opportunity
to learn and have fun.
Signature:
1, THE UNDERSIGNED,
being the parent or guardian
of (Name
(Signature
C
of Participant)
do hereby
of Parent/Guardian) S
I win place the emotional and physical well being of my child ahead of a personal desire to win. I will insist that my child play in a safe and heakhy environment. of being a youth sports coach and that the coach upholds the Coaches' Code of Ethics I will require that my childh coach be trained in the responsibilities will support coaches and officials working with my child, in order to encourage for all. a positive and enjoyable experience I will demand a sports environment for my child that is free from drugs, tobacco, and alcohol, and will refrain from their use at all youth sports events. I will remember that the game is for youth, not for adults. I will do my best to make youth sports fun for my child. I will ask my child to treat other players, coaches, fans, and officials with respect regardless of race, sex, creed, or ability. Parent
(s) Signature (s):
before? activity
[]
Yes
If Yes, Where? Position Played
to be a success.
Field Maint. Equip. Maint. Tearn Parent Time Keeper
Reg. Fee: Date Uniform Returned Was Anything Missing? Collected By-
Uniform
Deposit:
Make Phone Calls Fund Raiser Transportation
[]
Do not
Collected By:
Secretarial
[] [] []
e below
