Ready To Ride Online Registration

  1. Fill out the information below to register online for Ready To Ride.

    You can register up to 4 family members (including yourself).

    Items marked with an asterisk (*) must be filled in to submit.

  2. Applicant Name (first, last)(*)
    Please let us know your name.
  3. Date of Birth:(*)
    You must include a date of birth
  4. Family Member #2
    Invalid Input
  5. Family Member #3
    Invalid Input
  6. Family Member #4
    Invalid Input
  7. Your Email(*)
    Please let us know your email address.
  8. Address(1)(*)
    Invalid Input
  9. Address (2)
    Invalid Input
  10. City/State(*)
    Invalid Input
  11. Zip Code
    Invalid Input
  12. Phone(*)
    You must enter a valid phone number in xxx-xxx-xxxx format
  13. Contact Phone2
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  14. WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

    Each Member or Family Must Have agreed and read this waiver

    1. In consideration for receiving permission to participate in the Egg Harbor Township Police Athletic League, I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE the City of Egg Harbor Township, EHT PAL, EHT PAL , their officers, agents, or employees (hereinafter referred to as RELEASEES) from any and all liability,claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury,including death, that may be sustained by me, or to any property belonging to me, while participating in such activity,while in, on or upon the premises where the activities are being conducted, regardless of whether such loss is caused by the negligence of the releasees, or otherwise and regardless of whether such liability arises in tort, contract, strict liability, or otherwise, to the fullest extent allowed by law.

    2. I am fully aware of the risks and hazards connected with the activities of Egg Harbor Township Police Athletic League, and I am aware that such activities include the risk of injury and even death, and I hereby elect to voluntarily participate in said activities, knowing that the activities may be hazardous to my property and me. I understand that the releasees do not require me to participate in this activity. I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of being engaged in such an activities, whether such loss is caused by the negligence of the releasees or otherwise, to the fullest extent allowed by law.

    3. It is my express intent that this Waiver and Hold Harmless Agreement shall bind the members of my family, my heirs, and personal representatives, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above - named RELEASEES.

    4. I grant permission to the releasees and its agents or employees to use photographs and/or video and a udio taken of me. These images may be used in educational and documentary materials such as Public Service Announcements, Grant Applications, Video Documentaries and both printed and online newsletters. Furthermore, I authorize the use of my image, likeness, and voice for all program promotion, materials, and any other purposes in connection with the program deemed appropriate and necessary by EHT PAL.

    IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT AS THE LEGAL REPRESENTATIVE FOR MYSELLF AND MY FAMILY I have read the foregoing Wavier of Liability and Egg Harbor Township Police Athletic LeagueHold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed

  15. (*)
    You must check the box attesting that you have read the terms of service and agree to them before you can submit this form.

  16. Choose Which Program You'd Like To Register/Pay For

  17. Orientation Fee (new registrants)(*)
    You must select either returning member ($0 Orientation Fee) or new member ($50 Orientation Fee)
  18. EHT Resident
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  19. Atlantic County Resident
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  20. State Residents
    Invalid Input
  21. Out of State Resident
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  22. One Day Pass
    Invalid Input
  23. Anti-SPAM(*)
    Anti-SPAM RefreshPlease copy the anti-spam text correctly before submitting
  24. NOTE: You must complete the PayPal payment portion of this registration before we can honor this submission."

    Receiving an email transcript is not proof of payment as it runs on a different system.

  25. Your Total
    0.00 USD
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