Warrior Wrestling Club Registration

Wrestler's First Name *

Wrestler's Last Name *

Approximate Weight *

Date of Birth *

Wrestler's School *

Wrestler's T-Shirt Size *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult X-Large

Streeet Address *

City *

Zip Code *

Parent's First Name *

Parent's Last Name *

Parent's Cell Phone *

Parent's Email Address *

2nd Parent First Name

2nd Parent Last Name

2nd Parent Cell Phone

2nd Parent Email Address

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Cell Phone *

Emergency Contact Relationship *

Mother

Father

Relative

Friend

WAIVER FOR WARRIOR WRESTLING CLUB RECREATIONAL WAIVER. IMPORTANT: THE PARTY BELOW HAS READ THE FOLLOWING TERMS AND CONDITIONS, WHICH CONSTITUTE A LICENSE THAT COVERS THE PARTICIPANT’S ACTIVITY AND ANY TRANSACTIONS, THE CONSIDERATION OF WHICH, AND THE ADEQUACY OF CONSIDERATION THERETO, THAT THE PARTY HEREBY RESTATES AND ACKNOWLEDGES ASFOLLOWS:a. Inherent risks. The athletic events, transactions, and or activities contain certain inherent risks; each person who participates in any of the events, transactions, and or activities accepts the dangers that are inherent thereto, including, but not limited to, athletic injuries and infectious diseases. Neither Warrior Wrestling Club, nor sponsors, if any, will accept responsibility for injuries received while participating in said events, transactions, and or activities. Any and all risks, including, but not limited to, the aforementioned, are hereby expressly assumed and waived.b. Assumed risk. Restated, ALL participants acknowledge, and hereby KNOWINGLY ASSUME, any and all risks associated with the activities and or transactions, including, but not limited to, high risk activities and infectious diseases.c. Release and indemnification. Participant agrees to release, defend, hold harmless and indemnify Warrior Wrestling Club, and all other sponsors, if any, and their affiliates, agents, servants, employees, assigns, successors and distributors from any and all liability for both infectious diseases as well as personal injury, including death, and property damage from any alleged NEGLIGENCE in the operation, maintenance or design of the activities.d. Medical care. Participant agrees to assume liability for any and all medical costs incurred as a result of my participation in any event, transaction, or activity, including, but not limited to costs that are not covered by my insurance, such as: medical care and treatment, ambulance services, hospital stays, and physician and pharmaceutical goods and services.e. Media release. I do hereby authorize Warrior Wrestling Club and its assigns to utilize any and all photographs, pictures or other likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials or team films. *

WARRIOR WRESTLING REGISTRATION

WARRIOR WRESTLING REGISTRATION