MEDICAL WAIVER FORM: 3-7 YOUTH WRESTLING CAMP
Must be completed by the wrestler parent/guardian in order to participate in the camp.
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Email *
Medical Waiver is for Wrestler’s Name: *
CAMP DATES: *
Required
Parent Consent and Waiver of Responsibility In consideration of the "3 - 7 YOUTH WRESTLING CAMP", acceptance of the camper named above as a student in the camp for the periods described above, the camper by and through his parent or legal guardian hereby acknowledges, understands and agrees to as following: Wrestling is a sport, which involves intense physical contact between two Individuals. The camper will be involved in some intense training and competition including competitive wrestling. Injuries can and do occur during wrestling. As parent(s) or legal guardian(s), we’ve also been informed that various skin conditions are preventable in the sport of wrestling and while strong measures will be taken to prevent the spread of skin conditions such as Ring Worm, Herpes, and Cold Sores, 100% prevention can not be guaranteed. Further, we the parent(s) or legal guardian(s) have been informed that there is an assumption of risk when anyone participates in the sport of wrestling. The understanding on behalf of themselves and their child or ward agrees to hold harmless Head Coach Jason Puderbaugh, USD #458, volunteer coaches, or any involved with providing this camp opportunity from and against any injuries incurred by the camper. The understanding hereby releases, waives, and forever discharges Head Coach Jason Puderbaugh, from and against any and all claims, injuries, demands, actions, or cause of actions arising out of the participation by the camper in the "3 - 7 Youth Wrestling Camp." The understanding hereby certifies that the camper is physically able to participate at the camp and that there are no impairments that would limit the participation in the programs. The understanding hereby grants permission for doctors and their designs to administer appropriate medical care, antigens, or injuries, and to perform emergency procedures as necessary. *
PARENT NAME (Printing your name here is your signature of accepting terms & conditions of this liability waiver): *
DATE of Acknowledgement: *
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Proof of insurance or USA Wrestling Card IS EXPECTED to participate in the camp. Please fill out your insurance information below.
USA Wrestling Card # OR Policy/Group # (on your insurance card *
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