Delco Wrestling Club Registration Form

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Complete this form before attending club practices

Wrestler First Name *

Wrestler Last Name *

Date of Birth *

YYYY

Weight *

Shirt Size

YXL

AXL

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Current Team *

Parent Name *

Parent Email *

Parent Cell *

USAW Insurance Number *

Does your child have any unique needs, accomodations, or even circumstances in their life that you'd like our coaches to be aware of? We ask only so our coaches can be as helpful as possible.
*

I, the parent/ guardian of the registrant, a minor, agree that the registrant and I will abide by the rules of NPAA wrestling and its sponsors. Recognizing the possibility of physical injury associated with wrestling and in consideration for NPAA accepting the registrant for its wrestling program and its activities, I hereby release, discharge and/or otherwise indemnify the NPAA, its sponsors, employees and associated personnel, including the owners of the rooms and facilities utilized for the programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the program and or being transported to or from the same, which transportation I hereby authorize.
*

I Agree

Submit

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