Germantown Hornet's Wrestling Club Registration
Please fill out 1 form per Wrestler
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Wrestler's Name (First Last) *
Address
Wrestler's Age *
Wrestler's Grade and School *
Parent/Guardian’s 1 Name *
Parent/Guardian 1 Phone number *
Parent/Guardian 1 Email *
Parent/Guardian 2 Name
Parent/Guardian 2 Phone Number
Parent/Guardian 2 Email
Wrestler's USA Card # and Expiration Date (a valid card is required from www.usawmembership.com) *
Session Choice *
T-Shirt Size *
Wrestler Height *
Wrestler Weight *
Singlet Choices *
Parent would be interested in helping coach *
Parent would be interested in learning more about being a team parent *
Payment for Registration and Singlet *
I, the undersigned, parent/guardian of Wrestler Being Registered release Germantown Hornets Wrestling Club,Inc and all their employees, officers, and agents from all claims of damage, demand, and actions whatsoever, including costs and attorney’s fees, arising out of negligence of Germantown Hornets Wrestling Club Inc in conjunction with my child’s participation in Germantown Hornets Wrestling Club Inc activities. This release is given in consideration of providing supervision of my child during Germantown Hornets Wrestling Club Inc and includes, but is not limited to, my commitment to hold Germantown Hornets Wrestling Club Inc harmless from any such claims against it. Ihereby submit that my child is physically able to participate in the activities of Germantown Hornets Wrestling Club Inc. I understand that there are risks inherent in wrestling activities, including the risk of physical injury or death, and I assume such risks on behalf of my child. I release Germantown Hornets Wrestling Club Inc from all liability arising from the negligence of Germantown Hornets Wrestling Club Inc, their agents, officers, directors and employees if my child is injured and/or if any claims should arise out of my child’s participation in Germantown Hornets Wrestling Club Inc activities. I authorize Germantown Hornets Wrestling Club Inc to act for me according to its judgment in any emergency involving my child requiring medical attention. In the event of an emergency, I give Germantown Hornets Wrestling Club Inc my permission to administer first aid and/or obtain emergency medical treatment in my child’s best interest. I agree to pay all expenses incurred due to any emergency involving my child in conjunction with Germantown Hornets Wrestling Club Inc. *
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