Perry Girls Wrestling K-6 Team Registration Form: 2023-24 Season
Thank you for your interest in Perry Girls Wrestling!  After completing and submitting this registration form, please return to the Perry Girls Wrestling website to pay team fee.
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Email *
Instructions
Please fill in all required form fields.  The registration form is not complete until you click Submit on the second page of this form.  You will be redirected to a confirmation page when complete.
Wrestler Information
Wrestler's First Name *
Wrestler's Last Name *
Wrestler's USA Wrestling Membership ID Number (returning wrestlers only)
Wrestler's Date of Birth *
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Address *
City *
State *
Zip Code *
Grade (2023-2024 school year) *
T-Shirt Size *
Approximate Weight (lb) *
Prior Years of Wrestling Experience *
Parent / Guardian 1 Information
Parent / Guardian 1 First Name *
Parent / Guardian 1 Last Name *
Parent / Guardian 1 Email Address *
Parent / Guardian 1 Phone Number *
Parent / Guardian 2 Information
Parent / Guardian 2 First Name
Parent / Guardian 2 Last Name
Parent / Guardian 2 Email Address
Parent / Guardian 2 Phone Number
Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement
Please click the link below to open and read the USA Wrestling Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement.  When you fully understand, acknowledge, and accept all terms and conditions therein, please indicate you have done so by signing below.

Link - [PDF]
Full Name of Parent / Guardian for Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement *
By signing this form, as the parent/guardian of the wrestler(s) named in this registration, I acknowledge reading the USA Wrestling Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement and fully understanding, acknowledging, and accepting all terms and conditions therein.
Concussion Acknowledgement
Please click the link below to open and read the Ohio Department of Health Concussion Information Sheet For Parents and Athletes.  When you and your wrestler have thoroughly reviewed the policies and contents within and agree to abide by these policies and contents, please indicate you have done so by signing below.

Link - [PDF]
Full Name of Parent / Guardian Receiving Concussion Information *
By signing this form, as the parent/guardian of the wrestler(s) named in this registration, I acknowledge receiving and reading with my wrestler the concussion information sheet prepared by the Ohio Department of Health.
Lindsay's Law Acknowledgement
Please click the link below to open and read the Ohio Department of Health Sudden Cardiac Arrest and Lindsay's Law Information Sheet For Parents and Athletes. When you and your wrestler have thoroughly reviewed the policies and contents within and agree to abide by these policies and contents, please indicate you have done so by signing below.

Link - [PDF]
Full Name of Parent / Guardian Receiving Lindsay's Law Information *
By signing this form, as the parent/guardian of the wrestler(s) named in this registration, I acknowledge receiving and reading with my wrestler the Sudden Cardiac Arrest and Lindsay's Law information sheet prepared by the Ohio Department of Health.
Photo/Video/Interview Release
Please click the link below to open and read the Perry Girls Wrestling Photo/Video/Interview Release. When you and your wrestler have thoroughly reviewed the contents therein and agree to abide by these policies and contents, please indicate you have done so by signing below.

Link - [PDF]
Full Name of Parent / Guardian Granting Photo/Video/Interview Release *
By signing this form, as the parent/guardian of the wrestler(s) named in this registration, I acknowledge receiving and reading with my wrestler the Photo/Video/Interview Release and consent to the use of their image as described therein.
Date for (1) Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement (2) Concussion Information Received and Read, (3) Lindsay's Law Information Received and Read, and (4) Photo/Video/Interview Release. *
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DD
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YYYY
Complete Form and Questions
Please fill in all required form fields.  The registration form is not complete until you click Submit on the second page of this form.  You will be redirected to a confirmation page when complete.

Questions about this registration process?  Contact Chris Ciolli at christopher.j.ciolli@uwalumni.com.
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