Spring Wrestling Waiver

We, the undersigned do hereby give permission for our child to participate in the above stated activity. We do hereby assume full responsibility for any risk of bodily injury, personal injury or mental injury or death due to our child’s participation in these activities and the necessary travel to and from any activity site. We also further hereby assume full responsibility for all lost, stolen, or damaged personal property and will not hold the school or its employees responsible for said loss or damage to personal property.


The undersigned further release, waive, discharge and covenant not to sue the Mason City School District Board of Education, Kollin Moore, The Mason Wrestling Boosters, Mason Wrestling Coaching Staff, its individual members, its superintendent, principals, administrators, employees, agents or anyone acting on its behalf, from all liability, arising from or by reason of any bodily injury, personal injury or mental injury, known or unknown, including death, resulting from, or to result from our child’s participation in the 2023 - Mason Spring Wrestling and co-curricular activities with Mason City School District.


We expressly agree that this release is intended to be as broad and inclusive as permitted by the laws of the State of Ohio or any other state in which said student may be injured and that if any portion of this release is held invalid, it is agreed that the balance shall, nevertheless, continue in full force and effect. We further state that we have fully and carefully read the above release and know the contents of the same and sign this release as our own free act. We further consent to emergency treatment by a physician in the event of injury to or illness of our child during his/her participation in such activities.


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Email *
Wrestler Name(s) *
Parent Name *
I have thoroughly read the terms and conditions of the waiver and give consent. *
Emergency Contact (phone number) *
USA Wrestling ID# (Type N/A if no USA Wrestling Card) *
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