Pine-Richland Youth Wrestling Camp Registration
Please complete one form per wrestler
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Wrestler Name *
Years of Experience *
Age *
Entering Grade *
School *
Address *
Phone *
Parent Name *
Email *
Emergency Contact/Phone *
Allergies/Medical Concerns: *
Pine-Richland Youth Wrestling Camp Disclaimer
We hereby authorize our child to participate in the Pine-Richland Youth Wrestling Camp, we do release and forever discharge any of the sponsoring organizations, its agents, employees, members, coaches, and all other persons associated with the same from any medical and all claims, demands, actions, causes of action or legal suits of any kind which might occur to us or our child because his/her participation in the Pine-Richland Youth Wrestling Camp, including transportation of said child to and from the organizations programs or activities. We understand that this release precludes any claims on behalf of said from his/her participation.
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