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Registration and Payment
Clinc Info
Quaker Valley / OMP Wrestling
420 Glenfield Rd
Sewickley, PA 15143
Monday, June 3
Session 1: 10 AM – 12:30 PM
Session 2: 1:30 – 4 PM
Tuesday, June 4
Session 3: 10 AM – 12:30 PM
Session 4: 1:30 – 4 PM
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Athlete Last Name:
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Athlete First Name:
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Athlete Age:
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Athlete School:
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Athlete Club(s):
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USA Wrestling ID (if any):
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Parent Name:
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Parent Cell Phone:
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Wrestling Prep Umbrella Waiver
In consideration of being allowed to participate in any way in any activity presented and or occurring at any facility hosted or operated by Carolyn Wester, Wrestling Prep or any other clinician/coach this waiver must be signed.
The signed agrees that prior to participation of themselves or their minor child or guardian he/she will inspect the facilities and equipment to be used, and if he/she believes anything to be unsafe, he/she will immediately advise coach or supervisor of such condition(s) and refuse to participate.
I understand and acknowledge and fully understand that the participant will be engaging in activities that involve risk of serious injury, including permanent disability, death, and severe social and economic losses which might result not only from their own actions, inaction, or negligence or others, the rules of play or condition of the premises or of any equipment used. Further that there may be other risks not known to or is not reasonably foreseen at this time. I will Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
I accept any legal or financial responsibilities or damages caused by myself or my child as a result of breaking event or camp rules and regulations.
PARENT:
By typing my name below, I acknowledge I have read and understand the above paragraphs and agree fully to the content.
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FOUR Sessions - $150
ONE Session - $50
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