Gettysburg Youth Wrestling Registration
2023-2024 Season Youth Wrestling Sign Up Form
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Wrestler Name *
Date of Birth *
Grade *
Gender *
Address *
School *
Years of Experience please mark 0 if first year *
Shirt Size  *
Short Size  *
Parent/Guardian 1 Name *
Parent/Guardian 1 Phone Number *
Parent/Guardian 1 Email Address *
Parent/Guardian 2 Name
Parent/Guardian 2 Phone number
Parent/Guardian 2 email address
Parent/Guardian 3 name
Parent/Guardian 3 phone
ParentGuardian 3 email address
PLEASE SIGN:
My child, (wrestler’s name/first and last), has my
permission to participate in the Gettysburg Wrestling Club. Please type both your childs name and your name below
 *
My child______(wrestler's first/last name) has my permission to wrestle in the Gettysburg Wrestling Club. I understand there is a 2 hour volunteer requirement/per family. I may pay a buy out fee of $100 if I opt not to fulfil this volunteer obligation. (Parent Name & date) *
Photo Release:
Please check and sign off on one statement below.
I hereby authorize Gettysburg Wrestling to publish photographs and video taken of my child, and their
name and likeness, for use in the Gettysburg Wrestling’s print, online and video-based materials, as well as
other Club publications. I hereby release and hold harmless Gettysburg Wrestling from any reasonable
expectation of privacy or confidentiality associated with the images specified above. I further acknowledge that
my participation is voluntary and that I will not receive financial compensation of any type associated with the
taking or publication of these photographs or videos. I acknowledge and agree that publication of said photos
or videos confers no rights of ownership or royalties whatsoever. I hereby release Gettysburg Wrestling, its
volunteers, its hired photographers and any other third parties involved in the creation or publication of
materials, from liability for any claims by me or any third party in connection with my participation.
 *
Indemnification Agreement/Waiver for Participation:
The Undersigned parent or guardian of

-Agrees to indemnify and hold harmless the Gettysburg Wrestling Club and Haines Trained Wrestling and all
volunteers, from and against all claims, damages, losses, and expenses including attorneys fees in case it shall
become necessary to file an action arising out of performance herein which is for personal or bodily injury,
illness or death, or for property damage.
-Understands that participation in this team is voluntary and that some events may take place in other facilities
including GASD facilities, Haines Trained Wrestling (The Barn).
-Understands by signing this form I agree not to hold the above team or sponsoring organization or any of their
members or trustees liable for any injuries that may occur to my child(ren) while participating in or traveling to
and from the team& all activities.
-I authorize the coaching staff to select and secure medical attention including any medical transport as may be necessary for my child as a result of injuries or other events requiring emergency care while I/we are not in attendance at such event.

Please type wrestler name and your name/date below
 *
Payment info:
Please mark how you will be paying the $25 registration fee:

If paying by check, please make checks payable to Gettysburg Wrestling (put in memo section wrestlers name) and mail to
Meagan Delawder
365 Blacksmith Shop Rd
Gettysburg PA 17325

If paying by Venmo, please see info below (mark in comment section wrestler name)
 *
Venmo information
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