General Consent: I am over the age of eighteen (18) and am competent to execute this Waiver and Release relating to the Wrestler/Mentee named below’s participation in the Beat the Streets Wrestling Program of Philadelphia (“BTSP”). I hereby grant permission for the Wrestler/Mentee named below to participate in the BTSP program conducted at the school/site(s) mentioned below. I understand that wrestling, a strenuous contact sport may, on occasion, cause injury. I am aware of the risks associated with exposure to communicable diseases including but not limited to COVID-19. I also understand that participants with certain medical conditions could be impacted adversely by strenuous activity that increases the participant's heart rate, blood pressure, or breathing. I am responsible for ensuring that the Wrestler/Mentee named below is physically able to participate in youth wrestling and training activities, and I accept all risks of injury, whether, to the Wrestler/Mentee named below or others, that may result from their participation in any BTSP event. I am not aware of any medical reason why the Wrestler/Mentee named below should not participate in the program. I authorize BTSP to act for me in the best interest of the Wrestler/Mentee named below in any situation, including (but not limited to) medical emergencies.

In consideration for participation in BTSP programming or any organizational activities connected with BTSP, I waive any and all claims, demands, complaints, allegations, averments, and other disputes I or the Wrestler/Mentee named below, or our agents, servants, heirs, assigns, representatives or successors may have or may in the future have as a result of participating in BTSP and the participation of others in my presence, or the condition or operation of the equipment, buildings or grounds. I further agree to hold Beat the Streets Wrestling Program of Philadelphia, and its staff, directors, board members, coaches, parents, and schools harmless from any liability or injury that may arise from the normal activities of this sport. Furthermore, I and the Wrestler/Mentee named below release any and all persons, including but not limited to BTSP, together with BTSP officers, directors, employees, coaches, shareholders, their respective agents, insurers, heirs, successors, attorneys, corporate affiliates and predecessors, from any and all claims, disputes, causes of action, which may arise out of any participation in BTSP by the Wrestler/Mentee named below or by others in their presence, or out of all acts or equipment, buildings or the grounds used by BTSP. It is my intention in signing this Waiver and Release to give up forever any and all claims I or the Wrestler/Mentee named below may have against BTSP or its insurers, coaches, officers, directors, shareholders, employees, successors, affiliates, and predecessors for any reason relating to BTSP.

Media Consent: I authorize the use of the Wrestler/Mentee named below’s name and image in promotional or informational publications for BTSP, including on its website.

Data Release Consent: I authorize BTSP permission to collect the Wrestler/Mentee named below’s identifiable student-level data as part of any academic support and study that is sponsored by BTSP. This data includes grades, attendance, PSSA and Keystone exams, suspensions, serious incidents, enrollment, biographic, course and credit, fitness, and graduation rates). I understand that this information is utilized as a part of the BTSP reporting on the success of its wrestling and mentoring program. I understand that this information will be used solely for evaluation purposes and will only be included in reports in aggregate form.

Intending BTSP to rely on this Waiver and Release, I warrant and represent that I have carefully read this Waiver and Release, that I have had the opportunity to confer with legal counsel of my choice concerning this Waiver and Release and the terms hereof before executing this document and before being involved in BTSP, and that I sign this Waiver and Release knowingly and voluntarily, intending to be legally bound hereby.