SYCAMORE YOUTH WRESTLING REGISTRATION
PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD.  AFTER COMPLETING THIS FORM, YOU WILL BE ASKED TO PAY ONLINE ON OUR SECURE SITE.
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Email *
WRESTLER'S FIRST NAME *
WRESTLER'S LAST NAME *
DATE OF BIRTH (MM/DD/YEAR) *
AGE AS OF 11/1 *
APPROXIMATE WEIGHT *
GRADE
GENDER *
SHIRT SIZE *
NUMBER OF FULL YEARS OF EXPERIENCE *
METHOD OF PAYMENT (Due o later than Thanksgiving Break)

Grades 1-3:   Cost $75

Grades 4-6: Cost $100


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PRIMARY CONTACT PERSON'S NAME *
PRIMARY CONTACT PERSON'S EMAIL ADDRESS *
PRIMARY CONTACT PERSON'S PHONE *
AMATEUR MINOR ATHLETIC WAIVER AND RELEASE OF LIABILITY In consideration of being allowed to participate in any way in Cincinnati Youth Wrestling Assoc. athletics/sports program, and related events and activities, the undersigned:                                      
     1. Agree that the parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she should immediately advise his or her coach or supervisor of such condition(s) and refuse to participate.                              
     2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions, or negligence but the action, inaction, and negligence of others, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.                            
     3. Assume all the foregoing risks and accepts personal responsibility for the damages following such injury, permanent total disability or death.           
     4. Release, waive, discharge and covenant not to sue Cincinnati Youth Wrestling Assoc. its affiliated clubs, their respective administrators, directors, agents, and other employees of the organization, other members/participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors or premises used to conduct the event, all of which are hereinafter referred to as "releases," from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death and damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.
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Required
SCHOOL OF ATTENDANCE
Please identify which school your child attends.  If your child does not attend Sycamore Schools, you will need to complete Emergency Contact Information.  
What school does your child attend?
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FATHER'S/ GUARDIAN'S NAME
FATHER'S/ GUARDIAN'S CELL OR WORK PHONE
FATHER'S/ GUARDIANS EMAIL ADDRESS
MOTHER'S/ GUARDIAN'S NAME
MOTHER'S/ GUARDIAN'S CELL OR WORK PHONE
MOTHER'S/ GUARDIAN'S EMAIL ADDRESS
STREET ADDRESS *
CITY, STATE, ZIP CODE
EMERGENCY CONTACT NAME *
EMERGENCY CONTACT PHONE NUMBER *
FAMILY WRESTLING EXPERIENCE
CODE OF CONDUCT: By checking the YES box I am certifying that I have read the CYW's Code of Conduct and agree to follow it.  (https://docs.google.com/document/d/1X_hUNowDhsn22LgasAp89-7nDtOKMm-ZIQVnyTKLClc/edit?usp=sharing)*

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SUDDEN CARDIAC ARREST: By checking the YES box I am certifying that I have watched the Lindsay's Law Parent Info video (https://youtu.be/s-YfCWQPeqw) required by the Ohio Dept of Health*

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