Registration

Red Roots Wrestling Club 2019-2020 Season Waiver/Registration

READ THIS! - Please complete this waiver. When you hit the submit button it will take you to a page that will allow you to choose the program you want. You must complete the waiver and then check out. If you quit before checking out, you will need to complete the waiver again.

* Indicates required field

Parent or Gaurdian *

First

Last

Email *

Address *

City *

State *

Zip *

Primary Phone *

Secondary Phone *

Participant Name *

First

Last

D.O.B (xx/xx/xx) *

Grade *

Weight (lbs.) *

Shirt Size (YS, YM, YL, YXL, S, M, L, XL) *

Special needs/allergies *

Emergency Contact *

First

Last

Emergency Contact Phone *

Release *

I agree

I do hereby consent to participation in the Red Roots Wrestling Club Summer Camp and do forever release, acquit, discharge and covenant to hold harmless the Red Roots and its successors, agents, servants and officers from any and all actions, causes of action, and claims, demands, damages, costs, on account of, or in any way growing out of, directly or indirectly, all known and unknown personal injuries or property damage which I/we may have now or hereafter have as the parent or guardian of said minor and also all claims or right of action for damages which said minor has or hereafter may acquire, either before or after reaching majority resulting from her/his participation of the Red Roots Wrestling Camp and/or receiving medical attention as provided herein; furthermore, I/we hereby agree to indemnify, reimburse or make good to the Red Roots Wrestling Club and/or its successors, agents, servants and officers any loss or damage or costs, including attorney’s fees, the Club or its representatives may incur if any litigation arises from said minor’s intentional, grossly negligent, or reckless acts or omissions while participating in said recreation programs. I/We understand that this program involves physical activity and hereby state that to my/our knowledge such minor is in proper physical condition for participation in such programs. I/We also agree to provide such minor with all the proper and required equipment to participate in such programs.

In the event of an emergency requiring medical attention, beyond first aid, I/we hereby grant permission to a physician or hospital personnel designated by the Red Roots Wrestling Club to attend to such minor. I have fully read and understand the terms of this release and waiver.

Electronic Signature *

Submit

Click the "SUBMIT" button to complete the registration process and pay for your order.