LGW Wrestling Liability Waiver

First Name*
Last Name*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Are you 19 years or older?

YESNOIf no, please have parent read & sign this form also.

In consideration of signing this form, I hereby for myself, my heirs, and administrators waive and release the Lincoln Warriors Wrestling Club, Lincoln Girls Wrestling, Lincoln Public Schools, and Lincoln School Board of all liability for any injuries suffered during practice or competition. This release includes all club coaches, directors, workers, board members, and any others assisting with practices, clinics or competitions. I as the parent or guardian signing on behalf of a minor, agree to indemnify, save and hold harmless each of the releases from any litigation expenses, attorney's fees, loss, liability, damage, or any costs incurred as a result of any such claim. This waiver shall remain in effect until revoked in writing.

If my child needs medical treatment while participating, it is my wish that the treatment be begun while efforts are being made to contact me so that the treatment is not delayed, and consent to any medical procedures that the medical attendant believes needed, on the understanding that efforts will continue to be made to contact me. I accept responsibility for all costs related to such treatments.

The Lincoln Warriors Wrestling Club and Lincoln Girls Wrestling will on occasion take photographs and/or video of its members and program participants for use in print and electronic materials. I approve and consent to having my child’s images used in this manner.
AGREE*

Yes