Spring 2024 Registration

Wrestler Name*

First NameLast Name

Date of Birth*

Date

Estimated Weight class *

Grade*

Years of Wrestling Experience *

Wrestling Accomplishments/accolades (Type NA if first year)*

Wrestler Name (if there is a 2nd family member)

First NameLast Name

Date of Birth

Date

Grade

Estimated Weight class

Years of Wrestling Experience

Parent Name*

First NameLast Name

Parent Phone Number (Emergency)*

Please enter a valid phone number.

Main Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Parent Consent and Waiver of Responsibility

In consideration of Dark Horse Wrestling Club, LLC, acceptance of the member named above as a student in the club for the periods described above, the member by and through his parent or legal guardian hereby acknowledges, understands and agrees to as following: Wrestling is a sport, which involves intense physical contact between two Individuals. The member will be involved in some intense training and competition including competitive wrestling. Injuries can and do occur during wrestling. As parent(s) or legal guardian(s), we’ve also been informed that various skin conditions are preventable in the sport of wrestling and while strong measures will be taken to prevent the spread of skin conditions such as Ringworm, Herpes, and Cold Sores, 100% prevention cannot be guaranteed. Further, we the parent(s) or legal guardian(s) have been informed that there is an assumption of risk when anyone participates in the sport of wrestling. The understanding on behalf of themselves and their child or ward agrees to hold harmless Dark Horse Wrestling Club, LLC., its owners, staff, property owners and coaches (“Releasees”) from and against any injuries incurred by the member. The understanding hereby releases, waives, and forever discharges Releases from and against any and all claims, injuries, demands, actions, or cause of actions arising out of the participation by the member in Dark Horse Wrestling Club, LLC. The understanding hereby certifies that the member is physically able to participate at the club and that there are no impairments that would limit the participation in the programs. The understanding hereby grants permission for doctors and their designs to administer appropriate medical care, antigens, or injuries, and to perform emergency procedures as necessary.

I will indemnify, save, and hold harmless Releases from any and all losses. Claims, actions, or proceedings of every kind and character, including related attorney's fees and expenses, which may be presented or initiated by any other persons or organizations and which arise directly or indirectly from my participation in the Activities, whether resulting from the negligence and/or other fault either active or passive of any of Releases or from any other cause.

Signature*

RELEASE FOR USE OF PHOTO, VIDEO AND/OR LIKENESS

The undersigned acknowledges that Dark Horse Wrestling Club, LLC may make videos, take pictures, utilize audiotape and any other image and sound based media for the purpose of recording drilling and active wrestling sessions and general activity at practice or competitions. The undersigned hereby freely and voluntarily consents to the use and publication of the undersigned’s name, participation, picture, and/or likeness by Dark Horse Wrestling Club, LLC for any and all purposes including, but not limited to, educational, promotional, advertising, and trade, through any medium or format, including, but not limited to, videotape, audiotape, film, photograph, television, radio, digital, internet, theater, or exhibition, at any time from this date forward until I revoke this consent in writing. I further waive any claims against Dark Horse Wrestling Club, LLC based upon or related to the use or publication of my likeness, voice, participation, and/or picture.

I freely give this authorization without expectation of compensation.

ACKNOWLEDGEMENTS

I agree that should one or more provisions in this Agreement be determined to be unenforceable by an arbitrator or a court, the remaining provisions shall continue to be binding and enforceable against me.

I agree and acknowledge that the terms and conditions of this Agreement shall continue in full force and effect now and in the future at all times during which I participate, either directly or indirectly. in the Activities, and shall be binding upon my heirs, executors, administrators, personal representatives. and/or anyone else claiming on my behalf. This Agreement supersedes and replaces any prior such agreement in favor of Releasees that I have signed.

I hereby acknowledge that I have read all of the provisions above and fully understand the terms and conditions expressed therein and agree to be bound by such terms and conditions.

Signature*

Dark Horse Spring Session Options*

Youth Spring Training (Grades 3-7)YOUTH Grades: 3-7 (2 seasons/sessions experience) Practice: Tues/Thr/Sun April 1st-June 28th Focus: Fundamentals and techniques through higher level drilling and wrestling that lead to future success. * All wrestlers can be moved into a different session based on Class numbers and ability.

$300.00

High School Spring Session (Grades 8-12)High School This session focuses on High level drilling, technique needed to win at the highest levels, Elite level drilling and live matches, situations and scenarios.

$300.00

Spring Family Plan$100 Discount for 2nd Sibling. (Good for HS or Youth Session)

$500.00

Spring Monthly Plan (Not Session Specific)In the monthly plan you will be charged $125 when you register and billed each following month until the conclusion of your session. There is no cancelations, you will still be responsible for paying the full amount of the session if you choose not to continue.

$125.00

Yearly MembershipThis plan gives you access to year round training through (Winter, Spring, Summer & Fall) and big overall savings.

$1,200.00

Yearly Membership Monthly Payment Plan12 payments of $110 billed Monthly

$110.00

Total

$0.00

Pay with PayPal

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