ROWAN COUNTY WRESTLING CAMP 2024
Make checks payable to Rowan County Wrestling
Please fill out entire form!
Campers Name
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Mr./Mrs./Ms.
First Name
Last Name
Age
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Grade
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Phone
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E-mail
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Emergency Contact
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Mr./Mrs./Ms.
First Name
Last Name
Emergency Contact Phone
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does your child have any food allergies or take any medications? Comment below
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Does your child have a current physical?
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Yes
No
T-shirt Size
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Liability Waiver
Rowan County High School Wrestling Camp 2024 Liability Waiver: In consideration of being allowed to participate in any way in the Rowan County High School Wrestling Camp, the undersigned acknowledges, appreciates, and agrees that: 1. Risk of Injury: I understand that participation in wrestling activities involves significant risks, including but not limited to bodily injury, permanent disability, paralysis, and death, which may be caused by my own actions, or inactions, those of others participating in the activity, the conditions in which the activity takes place, or the negligence of the “Releasees” named below. 2. Assumption of Risk: I willingly agree to comply with the stated and customary terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately. 3. Release of Liability: I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby release, indemnify, and hold harmless Rowan County High School, its officers, officials, agents, and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“Releasees”), from any and all claims, demands, losses, and liability arising out of or related to any injury, disability, or death I may suffer, or loss or damage to person or property, whether arising from the negligence of the Releasees or otherwise, to the fullest extent permitted by law. 4. Medical Treatment: I consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. 5. Photographic Release: I grant and convey unto Rowan County High School Wrestling Camp all rights, title, and interest in any and all photographic images and video or audio recordings made by Rowan County High School Wrestling during my participation in this activity.I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.
Liability Waiver Signature
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Adult must be 18 years or older
Print Name
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First Name
Last Name
Relation to Camper
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