Registration Form
Complete this form to register your wrestler for their first free week at Tempo Wrestling. This form includes registration, waiver, and scheduling.
Parent/ Guardian Information
Parent/ Guardian Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Mobile Phone Number
*
Please enter a valid phone number.
Relationship to wrestler
*
Mother
Father
Guardian
Other
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Relationship to Wrestler
*
Wrestler Information
Wrestler Full Name
*
First Name
Last Name
Wrestler Date of Birth
*
-
Month
-
Day
Year
Date
Current Grade in School
*
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Wrestler Gender
*
Male
Female
Current Weight (Approximate)
*
Years of Wrestling Experience
*
Beginner (0–1 year)
1–2 years
3–4 years
5+ years
Do your wrestler have any medical conditions or allergies?
Yes
No
Any injuries, medical conditions, or concerns we should be aware of?
*
Select Your Wrestler’s First Practice Date
Available Sessions: Monday – Wednesday from 6:00 PM – 8:00 PM
Book First Practice
*
/
Month
/
Day
Year
Please select the date your wrestler will attend their first session so our coaches know to expect you.
Liability Waiver and Release
I, the parent or legal guardian of the above-named minor, acknowledge that participation in wrestling and athletic activities involves inherent risks, including but not limited to physical injury, illness, or death. I voluntarily allow my child to participate in activities hosted by Tempo Wrestling at Heritage Park Recreation Center or any affiliated location. I hereby release, waive, discharge, and hold harmless Tempo Wrestling, its owners, coaches, staff, volunteers, affiliates, and Henry County Parks & Recreation from any and all claims, demands, or causes of action arising out of or related to participation in wrestling activities, including injuries sustained during training, events, or related activities. I understand that Tempo Wrestling does not provide medical insurance coverage for participants and that I am responsible for any medical expenses incurred as a result of participation. I certify that my child is physically able to participate in wrestling activities and has no condition that would prevent safe participation, except as disclosed above. In the event of an emergency, I authorize Tempo Wrestling staff to seek medical treatment for my child if I cannot be reached.
Signature
*
Submit
Submit
Should be Empty: