RGV Wrestling Club

RGV Wrestling Club

Sign-up Waiver
DATE

MonthDayYear
Date
MEMBER NAME
Phone Number
Please enter a valid phone number.
Email
example@example.com
ADDRESS
MEDICAL CONDITIONS
EMERGENCY CONTACT NAME
EMERGENCY CONTACT PHONE NUMBER
DATE OF BIRTH*

MonthDayYear
Date

PLEASE READ THE FOLLOWING EXERCISE ADVICE CAREFULLY
*Ask any staff members to guide you into the most suitable group class or exercise program (especially when just beginning *Work as low level on your first visits and concentrate on learning adequate techniques. *Be sure to limit yourself to a pace where you can still talk comfortably. *If you suffer any injury, illness or condition in the future please let us know to keep a record on your application file. *We recommend improving your general fitness, at least three times a week.
STATEMENT:
I acknowledge that the instructor is not able to provide me with medical advice with regards to my medical fitness and that this information is used as a guideline to the limitations of my abilities to exercise.

I have answered the questions to the best of my knowledge, my ability and understanding. I acknowledge that RGV Wrestling Club, LLC, has selected the membership on a monthly billing cycle.
SIGNATURE

Clear
DATE

MonthDayYear
Date
I also agree that in the event that I am injured or my personal properties of any kind are damaged I will not bring RGV Wrestling Club, LLC of any claim or legal responsibility. By signing this document I agree that I have read and understood this
SIGNATURE

Clear
DATE

MonthDayYear
Date

IF PARTICIPANT IS UNDER 18 YEARS OLD
I, blanks* being the parent or guardian of First Name* Last Name * consent to the person named in this acknowledgment to participate in the activities provided by RGV Wrestling Club, LLC. I have read the whole of this documents and understand it. I consent to the person named in this acknowledgment and release RGV Wrestling Club, LLC of all responsibilities. I also acknowledge the activity that my child is participating in. I am aware of the risk, dangers and obligations set out above in the acknowledgement.
EXPRESS ASSUMTION OF RISK AND RESPONSIBILITY

In recognition of the inherent risks of the activity which I and any minor children for which I am responsible for, will engage in. I confirm that I am (we are) physically and mentally capable to participating in the activity and / or using equipment.

In condition of services or property provided, I for myself and any minor children for which I am parent, legal guardian or otherwise responsible, any heirs, personal representatives or assigns do hereby release.

IN CONSIDERATION of the person named in this acknowledgment and release being accepted to participate in the activity, I AGREE TO THE RELEASE AND INDEMNIFY RGV Wrestling Club in the same manner and to the same effect and extent as is, where the first person first named in the section noted as acknowledgment and release, and I am the person or the legal parent/ guardian of person participating in the activity.
SIGNATURE

Clear
DATE

MonthDayYear
Date
Should be Empty:

RGV Wrestling Club

PLEASE READ THE FOLLOWING EXERCISE ADVICE CAREFULLY

STATEMENT:

IF PARTICIPANT IS UNDER 18 YEARS OLD