Winter Wrestling 2026: Registration Form
Please fill out the form to register your boys for the wrestling camp. You can register multiple students in one submission.
Parent or Guardian Full Name
*
First Name
Last Name
Oldest Child's Name
*
First Name
Last Name
Sibling 1 Name (if applicable)
First Name
Last Name
Sibling 2 Name (if applicable)
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Camp Session: Ages 3–9 — Saturdays 2:30–3:30 PM
Participation in Saturday afternoon camp for ages 3–9.
$
150.00
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Camp Session: Ages 10–16 — Saturdays 3:30-5pm
$
150.00
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Please read this waiver carefully. Signing your name means you accept the terms and conditions of the waiver. Burhan Academy Sports Camp Waiver and Release of Liability*Acknowledgment and Assumption of Risk *I, the undersigned parent/guardian of the above-named participant, acknowledge that participation in sports camps and related activities at Burhan Academy involves inherent risks, including but not limited to physical injury, illness, or other unforeseen hazards. I understand that while Burhan Academy strives to provide a safe environment, it cannot guarantee the elimination of risks. By signing this waiver, I voluntarily assume all risks associated with my child’s participation in the sports camp, including but not limited to: Injuries resulting from physical activities, such as running, jumping, or playing sports. Injuries caused by equipment or facilities. Exposure to communicable diseases, including but not limited to COVID-19.Waiver and Release of Liability In consideration of my child’s participation in Burhan Academy’s sports camp for primary and secondary education students, I hereby release, discharge, and hold harmless Burhan Academy, its staff, volunteers, representatives, and affiliates from any and all claims, liabilities, or damages arising out of or related to my child’s participation, except where caused by gross negligence or willful misconduct. Medical Treatment Authorization In the event of an emergency, I authorize Burhan Academy and its staff to secure appropriate medical treatment for my child, including transportation to a medical facility. I agree to be responsible for any medical expenses incurred. *Code of Conduct Agreement *I acknowledge that my child is expected to adhere to the rules and guidelines established by Burhan Academy. Failure to comply with these rules may result in removal from the camp without refund. Acknowledgment of Understanding I have read and fully understand this waiver and release of liability. By signing below, I confirm that I am the legal parent/guardian of the participant and that I voluntarily agree to the terms outlined in this document.
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Student Total
Grand Total
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