Gators Olympic Wrestling Club Registration Form

Gators Olympic Wrestling Club

Tryouts registration
Athlete Information
Athlete's Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information
Name

First NameLast Name
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
Phone Number

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Gators Olympic Wrestling Club. In exchange for the acceptance of said child’s candidacy by Gators Olympic Wrestling Club, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Gators Olympic Wrestling Club, and all its respective coaches, clinicians, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from all club activities.

In case of injury to said child, I hereby waive all claims against Gators Olympic Wrestling Club, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including wrestling.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature
Should be Empty: