Raider Mat Club Wrestling Registration
Cost: $30 Registration Fee; $20 Uniform Deposit; $50 Fundraiser Pre-Pay. $100 Total
Wrestler Info
First Name
Last Name
Date of Birth
Grade
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Pre-K
K
1
2
3
4
5
6
Years of Experience
Street
City
State
Zip
Weight
Height
Shirt Size
YXS
YS
YM
YL
AS
AM
AL
Explain any Pre-Existing Medical Conditions
Mother
First Name
Last Name
Home Phone
Cell Phone
Work Phone
Email
Father
First Name
Last Name
Home Phone
Cell Phone
Work Phone
Email
Other
I will return all equipment issued at the end of my child’s wrestling season.
I understand that if I fail to return any equipment, I may be billed up to $ 50.00.
I understand that my assistance will be needed to help with the home wrestling meets. Help is needed with snack table, set up and tear down of wrestling mats and general cleanup.
I the parent(s)/guardian(s) of the above-named child, who is a candidate for a position on the Raider Mat Club Wrestling (RMC) team, do hereby give my approval to his/her participation in all of the activities of the RMC during the current season. I assume all risks and hazards incidental to the conduct of the activities and transportation to and from the associated activities. I do hereby release, absolve, indemnify, and hold harmless the RMC, as well as the organizers, sponsors, volunteers, coaches, supervisors, and school officials. In case of injury to my child, I hereby waive all claims against the organizers and of any of the supervisors, coaches, assistants appointed by them. I likewise release from responsibility any person(s) transporting my child to and from the activities of the RMC. I will furnish a birth certificate for the above-named candidate upon request of the League Officials. To date, I have no knowledge of any medical problems or conditions that might endanger or preclude the forenamed child from participating in this activity. Any other medical conditions, which I agree are not serious enough to preclude my child’s participation in the act ivies of the RMC, are noted below. If the participant is currently under a doctor’s care, I will consult the participating child’s physician prior to his/her participation.