REGISTRATION FORM SPRING 2019

WRESTLERS NAME: _________________________________________________________________

DATE OF BIRTH: _________________

AGE: ____________

ADDRESS: __________________________________________________________________________

PARENT EMAIL: _____________________________________________________________________

SCHOOL DISTRICT: ________________________

WRESTLER’S CELL: ________________________

PARENT NAME: _____________________________________________________________________

PARENT CELL: _________________________

WRESTLER T-SHIRT SIZE: ________

USA WRESTLING CARD NUMBER: _____________________________________

I agree to indemnify and hold harmless Berlin High School, Delaware hayes High School, or the members of the Cardinals Wrestling Club and its staff from all liabilities, claims, demands, or cost for, or arising out of participating in the Cardinals Wrestling Club whether it be caused by negligence of the wrestling participant or the facilities of the Cardinals Wrestling Club or either party’s agents or employees, or otherwise

 

Parent or Guardian Signature: ____________________________________________ Date: __________

 

Wrestlers Signature: _________________________________________ Date: __________

 

FOR CLUB USE ONLY:

PAID __________ Cash/Check # _________