2017-18 KIWC REGISTRATION FORM
Read and complete each section.
Wrestler's First Name: *
Your answer
Wrestler's Last Name: *
Your answer
Wrestler's Birthdate: *
MM
/
DD
/
YYYY
Wrestler's Grade in School: *
How many seasons has the wrestler been a KIWC member? *
Including the upcoming season
Wrestler's T-shirt size: *
For free club t-shirt.
What school does the wrestler attend? *
KES, FES, i4 Learning, KMS, Holy Trinity, St. Lucas, etc.
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Name:
Your answer
Primary Email Address: *
Your answer
Additional Email Address:
Your answer
Primary Phone Number: *
Your answer
Can this phone receive text messages? *
Additional Phone Number:
Your answer
Can this phone receive text messages?
Mailing Address: *
Your answer
City: *
Your answer
Zip Code: *
Your answer
Any other pertinent information the KIWC coaches or board should know about the wrestler?
Your answer
SINGLET AGREEMENT *
I agree to return the KIWC singlet in good condition at the end fo the season. If the singlet that I am issued is returned late and/or is lost or damaged beyond reasonable wear, I understand that my $40.00 deposit will not be returned. I understand that if I am unable to attend the specified date for singlet return, I will make arrangements with the equipment manager to return the singlet in a timely manner.
Required
COMMUNICATION AGREEMENT *
I understand it is crucial to the success of my wrestler and the KIWC to keep updated on club events/special dates/etc. I understand that the KIWC communicates this information via the following methods: the club website kewaskumindianswrestling.org, email, and text messages.
Required
PROMOTIONAL AGREEMENT *
I grant unrestricted permission to the KIWC to use the image of my child in communications and promotional materials. Such uses include but are not limited to the display, distribution, publication, transmission of images and/or video taken of my child for use in materials such as brochures, newsletters or newspaper articles, videos, and digital images. Uses such as those on the kewaskumindianswrestling.org website and KIWC Facebook page. I understand that the child’s name and pertinent wrestling information could be used in conjunction with any video or digital images that are placed on the web or newspaper articles.
Required
PARENT COMMITMENT *
I understand that as a parent/guardian of a wrestler in KIWC, the club is run by volunteers, parents, and other wrestlers. I will be respectful of the club and will represent this club in a positive manner at all activities, practices, and tournaments, etc. I will talk the kids up not down and be supportive in any way I can. I will attend the mandatory parent meeting in December. I will help at or donate supplies for the annual club tournament in March.
Required
WRESTLER CODE OF CONDUCT *
I will discuss the wrestler code of conduct with my child and get their commitment. *I promise to show respect to my team, other teams, coaches, parents, and volunteers. I will represent myself, my club, and my community with good sportsmanship to others. I will always do my best.
Required
SIGNATURE *
Type your full name below. This form has been completed by:
Your answer
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