Totino-Grace Wrestling Clinic 2019
To register your son for the clinic, please fill out the below information. The clinic sessions will be at Totino-Grace High School from 5:30-6:30 on the following dates: Nov 18, 20, 25; Dec 2 & 4.

Please contact Dan Vandermyde at 763-586-6305 or at dan.vandermyde@totinograce.org with any questions.
Parent/Guardian's name (First and Last): *
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Parent/Guardian's email address: *
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Phone Number: *
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Home Address: *
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Participant's Name (First and Last) *
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Participant's Current School *
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Current Grade *
By clicking "I agree" below, I grant permission for my child to participate in this activity. As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor ("participant"). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Totino-Grace, Archdiocese of Saint Paul and Minneapolis, coaches, or representatives associated with the event, arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate Totino-Grace, the parish, its officers, directors and agents, and the Archdiocese of Saint Paul and Minneapolis, coaches, or representative associated with the activity for reasonable attorney's fees and expenses arising in connection therewith. Additionally, I, the undersigned, understand that during the clinic, there is no medical or accident insurance carried by Totino-Grace High School covering any of the campers if they are injured. I agree to pay any medical costs if my athlete is injured while participating in the clinic. *
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Specific Medical Information: Below, please list any special medical conditions we should be aware of. Please also include any allergic reactions or any physical limitations. The parish will take reasonable care to see that the following information will be held in confidence.
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