2025-2026 Harrah Youth Wrestling
Contact Will Rodden 405-788-1097
Sign in to Google to save your progress. Learn more
Email *
Wrestler First Name *
Wrestler Last Name *
Wrestler Date of Birth *
MM
/
DD
/
YYYY
Wrestler Weight (Lbs) *
Wrestler Grade *
Years of experience  *
Parent/Legal Guardian Full Name *
Parent/ Legal Guardian Contact Phone Number *
Are you interested in volunteering  *
I certify that I am the parent or legal guardian of the above mentioned minor and that I have actual knowledge of the risks involved in the sport listed above. I hereby Voluntarily consent to said minor's participation and assume all risks involved. Further, I state that the minor above has had a physical examination in the past year and is physically fit to participate in the sport listed above. For good and valuable consideration, I hereby personally and on the minor's behalf, release and covenant not to sue Harrah little League wrestling, Harrah program, Board members, or the volunteered coaching staff for any loss, damage, or claim arising from any personal injury resulting from participation from this sport. I acknowledge that this release contains the entire agreement between the parties, and terms of this release are contractual and not merely recital.  *
By signing below you acknowledge that the information you have provided is true and accurate and that you have read and agree to the terms set forth above.

Parent/Guardian signature Below (First and Last Name)
*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report