Session 1: Contact Info & Waiver
Please fill out this form for your wrestler. If you have more than one wrestler, please fill out this form for each child.

There is a waiver at the bottom of this form. Please know that you are accepting this waiver by typing in your full name.
Email address *
Wrestler's first and last name *
Your answer
Grade (2020-2021) *
Date of Birth (mm/dd/yyyy) *
Your answer
Age Group *
School *
Your answer
Email Address(es) *
Your answer
Address (Street Address, City, Zip Code) *
Your answer
Phone Number(s) *
Your answer
Emergency Contact *
Your answer
Emergency Contact Phone Number *
Your answer
USAW Card Number *
Your answer
Waiver:
 I hereby authorize the coaching staff of the above named Rebel Wrestling Foundation to act in their best judgment in any emergency requiring medical attention and hereby waive and release the staff from any and all liability for injuries or illness incurred at the 2020-21 wrestling season. I have no knowledge of any physical impairment that would be affected by my child’s participation at the 2020-21 Rebel Wrestling Foundation season. *Parent/Guardian please sign with your full name (first and last) to sign waiver. *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Roncalli High School. Report Abuse