2019-2020 Freestyle Club Registration
Wrestler Name ( Last, First)
Contact Phone Number
Wrestler Birth Date
Years Of Experience
USA Wrestling Card Number
I grant permission for my son/daughter to participate in the Malvern Preparatory Wrestling program and agree to hold harmless all coaches, officers, and the Malvern Preparatory School in the event of injury, which could occur during their participation in the sport of wrestling. Further, I/we authorize the Malvern’s Wrestling Club representatives to provide emergency treatment of injury and or illness of my/our child if qualified medical personnel consider treatment necessary. This authorization is granted only if I/we cannot be reached.
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