Lutheran West Minihorn Registration
Wrestling Director: Dave Ressler, dressler@lutheranwest.com 440-823-3252
Head Coach: Jay Martinez, spaniardjjm1980@gmail.com 216-280-8933

Website: www.lwwrestling.org
School Address: 3850 Linden Road Rocky River Ohio 44116

Practices take place in the Lutheran West High School Wrestling Room. The first practice begins Wednesday November 6, 2019 at 7 pm. Practices will be held Wednesday-Friday.

A calendar of practices and matches will be given by the first practice.

If Lutheran West High School is closed there will be no practice. (i.e. Snow days)
No practice on Holidays. We do practice over Christmas break and wrestle over Christmas break.

The hallway between the Senney Gym and the Wrestling room will be set up for the wrestlers to change their shoes and a place for parents to wait for practice to be over. There is Guest Wi-Fi in the Hessler Commons for the parents to use. The wrestlers will enter and exit the wrestling room using the double doors at the end of the Senney gym hallway.

The Wrestlers will receive a singlet for use during the season. Each wrestler must provide their own shoes, headgear and kneepads (this is mandatory for each practice).

Cost is $85.00 for Lutheran Grade School students and $100 for non-Lutheran grade school students. The membership fee does NOT include the mandatory USA Wrestling card. USA Wrestling cards forms are available at www.usawmembership.com. ALL USA WRESTLING MEMBERSHIPS EXPIRE ON AUGUST 31, 2019 SO RENEWAL IS MANDATORY.
Please make checks payable to "LUTHERAN WEST"
Email address *
Wrestlers Name *
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Parent/Guardian Name *
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Address *
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Cell # *
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Cell Phone Provider *
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Insurance Company *
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Medications *
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Church Affliation
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School *
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Grade *
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Birth Date *
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USA Wrestling Card Number: *
This is required to become a member of the club. If you do not have a USA Card, you can get one at http://www.usawmembership.com. All USA Wrestling memberships expire on Aug 31, 2019, so renewal is mandatory. Please make sure to affiliate your wrestler with Lutheran West Wrestling Club.
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Parent/Guardian Signature *
I hereby desire to participate in THE LUTHERAN WEST YOUTH WRESTLING PROGRAM, and acknowledge and agree that all the requirements, directions, supervision, and standards set by the directors of this program, and established for my benefit, shall be followed. I hereby voluntarily assume all risk of accident or injury to myself, which may arise out of my participation in this program, hereby intending to release Lutheran West H.S., and the personnel associated with this program from liability that may result from my participation. LIABILITY WAIVER Having been informed of the organization of Lutheran West, to provide supervised wrestling for children, I/We the parent(s)/guardian(s) of the above named candidate, do hereby give my/our approval to his/her participation in any and all of the activities during the current season. I/We do assume all of the risks and hazards incidental to the conduct of and transportation to the activities. I/We assume any and all medical costs incident thereto. I/We do further hereby release, absolve, indemnify, and hold harmless Lutheran West High School, the organizers, sponsors, and the supervisors, any or all of them. In the case of injury to my/our child, I/We hereby waive all claims and charges against the organizers, the sponsors, or any supervisors appointed by them. I/We likewise release from responsibility any person transporting my/our child to or from the activities. LIMITED POWER OF ATTORNEY As parents, I/We authorize representatives of Lutheran West to seek emergency medical care for my named child. I/We also agree that in an emergency, medical services are allowed to transport and care for my child as long as reasonably practical. The undersigned parent or legal guardian of the above participant hereby consents to the participation of the above in this program. I verify that my child has been checked by a licensed physician and is physically able to participate in the LUTHERAN WEST YOUTH WRESTLING PROGRAM. I have read the brochure and am willing to abide by these rules and regulation. Authorization for treatment of a minor: I give permission for my child to be given first aid by the coaches and if necessary to be treated by the emergency room, in the event of an injury or illness.
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Date *
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