REACTOR REGISTRATION
Parents must fill out this form for ALL participating wrestlers.
Registration is not complete until we receive your registration form and payment. Unfortunately at this time we do no accept online payments.
Money will be due the first week of practice unless other arrangements have been made with the Finance Director (Haley Knutson)
WRESTLER NAME *
Your answer
Date Of Birth *
MM
/
DD
/
YYYY
Guardian Name
Your answer
Guardian Name
Your answer
Contact Number
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
ZIP
Your answer
Email
Your answer
Please list any and all allergies or special circumstances that you feel that the club needs to be aware of so that we an better serve your wrestler.
Your answer
RELEASE STATEMENT: As a participant in the Reactor Wrestling Club I hereby agree that I will assume the risk of injury and/or death from participating in this wrestling program. I understand that there are risks inherent to all sports related activities. I release the Reactor Wrestling Club and all its volunteers and staff from responsibility and liability resulting from my/or my family's participation in this sports program.
CONCUSSION INFORMATION Any athlete even suspected of suffering a concussion should be removed from the game or practice immediately. No athlete may return to activity after an apparent head injury or concussion, regardless of how mild it seems or how quickly symptoms clear, without medical clearance. Close observation of the athlete should continue for several hours. The new “Zackery Lystedt Law” in Washington now requires the consistent and uniform implementation of long and well-established return-to-play concussion guidelines that have been recommended for several years: “A youth athlete who is suspected of sustaining a concussion or head injury in a practice or game shall be removed from competition at that time.” “[He or she]…may not return to play until the athlete is evaluated by a licensed heathcare provider trained in the evaluation and management of concussion and has received written clearance to return to play from that health care provider.” You should also inform your child’s coach if you think that your child may have a concussion. It is better to miss one game than miss the whole season. And when in doubt, the athlete sits out. Additional current information regarding concussion management is available from the Centers for Disease Control and Prevention (CDC) at: http://www.cdc.gov/ConcussionInYouthSports/. By checking the box below, I indicate that I have reviewed the information regarding concussions. *
Shirt Size
Sweatshirt Size
Short Size
Singlet Size
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.