BLACK SHEEP WRESTLING CLUB FREESTYLE/FOLKSTYLE WRESTLING CLUB WRESTLER REGISTRATION FORM
***LOCATION: 98 Lacrue Ave. Glen Mills PA 19342***

Please complete this form to register your child for the upcoming session/season.

Contact Information:  
Coach Tate - ctwrestle@gmail.com 

**ATTENTION** You must have a valid USA Wrestling Card to attend Black Sheep Wrestling Club from now on. This is a one-time purchase that will last for 1 full year. You can get your USA wrestling Card here: USA WRESTLING CARD REGISTRATION

(*This is for anyone that is in 3rd grade or older (8yrs old - through HS) who is dedicated to wrestling at a high pace to score points. These practices are intense and a training-type atmosphere. Wrestlers should be prepared to work hard for the full hour and a half. This is a year-round class that is interested in wrestling Folkstyle, Freestyle, and Greco Roman to prepare them to be the best wrestlers they can be.*

Session SUMMER - 6/2 to 8/27 - $325 (Monday & Wednesday, 7-8:30p)

$125 per month due on the 1st of every month

​*Times and Dates are subject to change*

**Drop ins are $20.00**

***If you are registering more than one family member, include all children's names on registration form. For each additional family member, there is a discount.***

**Wrestlers in classes that can't meet the minimum criteria when it comes to maturity and technique are subject to being moved into the correct level class at the coaches' discretion. ​Our coaching staff wants to make sure that ALL of the athletes are getting what they need and are being met with the correct instruction for where they are in their wrestling journey.** 
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Email *
Childs Name: *
Emergency Contacts/Phone Numbers *
Please list names and phone numbers.
Session Options: *
USA Wrestling Card # *
Payment Option *
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.Hall of fame personal training LLC and (“the black sheep wrestling Club”) has put in place preventative measures to reduce the spread of COVID-19; however, the Club cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Club could increase your risk and your child(ren)’s risk of contracting COVID-19.By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Club and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Club may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Club employees, volunteers, and program participants and their families.I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the Club or participation in Club programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Club, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating there to. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Club, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Club program. *
Required
IN SUBMITTING THIS FORM, I/WE THE PARENTS AND /OR GUARDIANS OF THE ABOVE NAMED PARTICIPANT, RELEASE BLACK SHEEP WRESTLING CLUB, LLC AND OTHER INVOLVED PARTIES FROM ANY CLAIMS AND RESPONSIBILITIES FOR INJURIES SUFFERED IN THE PLAYING OF, PRACTICING AND/OR TOURNAMENT PARTICIPATION OF WRESTLING. I/WE KNOWINGLY ASSUME ALL RISKS ASSOCIATED WITH PARTICIPATION, EVEN IF ARISING FROM NEGLIGENCE OF PARTICIPANT AND OR OTHERS, AND ASSUME FULL RESPONSIBILITY FOR MY/OUR CHILD’S PARTICIPATION. I/WE CERTIFY THAT OUR CHILD IS IN GOOD PHYSICAL CONDITION AND CAN PARTICIPATE WITH BLACK SHEEP WRESTLING CLUB. FURTHER, I/WE AUTHORIZE SITE DIRECTOR, COACH OR INDIVIDUAL TO REQUEST MEDICAL TREATMENT AS NECESSARY TO INSURE MY/OUR CHILD’S WELL BEING. I/WE THE PARENTS AND /OR GUARDIANS OF THE ABOVE NAMED PARTICIPANT, GRANT PERMISSION TO BLACK SHEEP WRESTLING CLUB, LLC TO TAKE PHOTOS AND OR VIDEO OF MY CHILD ALONG WITH FULL RIGHTS TO USE THE IMAGES RESULTING FROM THE PHOTOGRAPHY/VIDEOS, AND ANY REPRODUCTIONS OR ADAPTATIONS OF THE IMAGES FOR FUNDRAISING, PUBLICITY, OR OTHER PURPOSES TO HELP ACHIVE THE CLUBS AIMS. THIS MIGHT INCLUDE (BUT IS NOT LIMITED TO), THE RIGHT TO USE THEM IN THEIR PRINTED AND ONLINE PUBLICITY, SOCIAL MEDIA, PRESS RELEASES AND FUNDING APPLICATIONS.  *
Required
Click HERE: Mandatory Insurance Waiver
**YOUR CHILD CAN NOT ATTEND PRACTICES UNLESS THIS FORM IS COMPLETED. ** If you have filled this form out in the past you do not need to do it again. Thank you
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A copy of your responses will be emailed to the address you provided.
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