Leviathan Wrestling Academy - Fall 2026
Please fill out the form below to register for the Fall Practice at Leviathan Wrestling Academy. 

Upon submitting this form you will be taken to a payment page where you will have the option of paying via credit card, VENMO or PayPal. If you prefer to pay by check, it can be dropped off at the first practice or mailed to: Joel Mode 20 Willow Road Sudbury, MA 01776

Fall Practice Schedule 

High School (Grades 9–12)
Tuesday & Thursday: 6:00 PM – 7:30 PM
Sunday: 11:30 AM – 1:00 PM

Girls-Only Practice (Grades 7–12)
Sunday: 10:00 AM – 11:30 AM
Wednesday: 7:00 PM
 – 8:30 PM 

Youth (Grades K-3 & 4-8)
Grades K-3 - Monday & Wednesday: 5:00 PM – 6:00 PM
Grades K-3 Beginner - Monday & Wednesday: 5:00 PM-6:00 PM
Grades 4-8 - Monday & Wednesday: 6:30 PM – 8:00 PM

Sign in to Google to save your progress. Learn more
Email *
Name of Wrestler (First and Last Name) *
Address *
City *
State *
Zip *
Wrestler Email *
Wrestler Cell *
Wrestler's Gender
Parent/Guardian Name *
Parent/Guardian Email *
Parent/Guardian Cell *
Wrestler's School *
Current Weight (est)
Current Grade - As of Fall 2026 *
Date of Birth *
MM
/
DD
/
YYYY
Wrestling Experience *
Existing Medical Conditions
Fall 2026 Membership Payment - Pro Rated for 2-month membership October & November *
Required
Leviathan Wrestling Academy Waiver and Release from Liability - Please read and approve

Leviathan Wrestling Academy Waiver and Release from Liability - Please read and approve

In consideration of being allowed to participate in any way in the program, related events and activities, I, the undersigned, acknowledge, appreciate, and agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death.

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation.

3. I authorize the Leviathan Wrestling Academy  to use photos, and or other likeness’ of myself and or my child or the child for whom I have legal guardianship for any promotional materials regarding Leviathan Wrestling Academy programs, facilities, or services. Such likenesses will not be sold to other parties. Promotional materials bearing these likenesses may be distributed for free to the public and posted on the Leviathan Wrestling Academy website. Leviathan Wrestling Academy Waiver reserves the right to use any photo or likeness for a time period beginning when this form is signed and ending upon written request of participant, parent or legal guardian.

4. I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.

5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS LEVIATHAN WRESTLING ACADEMY and ALPHA NERDS its officers, officials, agents and/or employees, other participants, sponsors, advertisers, and , if applicable, owners and lessors of premises used to conduct the event (RELEASEES), from any and all claims, demands, losses, and liability arising out of or related to any INJURY, DISABILITY, or DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.

Waiver & Release from Liability  *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Leviathan Wrestling Academy.

Does this form look suspicious? Report