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.