High School Registration Form
Please fill out this registration form for your Cherokee HIGH School Wrestler, Grades 8-12.
First & Last Name of wrestler
Home address of Wrestler
City, State & Zip code
ie. Canton, GA 30114
Date of Birth
Parent Full Name (Mother)
Parent Full Name (Father)
Best phone Number to Contact
ie. 770-555-1234 (Dad's cell-?)
Best E-mail address to Contact
ie. Mom@mail.com (Mom's)
T-shirt & Short Size
Which school will this wrestler be attending in the 2011 - 2012 school year?
If offered, would your wrestler be Interested in attending a summer camp ??
If offered, would your wrestler be interested in "Private Lessons" to help improve skills?
To improve the quaility of the Program, would you be willing to volunteer for one of the following activities.
Find raising Committe
Corporate Sponsor Committe
Other Comments or Additional Info. ?
By submitting this form I am releasing Cherokee Takedown Club and members from responsibility of any injury or damages that might occur. I hereby authorize Cherokee Takedown Club staff to act for me according to their judgment in any emergency requiring medical attention and I hereby waive and release Cherokee Takedown Club and its members from any and all liability stemming from any injuries or illnesses incurred participating in the wrestling program. I have no knowledge of any physical impairment which would be affected by participation in the program as outlined. I understand this program consists of strenuous physical activity. * Parent should please review the above release and type name below.
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