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Registration

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Email:

* Gender:

* Grade:

* Weight:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Insurance Carrier:

* Policy #:

WAIVER

I (parent or legal guardian) agree to allow the above named wrestler to participate in the Montgomery Wrestling Club, and assume full responsibility for any injuries incurred while participating in practices or matches. I will not hold liable, the Montgomery Wrestling Club program, its representatives, coaches, referees, trustee's, Montgomery High School, Middle School, Elementary or the Montgomery Board of Education for injuries to my child while participating in, or traveling to practice or team matches.

I/we agree with the above *

WAIVER OF LIABILITY

I, the undersigned parent/guardian of the participant, acknowledge that participation in youth wrestling involves inherent risks, including but not limited to physical injury. I hereby release, waive, discharge, and covenant not to sue Montgomery Youth Wrestling, its coaches, volunteers, and affiliates from any and all claims, demands, actions, or causes of action arising from or related to my child's participation in wrestling activities.

I/we agree with the above. *

CODE OF CONDUCT AGREEMENT

I, the undersigned parent/guardian, agree to uphold the values of sportsmanship, respect, and teamwork. I understand that any violation of this code may result in disciplinary action, including potential removal from the program.

I/we agree with the above. *

PHOTO AND VIDEO RELEASE

I grant permission for Montgomery Youth Wrestling to photograph and/or videotape my child during activities, and to use these images for promotional purposes, including on the website and social media platforms.

I/we agree with the above. *

ACKNOWLEDGMENT OF RISK

I understand that wrestling is a contact sport and that my child may be exposed to the risk of injury. I acknowledge that I have discussed these risks with my child and that they are aware of the dangers involved in participating in wrestling.

I/we agree with the above. *

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