Carmel Rams Youth Wrestling

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Player Registration Form

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

State:

Zip Code:

* Home Phone:

* Birthdate:

* Email:

* Gender:

* Grade:

* Weight:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

Home Phone:

Work Phone:

* Cell Phone:

* Preferred Method of Contact (Email or Text):

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 INFORMATION
I approve my child's attendance at the Carmel Youth Wrestling Club and certify that he/she is in good health. If medical attention is required for illness or injury during club participation, I grant permission for such care to be rendered. I hereby recognize and understand that the Carmel Youth Wrestling Club, Carmel Wrestling Booster Club and the Carmel Central School District are not responsible for any injury of any kind that may occur on the way, during or on the way home from any club session.

I/we agree with the above *

* Shirt Size:

* Sweatshirt Size:

* Shorts Size:

* indicates required fields

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Player Registration Form