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Wizards Wrestling Saturday Camp Series
Wizards Wrestling Saturday Camp Series
Please fill out the required information below
This is not a beginners camp. The camps are open to all intermediate/advanced wrestlers 8-14 years old.
Wrestlers under 8 must contact us for approval to attend.
Current USA wrestling card is required to attend
Cards are valid from 9/1/23 - 8/31/24
WIZARDS WRESTLER INFORMATION
*
First Name:
*
Last Name:
*
Address:
*
City:
*
Zip Code:
*
Home Phone:
*
Age as of 4/1/24:
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Camp clinician choices
Choose camps your wrestler would like to attend
Camp Dates
Saturday - 5/11 - Mike Togher
Saturday - 6/8 - Ricky Robertson
Saturday - 6/22 - Domenic Munaretto
Wizards Wrestling Saturday Camps Series Payment Options
Camp Cost
$35.00 - 1 session
$60.00 - 2 sessions
$100.00 - 3 sessions
ALL CAMPS
9:30am - 11:00am
1 1/2hr session
30 min lunch (bring own lunch)
11:30am - 1:00pm
1 1/2hr session
No refunds will be given 1 week after payment is received
Camp #2 Mike Togher 5/11
Camp #3 Ricky Robertson Camp 6/8
Camp #4 Domenic Munaretto Camp 6/22
*
Wizards Wrestling Saturday Camp Series RSVP:
Mike Tougher 5/11 - $35
Ricky Robertson 6/8 - $35
Dominic Munaretto 6/22 - $35
3 camps - $100
2 camps - $60
1 camp - $35
PARENT / GUARDIAN INFORMATION
*
Mom's First Name:
*
Mom's Last Name:
*
Mom's Cell Phone:
*
Mom's Email:
*
Dad's First Name:
*
Dad's Last Name:
*
Dad's Cell Phone:
*
Dad's Email:
2024-2025 PROGRAM WAIVER AND RELEASE OF ALL CLAIMS
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT WITH PARENTAL CONSENT ("AGREEMENT") IN CONSIDERATION of being permitted to participate in any way in any event ("Activity") at any time during the current calendar year I, for myself, my personal representatives, assigns, heirs, and next of kin:
1. ACKNOWLEDGE, agree, and represent that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if, at any time, I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activity.
2. FULLY UNDERSTAND that: (a) THIS ACTIVITY INVOLVES RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("Risks"); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS or SOCIAL AND
ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation, or that of the minor, in the activity.
3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the sanctioning organization(s), Wizards board, coaches, their administrators, directors, agents, officers, members, volunteers, and employees, other participants, officials, rescue personnel, sponsors, advertisers, school district 155, Crystal Lake Park District, owners and lessees of premises on which the Activity is conducted, (each of the forgoing shall be considered one of the RELEASEES herein) FROM ALL LIABILITY, CLAIMS,DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim.
I ACKNOWLEDGE THAT I AM OVER THE AGE OF 18 YEARS, HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE, AND I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
Below section must be completed by Parent/Guardian for any participant under the age of 18.
MINOR RELEASE
AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF THE ACTIVITY AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE'S FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR'S ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIMS AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR ANY COST THAT MAY OCCUR AS A RESULT OF ANY SUCH CLAIM.
I agree to all of the terms and conditions listed in the above 2024-2025 PROGRAM WAIVER AND RELEASE OF ALL CLAIMS.
*
PARENT/GUARDIAN ELECTRONIC SIGNATURE
*
Parent/Guardian Last Name:
*
Parent/Guardian First Name:
*
Today's Date:
Jan
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2024-2025 WIZARDS WRESTLING - MEDICAL RELEASE - MEDICAL POWER OF ATTORNEY
I appoint the board members, coaches, the IKWF and its members, and associates of the Wizards Wrestling club as my attorney to act on my behalf for the purposes of securing medical treatment for my child. This special power of attorney shall only be valid from September 1st, 2023, until August 31st, 2024
IDPH Parent Covid Release
Wizards Wrestling Club has been undertaking steps based upon recommendations of the Center for Disease Control (CDC) to mitigate and limit the possible spread and exposure to you. Preventing the spread of COVID-19 is extremely difficult and we depend upon your cooperation to help prevent spreading the COVID-19 virus. Your health is important to us, as is the health of our legal staff.
We ask that you review and certify the statements below if you have any concerns based upon the following statements, or do not understand them, please immediately let us know of your concerns.
On behalf of myself and everyone in my residence and business, I hereby release and hold harmless Crystal Wizards Wrestling Club and its agents/employees from any and all damages related to any claim for damages should anyone in my household/business become infected with COVID-19.
WRESTLER'S NAME
*
First Name:
*
Last Name:
I agree to all of the terms and conditions outline in the above 2024-2025 WIZARDS MEDICAL RELEASE - MEDICAL POWER OF ATTORNEY waiver
*
PARENT/GUARDIAN ELECTRONIC SIGNATURE
*
Parent/Guardian First Name:
*
Parent/Guardian Last Name:
*
Today's Date:
Jan
Feb
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Apr
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EMERGENCY CONTACT (different than parent or guardian)
*
First Name:
*
Last Name:
*
Phone Number:
FAMILY PHYSICIAN
*
Name:
*
Phone Number:
Please select the fees (to be paid) below that correlate to your above RSVP response
* indicates required fields
SELECT FEE
$35 - Ben Davino 4/20
$35 - Mike Tougher 5/11
$35 - Ricky Robertson 6/8
$35 - Dominic Munaretto 6/22
$130 - All 4 camps
$100 - 3 camps
$60 - 2 camps
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