Join Montgomery Youth Wrestling Today! - (Belle Mead, NJ)

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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 *

In consideration of the being permitted to participate in any Montgomery Youth Wrestling event or activity, including but limited to, practices, scrimmages, matches, and other related events and activities, the undersigned understands, acknowledges, and agrees that: 1. Participation in such events or activities by my child and/or myself involves possible exposure to and illness from infectious and/or communicable diseases including, but not limited to, COVID-19, MRSA, Influenza, and other communicable diseases. While adherence to rules and requirements may reduce the risk of possible exposure, the risk of serious illness and death remains; and 2. On behalf of my child and/or myself, I knowingly and freely ASSUME ALL SUCH RISKS, both known and unknown, even if arising from the negligence of the Releasees of others, and assume full responsibility for my participation; and 3. On behalf of my child and/or myself, I for myself and on behalf of my heirs assigns, personal representative, and next of kin, HEREBY RELEASE AND HOLD HARMLESS Montgomery Youth Wrestling, its employees, members, associations, partner clubs, sponsors, owners and lessors of premises used to conduct the event or activity in which I participate (?RELEASEES?), from and against any and all claims of whatever type or kind including any illness, death, disability, or other loss or damage to personal property, whether arising from the negligence of Releasees or otherwise to the fullest extent permitted by law. Further, I expressly agree that this release is intended to be as broad and inclusive as permitted by the laws of the State of New Jersey or any other state in which my child and/or myself may participate in any event or activity described herein, and that if any portion of this release is determined to be invalid, it is agreed that the remaining provisions of this release shall continue in full force and effect. Finally, I further state that I have fully and carefully read the above release, understand the contents of the same and sign this release voluntarily as of my own free act and deed. Following the pronouncements above I hereby declare the following: I HAVE READ THIS RELEASE OF LIABILITY, HOLD HARMLESS AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I, ON BEHALF OF MY CHILD AND/OR MYSELF, HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.

I/we agree with the above *

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