Oregon Youth Wrestling Club

2018-2019 Wrestler Registration Form

This form allows your athlete to register and provide contact and parent/guardian information. **BEFORE YOU BEGIN** ~ Please click on "Step #1 Purchase USA Card" from the home page (upper right corner). Once the USA Card is purchased and you have your card number, then go on to "Step #2 - Register Here" After you submit the form, you will have the opportunity to add another player or submit payment online.

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

Medical Treatment and Medical History Questionnaire
As a Parent and as an Athlete it is important to recognize the signs, symptoms,
and behaviors of concussions. By signing this form you are stating that you
understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury. This form must be completed for every sports season and every youth athletic organization the athlete is involved with.

Parent Agreement:

I have read the Parent Concussion and Head Injury Information and understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors.

I agree that my child must be removed from practice/play if a concussion is suspected. I understand that it is my responsibility to seek medical treatment if a suspected concussion is reported to me.

I understand that my child cannot return to practice/play until providing written clearance from an appropriate health care provider to his/her coach.

I understand the possible consequences of my child returning to practice/play too soon.

Authorization for Photographs, Online Publication & Name Recognition
Please read the following statements and check ONE of the boxes.

The Oregon Youth Wrestling Code Of Ethics can be found in the handout section of our website. Please read through this before signing off.

There is a registration fee and two additional deposits. To borrow a singlet for the season, the club requires a $75 deposit that will be charged to your account if not returned by end of season banquet and an additional $100 worker deposit that will be charged to your account if you are unable to work the Oregon Wrestling Tournament on January 5, 2019.
 

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Payments Accepted By

Note: Credit Card information can be entered once this form is submitted