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WRESTLERS NAME
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First
Last
Wrestlers Age/s
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SUMMER CAMP
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Select Shirt Size
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Youth-Small
Youth-medium
Youth-Large
Adult Small
Adult Med
Adult Large
Adult XL
Adult XXL
PARENTS NAME
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First
Last
Email
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Emergency contact Number
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SECOND WRESTLERS INFO
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First
Last
2nd Wrestlers SHIRT size
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THIRD WRESTLERS INFO
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First
Last
[object Object]
3rd Wrestlers SHIRT size
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Acknowledgement of Risk
By signing below I hereby consent to the above named child in participating in athletics. This consent includes, , I hereby acknowledge that I have reviewed and understand the information contained in this form, including the Head Injury Policy Guidelines, and that I have been advised, cautioned, and warned by athletics personnel and/or club officials about the risk of injuries associated with participation in athletic activities and sporting events. I am fully aware that participation in such athletic activities and sporting events exposes athletes
to the risk of injury, ranging from, minor, to severe, including but not limited to: sprains, fractures, partial or complete impairment of limbs, brain injury, paralysis, and even death. I understand that coach instruction, protective equipment, and medical care provided do not eliminate these risks. I have addressed any questions or concerns with coaches or other club officials. Having been so cautioned and warned, it is still my desire to allow the above named child to participate in athletic activities and sporting events, and I do so with full knowledge and understanding of the risks involved. Neither Atlas Wrestling Club or coaches nor any organization providing medical contracted service or advice to athletes shall be liable for any obligation incurred by the other. Parents and/or legal guardians are always free to seek medical services or advice from their own health care professionals.
Removal of Injured athletes
Any athletes suspected of sustaining a concussion or traumatic head injury shall be immediately removed from any activity, as that term is defined under Utah law, including interscholastic or intramural games, practices, sports camps, competitions, club sports, or other activities where injuries are likely to occur. Our club will abide by the rule: “When in doubt, sit’ em out
By checking "Yes" you are stating that you are the legal guardian of above wrestler/s & You have fully read our acknowledgment of Risk waiver and fully agree with it
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Yes
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