Hayward Wrestling Club Registration

Hayward Wrestling Club Registration

HAYWARD WRESTLING CLUB
2017-2018 Pre-Registration Night
Pre-K – 4th Grade
WEDNESDAY, NOVEMBER 15, 2017
5:30 – 7:30 PM
Hayward Middle School Commons
PRE-K - 8th Grade : $40
Each Additional Child $30
Includes Wrestling T-Shirt
SAVE $5.00 Register Early
(Discount available only tonight)
(Register after November 16: PreK - 8th $45)
*Coaches Available
*Schedules Printed
*Online Apparel Ordering
*Fundraising Opportunities

 

HAYWARD WRESTLING CLUB
2017-2018 Registration Form

Wrestler Name: ____________________________________ Date of Birth: _________________ Age: ______
Home Mailing Address: _________________________________________________________________________
City: ______________________________ State: _____________ Zip: ______________________
Legal Guardian / Father’s Name: ________________________________ Phone #: _________________________
E-Mail: ______________________________________________________________________________________
Legal Guardian / Mother’s Name: _______________________________ Phone #: _________________________
E-Mail: ______________________________________________________________________________________
Emergency Contact: _____________________________________ Phone #: _________________________
(Not living in home)
Wrestler School: _________________________________________ Grade: ________
Approx weight: __________ Years of Wrestling Experience: __________________________
Release:
We the parents / legal guardian of the above named wrestler; give our permission for our child to participate in the Hayward Youth
Wrestling club and all the activities associated with the wrestling program. We assume all risks and hazards incidental to such
participation. We do hereby, release, resolve, indemnify and agree to hold the Hayward Youth Wrestling club, its officers, coaches and
parties or persons involved from any claims arising from injury. We also understand that Hayward Youth Wrestling Club does not carry
primary accidental or liability coverage for their participants. We the undersigned understand it is our personal responsibility to provide
primary insurance coverage for our child.
Parent / Legal Guardian: Date: _______________
Print Name: ___________________________ Signature: ________________________
Make checks payable to: Hayward Youth Wrestling Club
$45.00 (includes T-Shirt) Pre-K - 8th Grade $40.00 Pre-Registration Night
Each Additional Child is $30
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Office only:
Payment: Cash Check # ________ Date: __________ Initials: _________

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