Wauwatosa Wrestling Clinic

This document contains a printer friendly version of the directions and registration form for the Wauwatosa Wrestling Clinic held on Saturday November 9, 2002.  Please print out this form and fill out all of the information presented at the bottom of this page.  Then send in this completed form (address below) with the appropriate total fee (fees listed below).  Please send cash or check (check payable field listed below).  All registrations must be postmarked by October 20, 2002.  Sponsored by the Wauwatosa Wrestling Club.

Fees:            Wrestlers         $25.00 each

            Coaches           $10.00 each

Submit registration and fee to:

            WWC – 11324 West Center Street

            Wauwatosa, WI 53222

Make checks payable to:

            Wauwatosa Wrestling Club

Registration:

Wrestlers Name:________________________________   Age:_______ Grade:______

In consideration of my child’s acceptance to the Wauwatosa Wrestling Club Clinic, I, my heirs, executors and administrators waive and release parents, coaches, sponsors, their agents, representatives, committees, and members from any and all claims or rights to damage for injuries while competing in or traveling to or from this clinic.  I agree that any photography or video of my child taken during the clinic may be used for advertising or promotion.  I waive my right to inspect or approve the finished product or copy.  I also give my authorization for emergency medical treatment.

Parent or Guardian Signature:_____________________________ Date:___________

The Wauwatosa Wrestling Club reserves the right to dismiss any participant/coach or spectator for serious misconduct or disruptive behavior without a refund.

(Please feel free to duplicate as needed)