2017-18 Harvard Wrestling Club Beginners Form (1st or 2nd year wrestler only)
HWC Application for one wrestler. Reminder to download the IKWF form, fill out, email back to: harvardwrestling@gmail.com. Your registration will NOT be complete without this step.
Wrestlers First Name *
Your answer
Wrestlers Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Wrestlers Age *
Your answer
Grade currently enrolled in *
Did he/she wrestle in an IKWF Club last year? *
If yes, what club?
Your answer
T-Shirt Size *
Shorts Size (For Experienced Wrestlers Only)
Parent First & Last Name *
Your answer
E-Mail Address *
Your answer
Mailing Address *
Your answer
City *
Your answer
Home or Cell Phone #'s *
Your answer
Emergency Contact First & Last Name *
Your answer
Emergency Contact Relationship to Wrestler *
Your answer
Emergency Contact Phone #'s *
Your answer
MINOR RELEASE: AND I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN UNDERSTAND THE NATURE OF THE ACTIVITY AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH PHYSICAL ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE’S FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASES OF ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGES, OR ANY COST THAT MAY OCCUR AS A RESULT OF ANY SUCH CLAIM. *
Medical Power of Attorney: I appoint the board members, coaches, the IKWF and its members, and associates of the Harvard Wrestling Club as my attorney to act on my behalf for the purposes of securing medical treatment for my child in the event he/she is injured. This special power of attorney shall only be valid from November 1st, 2017 until April 1st, 2018. *
Website Release: HWC requires a signed release form from the subject of any photograph or image used on its website or official Facebook page. This form must be completed by individuals (or parents of individuals) who wish to submit photographs for publication or who may be the subject of photographs published on the HWC website (www.harvardwrestling.com) or official Facebook page. HWC will not publish any image of a minor unless his or her parent (or legal guardian) has a signed permission form on file with HWC. I give permission to have my child’s photograph on the HWC website and or Social Media. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service