Chatfield Junior Wrestling
Registration '08-'09
The form is now working!
Please leave the field name in place, and enter your info following the "label" in the field.
Online payment should be following soon, but not yet.
Permission/Waiver/Consent:
All
athletics carry a risk for injury and or permanent disability including the
possibility of death. Such injuries
are not common, but the risk exists.
Athletes and parents can reduce this risk by complying with club rules
and coach’s instructions. ATHLETES AGREE TO OBEY ALL SAFETY AND TRAINING RULES,
WEAR RECOMMENDED SAFETY EQUIPMENT, FOLLOW INSTRUCTIONS OF COACHES,
PROMPTLY REPORT ANY PHYSICAL OR INTERPERSONAL PROBLEMS TO THEIR COACHES AND
FOLLOW CONDITIONING AND NUTRITION/FLUID INTAKE RECOMMENDATIONS.
CHATFIELD
JR WRESTLING AND WESTERN SUBURBAN
YOUTH WRESTLING DO NOT ENCOURAGE OR CONDONE THE LOSS OF WEIGHT OF ANY ATHLETE
FOR THE PURPOSE OF COMPETITION. ANY
WEIGHT LOSS SHOULD ONLY BE BASED ON THE RECOMMENDATION AND UNDER THE DIRECTION
OF A PHYSICIAN.
I/we
the parents of the below named wrestler hereby give permission for this child to
participate in Chatfield Junior Wrestling and associated activities.
I/we assume all risks and hazards of such activity, and
hereby agree to release and hold harmless the Chatfield Junior Wrestling
club and coaches, Western Suburban Youth Wrestling, Chatfield High School,
Jefferson County Public Schools and any parties associated with them except for
cases of gross negligence for any cases arising from injury, disability
or death of participant. I/we also
understand that Chatfield Junior Wrestling does not carry primary liability or
accident insurance for participants or coaches, and confirm that responsibility
for medical care/insurance for the below named child shall be the sole
responsibility of their parent(s)
I/we also agree that in our absence, or if we are unable to be reached,
the coach/parent presiding over an event or practice may make emergency medical
decisions for our child. I/we agree
to be financially responsible for any such decisions, and not hold such
person(and affiliates as above) responsible for any decisions or lack of
decisions.
Parent Signature (typed name in the appropriate box below indicates signature and agreement with above)
Fee: $100 hitting the "submit" button will take you to the payment page. Be sure all info is correct prior to submitting form. (clicking "submit" does indicate that you are submissive!)
You should receive a confirmation e-mail within 24 hours. Please call or e-mail if you don't receive confirmation after 24hrs.