WRESTLING CLUB PARTICIPATION LIABILITY RELEASE FORM

Athlete's Full Name

Date of birth

Month

Day

Year

USA Wrestling Card Number

Parent/Guardian Name ( if under 18)

Parent/Guardian Contact Number

Insurance Provider

Policy Number

Emergency Contact Number

Physical completed

Yes

If yes, Date Completed

I, the undersigned parent or legal guardian of the above-named athlete, acknowledge that participation in wrestling includes physical contact and involves the risk of serious injury, including but not limited to sprains, strains, concussions, broken bones, or in rare cases, permanent disability or death.

I affirm that the athlete is in good health and capable of participating in all wrestling activities.

I agree to be responsible for any and all medical expenses that may be incurred as a result of injury during participation.

I assume all risks associated with participation in wrestling practices, training, tournaments, and travel to and from such events.

I release and discharge the Wrestling Club, Hillcrest High School, Alvord Unified School District, its coaches, volunteers, staff, affiliates, and sponsoring organizations from any and all liability, claims, demands, or actions that may arise out of or relate to any injury, illness, or loss incurred during participation

I confirm that the athlete is covered by valid health insurance, and the information provided above is accurate and current.

I give permission for medical treatment to be administered to the athlete in case of an emergency if I cannot be contacted.

Parent/Guardian Signature

Signature field is empty.