REGISTRATION INFORMATION for SUMMIT WRESTLING CLUB
To register for the club, print and complete the registration form below and mail it to: Sheri Brown, 2421 Ransom Rd., Clarks Summit, PA 18411. Include the $50 registration fee ($90 for a family). Take advantage of our two-week FREE TRIAL period, if you decide that wrestling is not for your child, your fees will be refunded. See the Announcements & Information page or call 587-0965 for more information.
(to print properly, it is probably best to cut and paste the form) . . REGISTRATION for SUMMIT WRESTLING CLUB . Wrestler’s Name __________________________________________________ Weight ______ Telephone _________________________________ Address _____________________________________________ City/ZIP ___________________________________________________________ Club information is sent by email; please give us an email address that is checked regularly: _____________________________________________ Mother’s Name ______________________________________________ Father’s Name _______________________________________________ Wrestling experience _______years Age ______ DOB _____/_____/_____ School Grade ________ Sweatshirt Size Adult or Youth—S--M--L--XL (Circle) PARENTS: Please circle the areas where you would like to help. You must circle at least one: Coaching Practice Help Timers/Scorekeepers Gym Set up/take down Publicity Photographer (Still, Video) Snack Bar (Preparation, Sales, Set up/take down) Program (Obtaining Sponsors, Designing, Printing) Graphic Designer/Artist
A copy of the wrestler’s birth certificate is needed with the registration or at the first practice, if one is not on file with the club. In consideration of the acceptance of the undersigned Wrestler into the Summit Wrestling Club each of the undersigned does hereby WAIVE AND RELEASE any and all rights and claims for damages against the Summit Wrestling Club, the Directors and coaches thereof, The Abington Heights School District, their agents, representatives, successors, and assigns, for any and all injuries suffered by the undersigned Wrestler while participating in instruction, practices, meets, tournaments, or any other activity conducted, sponsored, or participated in by the Summit Wrestling Club. I certify that the undersigned WRESTLER is INSURED under a policy of accident insurance covering participation in the activities of the Summit Wrestling Club and that such insurance will be maintained in force during the period of time the undersigned Wrestler participates in Club activities. Wrestler’s Signature ________________________________________ Date __________ REGISTRATION FEE: $50.00 2 or more family members-$90.00 Parent’s Signature __________________________________________ Date __________ Make checks payable to: Summit Wrestling Club Mail this registration form to: Sheri Brown, 2421 Ransom Rd., Clarks Summit, PA 18411 Questions—Call Sheri Brown 587-0965 or email brownsjmj@comcast.net |
 |
Registration for Summit Wrestling Club |