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Longwood Wrestling Registration Form

Parent Info

Parent 1 Name(Required)

Parent 1 Phone(Required)

Parent 1 Email

Parent 2 Name

Parent 2 Phone

Parent 2 Email

Address

Street Address City State Zip

Child Info

School District

Child 1 Name(Required)

Child 1 Birth Date(Required)

Child 1 Grade 2022-23(Required)

Child 1 Years of Experience(Required)

Child 1 Weight(Required)

Child 2 Name

Child 2 Birth Date

Child 2 Grade 2022-23

Child 2 Years of Experience

Child 2 Weight

Child 3 Name

Child 3 Birth Date

Child 3 Grade 2022-23

Child 3 Years of Experience

Child 3 Weight

Parent/Guardian Consent

Participation Consent(Required)

I agree.

I, being the legal guardian of the participant listed above, hereby grant permission to allow my child/children to participate in the Longwood Wrestling Club. I understand the physical nature of wrestling and agree to waive, release, hold harmless, and indemnify Longwood Wrestling Club, its officers, volunteers, and sponsors, as well as Nordonia Hills School District from any and all claims for damage for personal injury to the participant or loss of property resulting from the above-named child’s participation in this activity.

Photo Release Consent

I hereby allow the reproduction and publication of my child’s photograph(s)/video

We take photographs/videos of the activities involving the wrestlers to share the clubs positive vibes and updates. By which incidentally, some photographs may capture your child’s participation, directly or indirectly. These photos/videos may be published through our website, social medias, news bulletins, billboards, and ads. With this, we seek for your consent in allowing us to publish photos which may involve your child to the said platforms.

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Longwood Wrestling Registration Form

Parent Info

Child Info

Parent/Guardian Consent

Title