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Evergreen Junior High Summer Camp
This form is to only be filled out by the legal parent or guardian of the wrestler being entered below on this form. This camp is being offered by Atlas Wrestling a charter club of USA Wrestling in partnership with the Olympus Wrestling Foundation.
*
Indicates required field
Parent/Guardian Acknowledgement
*
I acknowledge that I, the person filling out this form, am the parent or guardian of the wrestler listed on this form
Wrestler Name (Last, First)
*
First
Last
Please enter the name of the wrestler.
Parent/Guardian Name (First, Last)
*
First
Last
Email
*
Grade of Wrestler
*
Select Below
6th
7th
8th
Shirt Size
*
Select Below
Youth Medium
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Address (Street)
*
City
*
Zip Code
*
Emergency Contact Name
*
Phone Number
*
Emergency Contact Phone Number
*
USA Wrestling Insurance
Please read
this link
for information about insurance offered for members of USA Wrestling.
*This benefit only applies if you are a member of USA Wrestling.*
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT WITH PARENTAL CONSENT
(“AGREEMENT”) IN CONSIDERATION of being permitted to participate in any way in any event (“Activity”) at any time during the current membership year I, for myself, my personal representatives, assigns, heirs, and next of kin: 1. ACKNOWLEDGE, agree, and represent that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if, at any time, I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activity. 2. FULLY UNDERSTAND that: (a) THIS ACTIVITY INVOLVES RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“Risks”); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW; (c) there may be OTHER RISKS or SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation, or that of the minor, in the Activity. 3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the sanctioning organization(s), their administrators, directors, agents, officers, members, volunteers, and employees, other participants, officials, rescue personnel, sponsors, advertisers, owners and lessees of Premises on which the Activity is conducted, (each of the forgoing shall be considered one of the RELEASEES herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY 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 I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim. I ACKNOWLEDGE THAT I AM AGE 18 OR OLDER, HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE, AND I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT
Legal Parent/Guardian Electronic Signature to "Release and waiver of liability, assumption of risk, and indemnity agreement with parental consent (“agreement”)"
*
As the parent and guardian of the child on this form I have read and agree to the terms listed above. I also agree that by typing my name below I am signing this form
Date
*
MINOR RELEASE: (must be completed by Parent/Guardian for any participant under the age of 18)
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 ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES 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 RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR ANY COST THAT MAY OCCUR AS A RESULT OF ANY SUCH CLAIM.
Legal Parent/Guardian Electronic Signature to "Minor Release"
*
As the parent and guardian of the child on this form I have read and agree to the terms listed above. I also agree that by typing my name below I am signing this form
Date
*
Submit
Home
Wrestling Programs
Youth Programs
>
Winter Youth Programs
>
Virtual Practices
Spring Programs
Youth Program Calendar
High School
>
HS Calendar
Wrestlers
>
Seniors
>
Sam Cutler
Jacob Degraw
Josh Gilbert
Leighton Helmstetter
Miles Mendenhall
Riley Noble
Chase Parry
Zachary Reynolds
Trent White
Isaac Wilcox
Juniors
>
Mark Bardsley
Hayden Church
Emerson Conlon
Dahle, Tyson
Jacob Giauque
Soyer Haaga
Owen Hall
Mieko Johnson
Hayden Kerr
Dallas Kotter
Alex Oberbeck
Eduardo Olvera
Brendt Probst
Bowen Rideout
Lucas Spillett
Luke Thompson
Cameron Wallace
Sophomores
>
Jeerie Aganikan
Abdalla Alfaham
Berkan Allein
Alan Ascenceio
Carson Bennion
Stan Butera
Malachai Davies
Jeremiah Davies
Tyler Fredrick
Jane Johnson
Zane McFarland
Cesar Mulanche
Adley Rodgers
Michael Sampson
David Walker
Heather Wcislo
Freshmen
>
Mikail Akhmedov
Ethan Erickson
Ashton Haaga
Nowar Hasson
Noah Paxton
Ashton Thorn
Isaac Wirthlin
Alumni
>
Logan Alexander
Ray Cao
Zach Degraw
Oskar Eastlyn
Dalen Hudiburgh
Ethan Kerr
Byron Liu
Harrison Vasquez
Tyler Wallace
Noah Zenger
Resources
>
Health Screening
Wrestler Contact Form
HOF Basket Sign-up
Match Evaluation
Physical Form
Skin Clearance Form
Hydration Test Preperation
Diet
>
Wrestlers Diet Book
Coach's Nutrition Suggestions
Coaches Corner
>
Coach's Blog
Junior High
>
Evergreen Jr. High
Olympus Jr. High
Safety First!
Store