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Evergreen Junior High

    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.
    Please enter the name of the wrestler.
    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
    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
    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. 
    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
Submit

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Go Titans!
  • 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