Wtwc registration20132014
- 1. 2013-2014 WAYNESVILLE TIGERS WRESTLING CLUB REGISTRATION FORM Wrestler’s Name: _________________________ Date of Birth: ____________________ Age: __________ Wrestling Experience (years): ___________ Parent/Guardian’s Name: ___________________________________________________ Address: ________________________________________________________________ City: ________________________________ State:_________ Zip: ________________ Home Phone: __________________________Cell Phone: ________________________ Email: __________________________________________________________________ Emergency Contact: _________________________Phone#:_______________________ Please read the following statements and sign only the one that applies to you: 1. If my child needs medical attention, it is my wish that I am contacted before any medical procedures are taken on my child, unless immediate treatment is necessary to save my child’s life or to prevent permanent injury. Parent/ Guardian Signature: _______________________________ Date:__________ OR 2. If my child needs medical treatment while participating, it is my wish that the treatment is started while efforts are being made to contact me. So that treatment is not delayed. I consent to any medical procedure the physician believes are needed, on the understanding that efforts to contact me will continue to be made. I accept responsibility for all costs related to such treatment. Parent/Guardian Signature: _______________________________Date: __________ I do hereby grant permission for my child to participate in the Waynesville Tigers Youth Wrestling Club. Parent/Guardian Signature: ______________________________ Date: ___________