REGISTRATION-Registration/Information Meeting: Rockwall High School Cafeteria.
On Thursday, September 22, 2011 at 7:00pm.
REGISTRATION FEE-(Non-Refundable) $250.00 for 1st child, $225.00 for each additional sibling
in the same household. Fee will include: All practices, USA CARD(required in TX),
TeamT-shirt, Shorts and FacilityFee.If you are currently in another sport, you must register for wrestling and make payment NOW, do not wait til your season is over. We will have a cut-off.
Don’t miss out. Contact Yolanda to make arrangements if you cannot make the meeting.
PAYMENT-We will accept cash or check. Checks made payable to RCW. 1st payment of $125.00 due at registration. A check postdated for October 6, 2011 with remaining balance of $125.00. All feesmust be received before your wrestler will be permitted to participate.NO EXCEPTIONS.
PRACTICE LOCATION-Rockwall High School Wrestling Room at , 901 Yellow Jacket Ln.
Rockwall, TX 75087
1stPRACTICE-Tuesday, October 11, 2011(Times Below)
Wrestling shoes are required at practice for all wrestlers, and are the responsibility of the parent.
PRACTICE SCHEDULE-
ROOKIE (1ST year wrestler) and 7 and under: Tuesday and Thursday, 6:00-6:45pm.
EXPERIENCED WRESTLERS, 8 and older: Tuesday and Thursday, 7:00-8:30pm.
TOURNAMENTS-Wrestlers are required to wear singlets, wrestling shoes and headgear in all
Texas tournaments. These items are the responsibility of the parent. Tournament fee not included in registration fee. Fee due by the Thursday prior to that Saturday tournament.
Tournament schedule: Will be posted on the club website.
It will be the responsibilty of the parent to check tournament dates, location and times.
Tournament sign-up: All entries must be submitted by the Thursday prior to that
Saturday tournament. This will be the resposibility of the parent. DON’T FORGET TO PRINT YOUR ENTRY FORMS OFF OF THE WEBSITE.
Tournament fee payment: Please have exact amount. If we have sign-ups for 2
tournaments in the same week, exact amount will be needed for each individual
tournament.
NO LATE ENTRIES OR PAYMENTS WILL BE ACCEPTED.
WRESTLER WILL NOT BE ENTERED IF ENTRY
AND PAYMENT ARE NOT RECEIVED BY THURSDAY.
NOTE: FEES WILL BE ANNOUNCED.
FOR MORE INFORMATION, VISIT OUR WEBSITE:
You can also find information at TXUSAW.COM
WRESTLER’S NAME______
LAST FIRST MIDDLE
DATE OF BIRTH______AGE ON SEPTEMBER 1ST, 2011______
SCHOOL GRADE______WEIGHT______HOME PHONE______
PARENT(S)/GUARDIAN______
FATHER MOTHER
ADDRESS______
STREET CITY ZIP
CELL PHONE______CELL PHONE______
FATHER MOTHER
EMAIL ADDRESS______EMAIL ADDRESS______
FATHERMOTHER
HAS THIS CHILD EVER WRESTLED IN A USA OR TXUSA TOURNAMENT?______
IF SO, HOW MANY YEARS EXPERIENCE?______WHERE?______
DO WE HAVE PERMISSION TO USE CHILD’S PHOTO ON RCW WEBSITE?______
WILL PARENTVOLUNTEER TO HELPAT PRACTICE? Y/N WRESTLING EXPERIENCE? Y/N
FOR OFFICE USE ONLY
PAID REG. DATE______CASH / CHECK#______
SHIRT (FREE) SIZE______
SHORT SIZE (FREE) ______
SINGLET ORDERED
SIZE______
RECEIVED APPAREL / MEDICAL INFO / CONSENT ON FILE
LIABILTY WAIVER FORM ON FILE
USA CARD NUMBER______
COMPETITIVE WEIGHT______
DIVISION(TOT-5)______
ROOKIE / NOVICE / OPEN
(CIRCLE ONE)
WRESTLER’S NAME______DATE OF BIRTH______
PARENT/GUARDIAN______
NAME RELATIONSHIP
ADDRESS______
STREET CITY ZIP
HOME PHONE______MOTHER CELL______
FATHER CELL______
FAMILY DOCTOR______DOCTOR’S PHONE______
ALLERGIES______MEDICAL CONDITIONS______
______
EMERGENCY CONTACT OTHER THAN PARENT______
HOME PHONE______CELL PHONE______
MEDICAL CONSENT
In the event that my child needs medical treatment while participating, it is my wish
that treatment is started while efforts are being made to contact me. So that treatment is
not delayed, I hereby grant permission to Rockwall County Wrestling to provide consent
for treatment to any medical procedures that 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______
1.I, (PARENT/GUARDIAN)______, the undersigned, on behalf of myself, my heirs, and next of kin, hereby FOREVER RELEASE, DISCHARGE AND COVENANT NOT TO SUE THE ROCKWALL COUNTY WRESTLING, it’s coaches, members, committees, volunteers, any and all participants, as well as all affiliates of Rockwall County Wrestling, lessee and operators of premises used to conduct any RCW events, practices or activities from any and all liabilities, claims, demands, causes of action or losses of any kind or nature, past, present or future, direct or consequential that my child may hereafter have for PERSONAL INJURY, PERMANENT, TEMPORARY, TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER LOSSES OR DAMAGES TO PERSON OR PROPERTY OR DEATH, arising out of my child’s participation in, events, practices or activities, but not limited to, LOSSES CAUSED BY THE PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASEES, or hidden, latent or obvious defects in the facilities or equipment used.
2. Releaser understands and acknowledges that Rockwall County Wrestling activities andthe sport of wrestling in general has inherent dangers that no amount of care, caution, training, instruction, supervision or expertise can eliminate. RELEASER EXPRESSLY AND VOLUNTARILY ASSUMES ALL RISK OF PERSONAL INJURY, PERMANENT, TEMPORARY, TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER LOSSES OR DAMAGES TO, PERSON OR PROPERTY OR DEATH, sustained while participating in, attending practice or activity, including the risk of PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASEES, or hidden, latent or obvious defects in the facilities orequipment used.
3. Releaser acknowledges and fully understands that each participant in RCW events,practices or activities, will be engaging in activities that involve risk of serious injury, including permanent, temporary, total or partial disability, disfigurement, paralysis and any other lossesto person or property, including death, and that severe social and economic losses may result not only from participants own action, inactions or negligence, but also from the actions, inactions or negligence of others not withstanding the rules of play or the condition of the premises or of any equipment used. Further Releaser acknowledges and fully understands that there may be other associated risks with such activities which are not known or not reasonablyforeseeable at this time. I ACKNOWLEDGE THAT I HAVE HAD SUFFICIENT OPPORTUNITY TO REVIEW THE PROVISIONS OF THIS DOCUMENT AND UNSERSTAND ITS PRUPOSE, MEANING AND INTENT.
(Participant’s Signature) (Date) (Printed Name)
The undersigned, ______does hereby represent that he/she is. In fact, the parent of legal guardian of ______and acting in such capacity agrees to the terms and conditions of the above stated waiver and release.
(Signature parent/legal guardian) (Date) (Print Name) (Relationship)
SHIRT
SIZES:
___YS ____YM
____YL ____YXL
____AS ____AM ____AL
____AXL ____axxl
____axxl
______
SHORTS
SIZES:
___YS ____YM
____YL ____YXL
____AS ____AM ____AL
____AXL
FREE
Name:______DATE:______
*T-SHIRT AND SHORTS are included in registration fee.
ROCKWALL COUNTY WRESTLING
SINGLET ORDER FORM & APPAREL INFORMTION
We will be announcing details for our Team Store soon.
The Team Store will give you the opportunity to purchase team apparel via the internet.
Details to be announced soon.
We will be having a singlet swap
October 18, 2011 at practice.
So bring your unwanted singlets to swap with others.
SINGLET
WRESTLER
WILL NEED A SINGLET FOR TOURNAMENT
sIZES ARE DECIDED BY WEIGHT
______/____
WEIGHT/SIZE
deadline TO ORDER
oct. 20, 2011
aDDITIONAL $50.00
Name:______DATE:______
Singlet Total:______
Payment: Cash Check #______
SINGLET will not be ordered until it has been paid in full.
Checks payable: RCW