Registration - 2024-2025 Wrestling Season Registration
2024-2025 Wrestling Season Registration

Please fill out one form for each registered wrestler. Practices begin Nov. 18, 2024. A free shirt is included as part of your registration. Scholarships are available - email rpwc@outlook.com for more information.

Name
Address
City, State Zip
Phone
Email
Confirm Email
Phone 2
Gender
Current School Grade
T-shirt size
Approximate Weight
Years of Wrestling Experience
Parent/Guardian Name 1
Parent/Guardian Name 2:
How did you hear about our wrestling program?
Comments
Pre K-2nd Grade Session 1
$60.00
Pre K-2nd grade - Session 1 (11/18/2024-2/2/2025)
Mondays and Wednesdays6-6:50 p.m.
Pre K-2nd Grade Session 2
$40.00
Pre K-2nd grade - Session 2 (2/3/2025-March 2025)
Mondays and Wednesdays6-6:50 p.m.
3rd-6th Grade
$110.00
There will also be an optional Thursday practice, 6-7 p.m., focusing on advanced technique and live wrestling. The 3rd-6th grade wrestlers are invited to attend this, wrestlers who have 3+ years of experience, and possibly others based on coaches’ discretion.
3rd-6th grade (11/18/2024-March 2025)
Mondays and Wednesdays7-8:15 p.m.

ASSUMPTION OF RISK, WAIVER, RELEASE OF LIABILITY AND MEDICAL CONSENT


IN CONSIDERATION FOR the opportunity to participate in the events described below, the participant acknowledges, agrees and affirms the following:
1. The following words will have the meaning indicated:
a. “RPWC” – Rochester Panthers wrestling club, and it’s board members and committees.
b. “events” – RPWC practices and tournaments.
c. “participant” – the individual who competes or is involved in the events, parents, legal guardians, and/or personal representatives.
d. “personal injury” – any bodily injury: permanent, temporary, total, or partial disability; paralysis; dismemberment; or death.
e. “property damage” – damage or destruction to participant’s gear, equipment, or other personal property or belongings.
f. “medical treatment’ – all emergency medical treatment, hospitalization or other care rendered to participant in connection with or resulting from participation in events.
g. “loss” – any and all liabilities, losses, damages and claims (reasonable costs and fees) which are suffered or result directly or indirectly from personal injury, property damage, and/or medical treatment to participant which are incurred or in the course of participation and/or preparation for an event.
2. Participant understands the risks of serious injury that may occur in the sport of wrestling in the preparation or participation of, which may involve risks, including personal injury.
3. Participant assumes all risks of loss and all legal/financial responsibility therefore.
4. Participant releases, waives claims and promises not to sue RPWC with respect to any loss incurred in connection with any event, except and loss which is the result of gross negligence and/or misconduct by RPWC.
5. Prior to participating in any event, the participant shall have the right to inspect the facility and/or equipment. If participant discovers and condition unsafe, participant will immediately advise RPWC of such condition and not participate as long as such conditions exists.

I have read and agree to all terms and conditions aboveParent or Guardian Initials for Consent