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Middle School Registration
Middle School Registration
2024-01-26T12:15:19-05:00
Wrestler's First Name
(Required)
Wrestler's Last Name
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Age at Season
(Required)
Year in School (Upcoming year)
(Required)
Years Wrestled
(Required)
School Attending
(Required)
T-Shirt Size
(Required)
Small
Medium
Large
XL
2XL
Wrestler Email
(Required)
Wrestler Cell Phone
Parent(s) Name(s)
(Required)
Parent Email
(Required)
Parent Cell Phone
(Required)
2nd Parent Cell Phone
Parent Work Phone
Disclaimer of Liability
(Required)
I agree to the disclaimer
The Wolverine Wrestling Club LLC, The University of Michigan, its Athletic Department, and its staff do not assume liability for any injuries incurred while at practice or on the way to practice. Parents should contact their own insurance carrier to secure additional insurance for the Season, if necessary. As a condition of enrollment, the following Disclaimer of Liability must be signed and dated by the athlete's parents or guardians.
THE CAMPER, IN ATTENDING THE WOLVERINE WRESTLING CLUB LLC, CLINIC AND IN USING THE UNIVERSITY OF MICHIGAN FACILITIES DOES SO AT HIS OWN RISK. THE UNIVERSITY OF MICHIGAN, IT'S ATHLETIC DEPARTMENT, AND IT'S STAFF, SHALL NOT BE LIABLE FOR DAMAGES ARISING FROM PERSONAL INJURY SUSTAINED BY THE CAMPER DURING THE CLINIC OR AT THE FACILITIES. THE CAMPER AND HIS PARENTS ASSUME FULL RESPONSIBILITY FOR ANY DAMAGES OR INJURIES WHICH MAY OCCUR TO THE CAMPER DURING THE CLINIC SESSION AND SO HEREBY FULLY AND FOREVER EXONERATE AND DISCHARGE THE UNIVERSITY OF MICHIGAN, IT'S ATHLETIC DEPARTMENT, IT'S STAFF, IT'S OWNERS, EMPLOYEES AND AGENTS FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, RIGHTS OF ACTION, OR CAUSES OF ACTION, PRESENT OR FUTURE, WHETHER THE SAME BE KNOWN, ANTICIPATED, OR UNANTICIPATED, RESULTING FROM OR ARISING OUT OF THE CAMPER'S PARTICIPATION IN THE CLINIC SESSION AND IN THE USE OF THE FACILITIES.
Medical Information
(Required)
My child has had a doctor's physical within the last year
As a condition of participation in the Wolverine Wrestling Clinic, each participant must have had a physical check-up by a certified physician within the last calendar year. My child has had a physical within the last year and has been declared healthy and able to participate in the Clinic activities.
Permission to Photograph
(Required)
I agree to the terms below
I agree to allow Wolverine Wrestling Club LLC. to photograph my child for promotional purposes for the club web site and or promotional materials.
Today's Date
(Required)
MM slash DD slash YYYY
Parent Signature
(Required)
Student Signature
(Required)
Are you registering for a single season or all 3 seasons?
(Required)
All 3 Seasons
Single Season
Which Season?
(Required)
Pre-Season (Fall)
In-Season (Winter)
Freestyle Season (Spring)
Are you paying for yourself or is your team paying for you?
(Required)
I am paying
Team is paying
Junior Wolverine Wrestling Club: 3 Seasons
(Required)
Price:
Junior Wolverine Wrestling Club: Single Season
(Required)
Price:
Credit Card
Card Details
Cardholder Name
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