Drop in liability form

For those who are joining for drop ins or open practices. Must be on file in order to practice

General Information* Please provide your Full Name, Birthdate and years of wrestling experience.

Emergency Contact Information* In an emergency please contact: (First and Last name, relation to athlete and cell phone number)

Medical Information* Please list any other medical information that may be revenant for the Kingdom Staff to be aware of. Such as allergies or medical conditions (like asthma). Just enter NA if this does not apply to your athlete

Concussion Waiver* There is section under the main menu Resources tab in the for parents section titled Concussion Fact Sheet. You may go back and read the doc listed there to learn about concussion and to accurately agree to the following question.

Yes I have read and understand the risks and treatments for concussions?

General liability* Please read the following statement and check the box to agree. I, or the guardian of the athlete named above, acknowledge that wrestling is a physically demanding and potentially hazardous activity. By participating in Kingdom Wrestling practice, I voluntarily assume all risks associated with such activities. I agree to hold harmless and indemnify Kingdom Wrestling, its coaches, the school, and any associated parties from any claims, liabilities, or expenses, including legal fees, arising out of any injury, loss, or damage incurred during practice. I confirm that I understand and agree to this waiver.

I have read the statement above and confirm that I am over the age of 18. I accept the risk for myself or assume the risk on behalf of my athlete as their legal guardian.

I wish to be added to the Kingdom wrestling emailing list. I wish to be added to the Kingdom Wrestling email list to receive information on future seasons, drop in sessions, open gyms or other relevant information. * If you wish to be added, please include your email in the box below*

Drop in liability form

Confirmation