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T&T 2017 Registration and Waiver - FC
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Name
:
A red asterisk (*) indicates required questions.
What is your relationship with the wrestler/s?
*
List the names of all wrestlers attending the clinic.
*
List a working e-mail and telephone number.
*
Which Clinic are you attending?
Molokai June 30-July 1
Kauai July 5-6
Oahu July 7-9
Franklin County July 21-22
*
What is your method of Payment?
Please make checks payable to Allen Hackmann
Cash (due at registration)
Check (due at registration)
Paypal
*
Total amount due for this transaction?
$75 for an individual
$60 team discount
$60 sibling discount
ex. 3 siblings at $60 = $180
I recognize that there are inherent dangers in the sport of wrestling and agree to assume all risks related to my child’s participation. I hereby waive and release Franklin County Schools and all persons associated with the operation of this clinic from any and all claims, costs, and potential liabilities for any personal injury, property damage or other losses or damages arising from or relating to my participation in this clinic. I understand that the T & T Wrestling Clinic will not provide athletic trainers for the event, or medical insurance in the event that my child is injured.
By clicking yes you agree to assume liability in the case of an accident or injury and you grant the above participant/s permission to participate in the clinic.
*
Yes
No
Mr. Hackmann
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