T&T 2019 Registration and Waiver
Name: 


A red asterisk (*) indicates required questions.

  1. What is your relationship with the wrestler/s?*


  1. List the names of all wrestlers attending the clinic.*


  1. List a working e-mail and telephone number.*


  1. Which Clinic are you attending?  *


  1. What is your method of Payment?
    Please make checks payable to Allen Hackmann  *


  1. Total amount due for this transaction?
    1 Day $40 ($30 Sibling discount)
    2 Day $75 ($60 sibling discount)
    4 Day $150 ($125 Sibling discount)

    ex. 3 siblings at $60 = $180
    ex. 2 Siblings at $125 = $250


  1. 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 Saint Louis School, Lahaina, Jefferson Forest, and West Side Wrestling 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