I UNDERSTAND THAT MY REGISTRATION IS NOT COMPLETE UNTIL THE REGISTRATION FEE HAS BEEN PAID IN FULL AND A COPY OF MY ATHLETES BIRTH CERTIFICATE HAS BEEN RECEIVED.

I, (PARENT/GUARDIAN NAME LISTED ABOVE) AUTHORIZE ALL MEDICAL AND SURGICAL TREATMENT, X-RAY, LABORATORY, ANESTHESIA AND OTHER MEDICAL HOSPITAL PROCEDURES AS MAY BE PERFORMED OR PRESCRIBED BY A LICENSED PHYSICIAN AND FACILITIES FOR (CHILD’S NAME LISTED ABOVE). IT IS EXPECTED 1 PARENT/GUARDIAN STAYS AT PRACTICE. IF PARENT IS NOT AVAILABLE YOU AUTHORIZE FOR MEDICAL RELEASE.

I GIVE APPROVAL AND PERMISSION FOR MY CHILD TO PARTICIPATE IN THE SHELTON WRESTLING ASSOCIATION. I HEREBY WAIVE ALL CLAIMS AND LEGAL ACTION, FINANCIAL OR OTHERWISE, AGAINST THE ABOVE JUNIOR WRESTLING CLUB, IT’S ELECTED AND APPOINTED OFFICIALS, OR ANY VOLUNTEER CONNECTED WITH THE PROGRAM FOR INJURIES WHICH MIGHT OCCUR DURING PRACTICE, TRAVEL OR GAME COMPETITION.