BACK TO WRESTLING CLUB
PAGE
Registration & Waiver of Liability
PT Sport & Fitness –Wrestling Training at Cooler Wrestling Club
Guardian
Name: _________________________________ Guardian’s Contact Info:
______________________
Child/ Participant’s Name: _________________________________________________
Address:_______________________________________ Phone
Number:______________________
Session Fee Payment Authorization:
Please Process my Monthly Payment with the following CC:
$______________________
Visa/ MC only
__________________-________________-_________________-_______________________
Visa or MC Card#
________/____________
________________________________________________________
Exp Date
Authorized Cardholder's signature
============================================================================================
Thank you for enrolling
for the Cooler Wrestling Training Program. Please bring this Informed Consent
upon arrival at
the first training session. Parents wishing to watch session are requested to
please do so through hall window viewing
section. Please pack water, bottle for your child to have during sessions;
electrolyte drinks are available at vending
machines. Your first month’s payment and Waiver of Liability must be received; the following monthly
session payment
will be processed
on the cc submitted unless you would like to make other payment arrangements.
Please provide 30 day
cancellation
of program notice.
Summer
Session Training Schedule:
Tuesdays & Thursdays 1:00 -2:15 pm
=============================================================================================
WAIVER OF LIABILITY
I want my child to participate in the Cooler Wrestling Club program at the
Cooler Sport & Fitness. I understand that my child
will not be allowed to participate in the Cooler Wrestling program until I have
executed and complied with the terms of this
Waiver of Liability Agreement. All participants are strongly encouraged to have
a complete physical examination by a medical
doctor prior to beginning any workout program, sports training or strenuous
activity. I agree to consult a physician before
engaging my child into a sport or fitness training program.
ASSUMPTION OF RISK AND WAIVER OF LIABILITY I understand that there is an
inherent risk of injury, whether caused
by me or someone else, in the use of or presence at Cooler Sport & Fitness
center, the use of equipment and services at Cooler
Sport & Fitness center, and participation in Cooler Sport & Fitness Wrestling
program. This includes, but is not limited to:
Injuries arising from the use of the Cooler Sport & Fitness center or equipment,
including any accidental “slip and fall” injuries;
1.
I
understand and voluntarily accept this risk of my child’s participation. I agree
to specifically assume all risk of injury,
whether physical or mental, as well as all risk of loss, theft or damage of
personal property for me or my child while such
persons are using or present at Cooler Sport & Fitness center, using any
lockers, equipment or services at Cooler Sport &
Fitness center or participating in Cooler Sport & Fitness programs, including,
but not limited to, wrestling and sport specific
training and conditioning programs, whether such programs take place inside or
outside of the Cooler Sport & Fitness
center. I hereby give permission for Cooler Sport & Fitness and its
employees and agents to obtain medical treatment for
my child, in the event of accident or illness during his/her presence at the
facility.
I agree to and accept the terms and conditions above and I have received a
complete copy of my Waiver of Liability Agreement.
Guardian's Signature:________________________________________
Date:________________________