Parent Liability Form

Waiver and Release by Parent of Minor from Liability for Wrestling Training

The undersigned of
(street address, city, county, state, zip code), on behalf of (hereinafter referred to as Minor) does hereby waive and release, indemnify, hold harmless and forever discharge of
(street address, city, county, state, zip code, including his agents, employees, and volunteers (referred to herein jointly and severally as Wrestling Coaches) of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I or Minor ever had or may have, arising from or in any way related to Minor’s participation in any of the wrestling training or related physical activities conducted by, on the premises of, or for the benefit of, Wrestling Coaches, provided that this waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct.

I understand that the activities that said Minor will participate in can be dangerous and may cause serious or grievous injuries, including bodily injury and/or death. On behalf of myself, Minor, my heirs, assigns and next of kin, I and said Minor waive all claims for damages, injuries and death sustained by me that I or said Minor may have against Wrestling Coaches regarding any such activity.

Minor has the necessary and requisite skills to participate in all facets of, and activities of and requested of by Wrestling Coaches except as noted below. The nature of the activities has been fully disclosed to the undersigned.

By this Waiver and Release, I, on behalf of said Minor, assume any risk, and take full responsibility and waive any claims of personal injury or death associated with including but not limited to receiving wrestling practice and/or training, engaging in fitness or strength and endurance workouts, practicing and/or engaging in wrestling tournaments, or other related activities conducted by Wrestling Coaches.

This Waiver and Release contains the entire agreement between the parties, and supersedes any prior written or oral agreements concerning the subject matter of this Waiver and Release. The provisions of this may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties.

The provision of this Waiver and Release will continue in full force and effect even after the termination of the activities conducted by, on the premises of, or for the benefit of Wrestling Coaches, whether by agreement, by operation of law, or otherwise.

I have read, understand and fully agree to the terms of this Waiver and Release. I understand and confirm that by signing this Waiver and Release said Minor and I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional Waiver and Release of all liability to the full extent of the law.

Medical Conditions.

Minor is subject to the following allergies or medical conditions, and I authorize Wrestling Coaches, to disclose these conditions to a physician or other medical professional in the event said Minor should require emergency medical care:

Prohibited Activities.

As a result of the above-mentioned medical conditions, I, on behalf of Minor, am prohibiting involvements in the following specific activities:

Printed Name of Minor

Printed Name of Parent (Guardian)

WITNESS my signature on the day of , 20 .