2024-2025 Youth Registration

Athlete Info

Name*

Athlete First Athlete Last

Date of Birth*

School Attended by Athlete*

If you selected other, type school here

Grade Level*

Estimated Weight*

T-shirt Size*

Boys or Girls Practices*

Do you anticipate your athlete competing at tournaments requiring a USA wrestling Card (these would usually be larger events such as WWF Regionals, Preseason nationals, etc.. for more experienced wrestlers)?*

Parent Guardian Info

Primary Parent Gaurdian*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Phone*

Secondary Parent Gaurdian (if needed)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email

Phone

Volunteer Coaching Opportunities*

Medical Treatment (select one)*

Please read the alternative statements below and select the statement you prefer for your son or daughter.

If my child needs medical attention, it is my wish that I am contacted before any medical procedures are taken on my child, unless immediate treatment is necessary to save my child’s life or to prevent permanent injury.
If my child needs medical treatment while participating, it is my wish that the treatment is started while efforts are being made to contact me. So that treatment is not delayed, I consent to any medical procedures that the physician believes are needed, on the understanding that efforts to contact me will continue to be made. I accept responsibility for all costs to such treatment.

Parental Consent*

I agree to the release of liability

Release of Liability

By checking the box above, you acknowledge and agree to the following:

My child, (named above), desires to participate in non-mandatory, extracurricular club activities, intramural sports and/or any other recreational activities at the facilities of the Holmen Viking Wrestling Club. In consideration of being allowed to participate via the Holmen Viking Wrestling Club, I hereby acknowledge and agree to the following:

I am fully informed or otherwise aware that my participation in this activity is voluntary. I am also fully informed or otherwise aware of and fully assume all risks to person and property in connection with my participation in this activity (including, but not limited to, damage and loss of property, bodily injury, medical treatment, and death). I am in good physical and mental health and do not have any physical or mental conditions which could affect my ability to participate in this activity. I have medical insurance coverage appropriate for my participation and, if requested, will provide evidence of such insurance coverage to the Holmen Viking Wrestling Club. The Holmen Viking Wrestling Club shall not provide any insurance for me in connection with my participation in any activity in which I choose of my own free will to engage.

I fully and forever RELEASE, WAIVE, and DISCHARGE, AND COVENANT NOT TO SUE, the Holmen Viking Wrestling Club (including, but not limited to, its trustees, employees, and representatives) from and for any and all demands, claims actions, suits, damages, losses, liabilities, costs and expenses arising, directly or indirectly, in connection with my participation in activities from any cause whatsoever (including, but not limited to damage, and loss of property, bodily injury, medical treatment, and death), whether or not foreseeable or contributed to by the negligent acts or omissions of the Holmen Viking Wrestling Club or others.

I shall INDEMNIFY AND HOLD HARMLESS the Holmen Viking Wrestling Club (including, but not limited to, its trustees, employees, and representatives) for and from any and all demands, claims, actions, suits, damages, losses, liabilities, costs, and expenses arising, directly or indirectly, as a result of my intentional or negligent acts or omissions from any cause whatsoever (including, but not limited to, damage and loss of property, bodily injury, medical treatment, and death), whether or not foreseeable or contributed to by the negligent acts or omissions of the Holmen Viking Wrestling Club or others.

I shall fully comply with all applicable laws, Holmen Viking Wrestling Club policies, and rules and regulations established by the Holmen Viking Wrestling Club or any third-party providing services regarding the activities while participating. If my participation in the activity is at any time deemed detrimental to me or any other participants, as determined by the Holmen Viking Wrestling Club in their sole discretion or any third-party providing services regarding the activities in their sole discretion, I understand that (i) I may be expelled or suspended from activities without the Holmen Viking Wrestling Club incurring any liability, (ii) I may incur liability to the Holmen Viking Wrestling Club under this Agreement, and (iii) I may be subject to further disciplinary action by the Holmen Viking Wrestling Club.

This Agreement constitutes the entire agreement and supersedes any prior or contemporaneous agreements, understandings, or negotiations with respect to the subject matter hereof. This Agreement (i) may not be amended or modified, by course of conduct or otherwise, and (ii) may not be assigned or transferred, in whole or in part, except in writing duly executed by the Holmen Viking Wrestling Club and me. This Agreement shall be governed by, and constructed and enforced in accordance with, the laws of the State of Wisconsin, without regard to the conflicts or choice of law principles thereof, and shall be as broad and inclusive as permitted by such laws. In the event that a court of competent jurisdiction shall hold any provision of this Agreement unenforceable, such unenforceability shall not affect any other provision, and this Agreement shall be constructed as if such provision, to the extent of such unenforceability, had never been incorporated herein.

I (i) have read and fully understand this Agreement, (ii) intend that this Agreement be legally binding upon and enforceable against me and my family members, estate, heirs, and legal representatives, (iii) intend that this Agreement insure to the benefit of the Holmen Viking Wrestling Club, and (iv) confirm that I am at least 18 years of age, fully competent, and entering into this Agreement voluntarily of my own judgment.

By participating in Holmen Viking Wrestling Club (HVWC) and associated team activities, you hereby grant HVWC permission to capture and use photographs or videos of you (or your minor child) for promotional purposes. These materials may be used in print and digital formats, including but not limited to social media, websites, flyers, and other promotional materials. Additionally, by sharing photos or videos on the team’s communication app, SportsYou, you consent to their use for the same promotional purposes. If you do not wish for your image (or your child’s image) to be used, please notify holmenvikingwrestlingclub@gmail.com.

Knowing the dangers, I hereby voluntarily represent and agree to waive and release and forever discharge and agree not to sue and to indemnify and hold harmless the Holmen Viking Wrestling Club, Activities Department or any of its representatives and/its assignees, Holmen Viking Wrestling Club and their governing boards, officers, agents, employees and volunteers from and against any and all liabilities, claims, demands, and causes of action of any kind on account of any loss, damage, illness or injury to person or property in any way arising out of or relating to my child’s/children’s participation in the School in and returning from the Holmen Viking Wrestling Club, Activities Department, related programs or specified activities, whether due to the negligence, mistake or other action or inaction of the Holmen Viking Wrestling Club staff, or any other person or entity involved in any way with the Holmen Viking Wrestling Club.

Would you like to receive the High School Girl's Wrestling email newsletter (one per month)?*

Athlete Registration*

Price:

If any family registers more than 2 athletes (each one has to be done separately) from same household, money will be refunded through PayPal for all athletes over 2 (max. $150 per household)

This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.

Payment Method

You do NOT need a Paypal account to complete registration. After you click the button, you will have the option to pay by card.

Youth Wrestling Registration 2024-25

Athlete Info

Parent Guardian Info