Athlete's Name *

First Name

Last Name

Athlete's DOB *

MM

DD

YYYY

Athlete's Gender *

Male

Female

Athlete's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone *

(###)

###

####

Parent/Guardian Name

Optional: Please add additional name and number that will need to be added to our team GroupMe.

First Name

Last Name

Parent/Guardian Phone

Optional: Please add additional name and number that will need to be added to our team GroupMe.

(###)

###

####

GroupMe *

GWA uses the app called GroupMe for communication regarding updated practice information, upcoming tournaments, to communicate with parents during the tournaments, etc. If you do not wish to join our GroupMe, please indicate below. Please note that opting out of GroupMe will limit your ability to know important information. ** If you select 'Yes' to be added to the team GroupMe, please download the GroupMe app onto your mobile device. Additionally, once you have been added, you will receive a text message. ** If you are already a part of our team GroupMe and wish to remain, please select 'Yes'.

Yes - add the numbers that I have listed

No - do not add me to GroupMe

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Acknowledgement of Risk *

I, the undersigned, acknowledge that I have voluntarily chosen to participate in the wrestling activities organized by Guerrilla Wrestling Academy (hereinafter referred to as the "Club"). I understand that wrestling is a physical sport that carries inherent risks, including but not limited to the risk of injury, paralysis, or death. I understand that such risks may arise from my own actions, the actions of others, or the conditions of the premises or equipment used.

* I agree to all of the terms and conditions listed

Release of Waiver *

In consideration of being allowed to participate in the Club's activities, I hereby release, waive, and discharge Guerrilla Wrestling Academy, its officers, directors, coaches, members, affiliates, and volunteers (hereinafter referred to as the "Releasees") from any and all claims, demands, actions, or causes of action that I may have for personal injury, property damage, or wrongful death arising out of or related to my participation in wrestling activities, whether caused by the negligence of the Releasees or otherwise.

* I agree to all of the terms and conditions listed

Indemnification *

I agree to indemnify and hold harmless the Releasees from any loss, liability, damage, or costs, including court costs and attorneys' fees, that they may incur as a result of my participation in wrestling activities, whether caused by the negligence of the Releasees or otherwise.

* I agree to all of the terms and conditions listed

Medical Consent *

I hereby give my consent for emergency medical treatment to be administered to me in the event of an injury or illness during my participation in the Club's activities. I understand that I am responsible for any medical expenses incurred as a result of such treatment.

* I agree to all of the terms and conditions listed

GWA Liability Understanding and Agreement *

I have read this waiver and release of liability, and I fully understand its contents. I am aware that this is a release of liability and a contract between myself and the Releasees. I am agreeing to all terms and conditions of my own free will.

* I agree to all of the terms and conditions listed

AAU Waiver *

Membership in the AAU is a privilege granted by the AAU. It is not a right. The AAU at its sole discretion reserves the right to accept or reject any applicant(s) for membership. Membership in any category may be granted only after an application is submitted and approved. By submitting an application, the applicant agrees to comply with all the provisions of the AAU code, including its constitution, bylaws, policies, procedures, regulations, and rules. * I certify that I have the athlete's parent's or guardian's consent for the athlete to become and AAU member. * I accept all terms and conditions for this AAU membership application as laid out by the AAU code book and this application. * I hereby certify that all information I have provided is accurate, my name is correct, and I am authorized to apply for membership for the youths in this application. * I understand that there are no refunds issued for cancellations.

*I understand and agree to all terms and conditions listed