Intro to Youth Wrestling Clinic
For Boys Grades 3 – 8
This is not the wild, “off the top rope” stuff you see on TV. This is an opportunity for youth (and parents) to gain an understanding and appreciation for the various wrestling styles – Freestyle, Greco-Roman and Folkstyle. Participants will be introduced to wrestling techniques, experience live wrestling and have fun learning about the world’s oldest sport. Focus will be on learning moves, conditioning and stretching; no competition is involved. The instructor is Todd Crisostomo, GMHS wrestling coach, assisted by members of the wrestling teams. We ask a parent to stay during the sessions.
DATES:Tuesdays, September 22 – November 17, 2009
TIME:6:00 7:30PM
COST:$69.50pp (includes USA Wrestling membership)
(All non-residents add $5)
LOCATION:Granby HS Community Gym
CLASS SIZE:8 – 30
DEADLINE:September 8 (NOTE: Parent will need to complete USAWCT membership forms by this date.)
WHAT TO WEAR:Shorts, T-shirt, sneakers (wrestling shoes, if available)
Sponsored by Granby Parks & Recreation Department
844-5356
Detach & Return to Granby Rec 15C North Granby Road Granby, CT 06035
Make check payable to Town of Granby
Fall 2009 Intro to Youth Wrestling
NAME HOME PHONE
ADDRESS ZIP DOB
AGE (1/09) SCHOOL GRADE
PARENT/GUARDIAN
NAME PHONE (W)
E-MAIL ADDRESS
EMERGENCY CONTACT PERSON DURING
PROGRAM HOURS PHONE
WHAT THE INSTRUCTOR SHOULD
KNOW ABOUT MY CHILD
I have read and understand the LIABILITY/PARENT AUTHORIZATION on the back of this form. My signature indicates recognition of risks involved, consent for participation and permission for instructors to secure emergency medical treatment in the event the parent(s) and/or guardian(s) cannot be reached.
______
Signature (Parent/Guardian)Date
For Office Use Only:Date Rec’d ______Ck # ______N/R Fee ______Cash ______
TOWN of GRANBY
WAIVER, HOLD HARMLESS AGREEMENT
AND RELEASE OF LIABILITY
In consideration for the privilege of participating in the Intro to Wrestling Clinic at GMHS Community Gym, the undersigned hereby agrees that:
I understand that there are inherent risks involved in the Intro to Wrestling Clinic, including the risk of serious physical injury or death and I FULLY ASSUME ALL RISKS ASSOCIATED WITH THIS ACTIVITY, EVENIF DUE TO THE NEGLIGENCE OF THE TOWN OF GRANBY AND THEIR AGENTS, SERVANTS OR EMPLOYEES, including but not limited to: Variations in building conditions; employees, volunteers, other patrons and spectators; equipment failure; lack of safety devices or inadequate safety devices; lack of warnings or inadequate warnings; lack of instructions or inadequate instructions; and the like.
I, for myself and for my heirs, assigns, successors, executors, administrators, and legal representatives, AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE TOWN of GRANBY AND THEIR AGENTS, SERVANTS OR EMPLOYEES from any and all claims, suits or demands by anyone arising from my participation in the Intro to Wrestling Clinic and use of the GMHS Community Gym facilities and equipment INCLUDING CLAIMS OF NEGLIGENCE ON THE PART OF THE TOWN of GRANBY AND THEIR AGENTS, SERVANTS OR EMPLOYEES.
I, for myself and for my heirs, assigns, successors, executors, administrators, and legal representatives, HEREBY RELEASE, AND AGREE THAT I WILL NOT SUE THE TOWN of GRANBY AND THEIR AGENTS, SERVANTS OR EMPLOYEES for money damages for personal injury sustained by me while participating in the Intro to Wrestling Clinic and using the GMHS Community Gym facilities and equipment EVEN IF DUE TO THE NEGLIGENCE OF THE TOWN of GRANBY AND THEIR AGENTS, SERVANTS OR EMPLOYEES.
I HAVE READ THIS WAIVER, HOLD HARMLESS AGREEMENT AND RELEASE OF LIABILITY AND FULLY UNDERSTAND ITS TERMS. I FURTHER UNDERSTAND THAT BY SIGNING THIS AGREEMENT THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS. I HAVE NOT BEEN INDUCED TO SIGN THIS AGREEMENT BY ANY PROMISE OR REPRESENTATION, AND I SIGN IT VOLUNTARILY AND OF MY OWN FREE WILL.
PARTICIPANT’S SIGNATUREPARTICIPANT’S PRINTED NAMEDATE
CONSENT OF PARENT OR GUARDIAN
This is to certify that I, as parent or guardian with legal responsibility for this participant, do hereby consent and agree to his or her release as set forth above, and for myself, my heirs, assigns, successors, executors, administrators, and legal representatives, AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE TOWN of GRANBY AND THEIR AGENTS, SERVANTS OR EMPLOYEES from any and all claims, suits or demands by anyone arising from said participant’s participation in the Intro to Wrestling Clinic and the use of the GMHS Community Gym facilities and equipment INCLUDING CLAIMS OF NEGLIGENCE ON THE PART OF THE TOWN of GRANBY AND THEIR AGENTS, SERVANTS OR EMPLOYEES, and I further agree that I WILL NOT SUE THE TOWN of GRANBY AND/OR THEIR AGENTS, SERVANTS OR EMPLOYEES for money damages for personal injury sustained by me while using the GMHS Community Gym facilities and equipment EVEN IF DUE TO THE NEGLIGENCE OF THE TOWN of GRANBY AND THEIR AGENTS, SERVANTS OR EMPLOYEES.
PARENT’S/GUARDIAN’S SIGNATUREPARENT’S/GUARDIAN’S PRINTED NAMEDATE
WORD\SPORTSCMP\wrestling Fall ‘09.doc