The undersigned
hereby confirms that I am aware of
all the dangers of wrestling and of the basic rules for
Wrestling
and the activities connected with wrestling.
I understand that it is not the purpose of the wrestling
training program instructors to serve as guardians of
my safety. I understand and agree that
neither the P6W
nor the owners, operators, agents or instructions
involved, included
but not limited to, Adam Nowak, Scot
Ritchie, Pier 6 Wrestling or any members of P6W shall
Be
held liable in any way for any occurrence in connection
with the wrestling training program or wrestling
itself,
which may result in injury, death or other damages
(including the loss if personal
property) to me.
In consideration of me being allowed to enroll in a wrestling
Course,
I hereby personally assume all risks in connection
with this. I agree to save and HOLD
HARMLESS, on behalf of
myself and my heirs and estate, Pier 6 Wrestling
academy, it’s instructors, it’s students,
and the Pier 6 Wrestling..
I am of lawful age and legally competent to sign this
waiver.
I signed this document of my own free will. I am
also in good physical condition and am not under any care
or treatment by a doctor or physician that will in any way
affect my ability to engage in
this training.
behalf of myself and my heirs and estate, Pier 6 Wrestling
academy,
it’s instructors, it’s students, and the Pier 6 Wrestling..
I am of lawful age and legally
competent to sign this
waiver. I signed this document of my own free will. I am
also
in good physical condition and am not under any care
or treatment by a doctor or physician that will in
any way
affect my ability to engage in this training.
I have executed this waiver and release at _______________________
on
___/___/___.
Signed:__________________________________
Witness Sign:_____________________________
Student Signature:__________________________
Student name:____________________ Age_____
HT_____WT_______
Notify in case of emergency
Name____________________
Relation_____________ Phone________________