Registration
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Girls ONLY!
Event:
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End Date/Time:
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Family Information
First Name:
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Last Name:
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Home Phone:
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Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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GA
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Zip:
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Emergency Contact Info (Not Contact #1 or #2)
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
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10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college-junior
college-senior
kindergarten
pre-K
preschool
Allergies:
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Add New Student #2:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college-junior
college-senior
kindergarten
pre-K
preschool
Allergies:
*
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college-junior
college-senior
kindergarten
pre-K
preschool
Allergies:
*
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college-junior
college-senior
kindergarten
pre-K
preschool
Allergies:
*
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college-junior
college-senior
kindergarten
pre-K
preschool
Allergies:
*
Questions/Options:
USAW Wrestling Card Number ALL PARTICIPANTS MUST HAVE AN ACTIVE USA WRESTLING CARD NUMBER. All card numbers will be verified. (For multiple siblings please list first names followed by card number)
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Additional Information:
Release of Liability Part 1
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In consideration of my minor child (my child) being allowed to participate in this wrestling camp and its related events and activities, I, the undersigned, acknowledge, appreciate, and agree that:
1. The risk of serious injury from wrestling is always present due to the nature of the sport, which presents risks that cannot be eliminated, regardless of the care taken to avoid injuries and illness. I understand that my/my child's participation in Sanderson Wrestling Academy practices, activities, camps, and use of wrestling facilities is completely voluntary in all respects and I assume all risks of injury, illness and/or death to my child or others that may result from such use; and
2. I understand that the dangers and risks of practicing and competing in wrestling include, but are not limited to, transmittable disease - including Covid-19 and the transmittal thereof, disorders, death, serious neck and spinal injuries which may result in complete or partial paralysis, brain damage, blindness, serious injury to virtually all internal organs, serious injury to virtually all bones, joints, ligaments, muscles, tendons and other aspects of the muscular skeletal system, and serious injury or impairment to other aspects of my body, general health and well-being. I understand that the dangers and risks of practicing or competing in wrestling may result not only in serious injury, but in a serious impairment of my future abilities to earn a living, to engage in other business, social and recreational activities and generally to enjoy life. THUS, FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my child’s participation; and
3. I have fully informed myself of the most recent national, state and local government orders, warnings and instructions as they pertain to Covid-19, and I have fully informed myself of the risks associated with my child participating in Sanderson Wrestling Academy practices, activities and camps in light of said orders, warnings and instructions. Having been so informed, FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my child's participation; and
I've read the above and agree.
Release of Liability Part 2
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4. I fully agree, and warrant my compliance, to Sanderson Wrestling Academy's stated and customary terms and conditions for my child's participation, including, but not limited to: (a) I will ensure my wrestler is 1 hour early for pre-camp protocol (checking of temperature, sanitation, etc.), (b) I will timely communicate to the parents of my wrestler's assigned wrestling partner if my child will not be present at practice; (c) Neither I, nor my wrestler's siblings will enter any Sanderson Wrestling Academy facility, (d) I will not send my wrestler to practice nor allow him/her to participate in any Sanderson Wrestling Academy event if he/she has exhibited any of the following symptoms in the previous 72 hours: cough, shortness of breath, fever (100 F or more), chills, muscle pain, headache, sore throat all required protocols and conditions, (e) I will not send my wrestler to practice nor allow him/her to p[participate in any Sanderson Wrestling Academy event if I, my wrestler and/or my wrestlers's siblings have been exposed to someone with COVID-19 symptoms in the previous 14 days.
If I observe any unusual concern in my child's readiness or capability for participation, I will remove my child from participation and will immediately bring such to the attention to Sanderson Wrestling Academy; and
5. I acknowledge and agree that Sanderson Wrestling Academy, LLC, its agents, and employees are not health care practitioners and that they cannot be expected to diagnose and/or treat individual health problems and/or injuries. I further acknowledge that Sanderson Wrestling Academy practices, activities and camps do not have health care practitioners to diagnose and/or treat individual health problems and/or injuries. I understand that the dangers and risks of allowing my child to participate in Sanderson Wrestling Academy practices, activities and/or camps without the presence of a health care practitioner include, but are not limited to, failure to recognize a participant with a transmittable disease - including Covid-19, delay in emergency medical treatment, failure to recognize exacerbation of injury and death. THUS, FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my child’s participation; and
6. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Sanderson Wrestling Academy, LLC, limited liability company formed under the laws of the State of Utah, its affiliates, officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for activity ("Releases"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY, regarding my child and/or arising from his/her activities, including the transmission of COVID-19 to any individual, WHETHER ARISING FROM NEGLIGENCE OF THE RELEASEES OR OTHERWISE, except for willful misconduct, or otherwise to the fullest extent of the law. This is a complete and irrevocable release and waiver of liability. Specifically, and without limitation, I hereby release the Released Parties from any liability, claim, or cause of action arising out of the Released Parties' negligence. I covenant not to sue the Released Parties from any alleged liabilities, claims, or cause of action release hereunder
I HAVE READ THE RELASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND THEIR TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
I've read the above and agree.
Code of Conduct
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Guiding Principles
- To ensure that the rights of all individuals are protected while attending the camp
- To establish the safest and best possible learning environment for all camp participants
- To ensure that breaches of the rules and code of conduct are treated in a fair and consistent manner
Expectations
- All wrestlers have the responsibility to treat one another, staff and property with respect
- All wrestlers have the responsibility to act and behave in a way which does not endanger, intimidate or interfere with the participation of others
- Wrestlers have the responsibility to follow the instructions given by camp staff
- All Wrestlers have the responsibility to come prepared, be fully committed, work hard, and to tirelessly strive to get better every day. Wrestlers are further expected to consistently demonstrate character, strength and gratitude.
- All wrestlers have the responsibility to behave according to this code of conduct
Rules - the following forms of behavior are considered a violation of this document and are unacceptable and could result in the immediate dismissal of the wrestler from camp:
- All wrestlers must follow Sanderson Wrestling Academy's Wrestling Safety Rules.
- Cigarettes or any tobacco products, alcohol, non-prescribed drugs, weapons and pornographic material MUST NOT be brought to camp or utilized while at camp
- Using language which is offensive, sexist or racist
- Unwelcomed physical contact, such as touching, blocking, staring, making sexual gestures and making or displaying sexual drawings or photographs
- Unwelcomed verbal conduct such as sexual propositions, slurs, insults, jokes, and other sexual comments
- Fighting, bullying or any other forms of aggressive behavior (aggression on the wrestling mat is allowed!)
- Leaving camp boundaries or training sessions without permission
- Behaving in a manner which is potentially dangerous to self and others
- Behaving in a manner which damages or vandalizes the property of others, including the living facilities
- Entering other wrestler's rooms/living quarters without the expressed permission of camp administration
- Taking unwelcomed photographs of other wrestlers and or SWA staff members
Any breach of the Rules or the Code of Conduct will initiate a disciplinary action. Sanderson Wrestling Academy reserves the right to suspend or dismiss a wrestler's participation in wrestler activities, without refund of camp tuition, if such disciplinary action is required. Before such a decision is fully made, the wrestler and parent/guardian will meet with camp administration to determine the best course of action.
AGREEMENT
I have read and agree to adhere to Sanderson Wrestling Academy's Rules and Code of Conduct. My wrestler and I fully understand the Rules and Code of Conduct as detailed above and I agree to him/her receiving appropriate disciplinary action should he/she breach them:
I've read the above and agree.
Medical Emergencies
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I give permission for my child to receive emergency medical or surgical treatment and hospitalization if necessary. I understand that every attempt will be made to contact me, or the emergency contact named above, before taking this action. In the event that I/my child need immediate medical attention for injuries received while participating in a SWA wrestling camp/clinic, I authorize the camp staff to give my child reasonable first aid, and to arrange transport of myself or my child to a health care facility for emergency services as needed. If I or my child requires use and administration of an epi-pen, prescription or over the counter medication, it is my responsibility to ensure that the epi-pen and/or medication are on me or my child or within our personal belongings every day of the program. If SWA staff is required to administer and use the epi-pen and/or medication, I agree to forever release and discharge SWA and its directors, officers, and employees from any and all liability arising out of or resulting from use or administration of the epi-pen and/or medication. I further agree will be financially responsible for any medical attention needed during camp or resulting from an injury received at camp. My medical insurance shall be the insurance coverage for any medical treatment.
I've read the above and agree.
USA Wrestling Cardholer
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All campers must be a member of USA Wrestling. Only the Limited Folkstyle card is required. All wrestlers must provide an active card number in order to complete registration. ALL CARDS WILL BE VERIFIED.
https://www.usawmembership.com/login
I've read the above and agree.
Camp Fees/Refunds
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First registered wrestler $79, first sibling $59, second sibling $39 (please inquire for families with more than 3 wrestlers).
Refunds may be requested until Oct 25th.
If Code of Conduct violations result in removal from camp, camp registration WILL NOT be refunded.
I've read the above and agree.
Cancelations
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Campers may cancel registration until Oct. 25th. ***With ALL cancelations a $15 processing fee will be incurred.
I've read the above and agree.
Release of Photo or Likeness
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I hereby release all pictures of myself or my child taken by Sanderson Wrestling Academy, LLc. for promotional purposes and programming materials including the SWA website and social media accounts.
I've read the above and agree.
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City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
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Zip:
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