Bethel AllStars Junior Wrestling Registration Form

**Please complete one form per wrestler**

Cost per wrestler:

$105: Wrestlers without USAWrestling ID Card

$85: Wrestlers with Folkstyle USAW Card (Oct - Jan)

$50: Wrestlers with Full Membership USAWrestling ID card

Red/Blue Singlet are required for Freestyle/Greco:

Optional Purchase Team singlets for $81.02 (includes tax) for 1 red and 1 blue singlet (singlet store closes Feb 7th)

or can bring your own

Additional options if you wish for us to register and pay for your tournament entries

If you wish to sign up for text alerts and get information throughout the season by text

Text: 81010

Message: @2024bajwc

You will get a confirmation text you have signed up for Allstars text alerts

Emergency Contact & Health Insurance Info
Emergency Contact*

First NameLast Name
Relationship to athlete*
Phone Number*
Any medication child is presently on*
Allergies?*
Drug Sensitives?*
Insurance Name
Policy Number
Parental Instructions concerning medical treatment*

1. If my child needs medical attention, it is my wish that I be contacted before any medical procedures are done on my child unless immediate treatment is necessary to save my child's life or to prevent permanent damage. i accept responsibility for all cost related to such treatments2. If my child needs medical treatment while participating, it is my wish that treatment begin while efforts are being made to contact me. i accept responsibility for all cost related to such treatments.
I, Parent or Guardian of the above named child, hereby give my consent to such child's participation in the authorized activity which involves bodily contact and that occasionally participants suffer some injuries. In consideration of the organization's permitting my child to participate in it's programs, I agree to hold it, it's coaches, officers or referees harmless from any claims for personal injuries that may result to the above named child in the course of his/her participating in the organization's activities, and to indemnify it in the event it is compelled to pay any claim thereon.
I have read and agree to the above conditions*

YesNo
Parent/Guardian Signature*

Clear