Tell us who will be attending:

Wrestler's Name
Address
City
State
Zip
Parent's Name('s)
E-mail
Home Phone
Emergency Phone
Work Phone
Current Weight
Current Height
Age
Medical Insurance Co.
Policy #
The medical waiver is required before registration can be accepted.	My son/daughter has been examined by a physician in the last year and is in good health. I hereby authorize the Foundation Wrestling Camp Staff to act for me, according to it's best judgment in any medical emergency, and I hereby waive and release the Foundation Wrestling staff from any liability for injuries or illness incurred by my son/daughter while attending camp. All information I have provided on this application is accurate. By checking this box you acknowledge and agree to this medical waiver and that you are over 18 years of age.

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