Gold Schopp Wrestling Liability Waiver and Release Form
Participant Name: {name}
Date of Birth: {dob}
Address: {address}
Phone Number: {phone}
Emergency Contact: {contact_name}
Emergency Contact Phone: {contact_phone}
Emergency Contact Relationship: {contact_relation}
Date Signed: {sign_date}
1. Acknowledgment of Risk
I, , understand that wrestling and related physical training involve inherent risks, including but not limited to: sprains, strains, fractures, concussions, skin infections (e.g., ringworm, MRSA), serious injury, illness, or death. I voluntarily choose to participate (or allow my child to participate) with Gold Schopp Wrestling, fully accepting these risks.
2. Release of Liability
I hereby release, discharge, and hold harmless Gold Schopp Wrestling, AJ Schopp, all coaches, staff, contractors, volunteers, and facility owners from any liability, claims, demands, damages, or causes of action resulting from participation in any club activity, whether caused by negligence or otherwise.
3. Medical Authorization
I certify that I (or my child) am physically able to participate. In the event of injury or illness, I authorize club staff to obtain emergency medical treatment on my behalf. I understand I am solely responsible for all related medical costs.
4. USA Wrestling Membership Requirement
All members must maintain a current USA Wrestling athlete membership to participate in any Gold Schopp Wrestling activity.
I understand and agree that a current USA Wrestling card is required for participation.
Automatic Renewal Requirement:
Failure to renew the USA Wrestling Athlete Card before its expiration date will result in suspension of practice and competition access until updated proof of membership is uploaded to Gold Schopp Wrestling.
5. Insurance and Medical Costs
Gold Schopp Wrestling does not provide health or accident insurance. All medical expenses incurred from participation are the sole responsibility of the participant/parent.
6. Code of Conduct & Illness Policy
I agree to follow all safety rules, instructions, and codes of conduct. I will not attend practices or events if I (or my child) have a contagious illness or injury that may endanger others. Failure to comply may result in suspension without refund.
7. Media Release
I grant permission for photographs, videos, and other media featuring me (or my child) to be used for promotional purposes by Gold Schopp Wrestling.
I DO NOT consent to media use.
8. Membership Terms & Refund Policy
Membership Title: {membership_title}
Start Date: {start_date}
Membership Fees: {membership_fees}
I understand that membership fees are non-refundable except in cases of medical hardship with written proof, or at the sole discretion of Gold Schopp Wrestling. Missed practices, schedule changes, or removal for conduct violations do not entitle me to a refund or credit.
9. Severability & Acknowledgment
I have read and fully understand this waiver, release, and agreement. I acknowledge that by signing it, I am giving up substantial legal rights, including the right to sue.
I sign it freely and voluntarily without any inducement or coercion. If any portion of this agreement is found to be invalid or unenforceable, the remaining portions shall remain in full legal force and effect.
Initial to confirm:
Signature of Member or Guardian:
Date: {sign_date}