Spartan Youth Wrestling Club

Membership Application

WWW.SPARTANSWRESTLING.NET

I hereby apply for membership to the Spartan Youth Wrestling Club.. As a member I will be entitled to the rights and privileges of membership.  The sole purpose of the Spartans a nonprofit organization, is to provide the children with competitive wrestling so that they learn the ideals of sportsmanship, honesty, loyalty, and courage.

PLEASE PRINT

CHILD'S NAME_______________________________________BIRTHDATE____/____/____AGE_____

(LAST)    (FIRST)

ADDRESS______________________________________________________________________________

CITY_________________________________STATE_________________________ZIP________________

PARENTS NAME(S)_____________________________________________________________________

HOME PHONE(____)_______________________________CELL(____)___________________________

EMERGENCY#(____)_______________________________CONTACT____________________________

EMAIL ADDRESS_______________________________________________________________________

YRS. WRESTLING_____CLUBS______________________SCHOOL_____________________________

MEDICAL/ALLERGIES__________________________________________________________________

I, the parent or guardian of the above-named child, hereby give my approval to their participation in any and all activities of the Spartans during the current season.  I assume all risks and hazards incidental to the conduct of the activities and transportation to and from the activities.  I do hereby release, absolve, indemnify and hold harmlessly the Spartans, the administrators, the officers, and/or all of them.  In case of injury to my child, I hereby waive all claims against the sponsors, officers, or any administrator appointed by them, and also give my permission for any necessary emergency treatment to be administered.  I will furnish a birth certificate to the above-named child upon request of association officials.

PARENT/GUARDIAN SIGNATURE______________________________________________________

 

I do____I do not____have medical/accidental insurance coverage.

Insurance Company Name_________________________________________________________________

Group Number__________________________________Policy Number____________________________

 

Each family is required to volunteer for one or more of the following activities 

 

Coach____Team Parent____Mat Setup/Takedown____Team Pictures____Timer____Fund Raising____

Refreshment Stand____Publicity/Newspaper____Clothing____Board of Directors____

 

Please Circle Clothing Sizes: (Whatever size you choose, will be the size you are given.  Exchanges can no longer be made.)

Sweat Pants:Youth  S (6/8)   M (10/12)   L (14/16)   Adult   S   M   L  XL

Sweatshirts: Youth  S (6/8)   M (10/12)   L (14/16)   Adult   S   M   L  XL

T-Shirts:        Youth  S (6/8)   M (10/12)   L (14/16)   Adult   S   M   L  XL

 

Cost:  $90.00 for 1 Wrestler, $160.00 for 2 Wrestlers, $210.00 for 3 Wrestlers in the same immediate family.

Plus additional cost per wrestler for singlets.  Please bring a copy of Birth Certificate to registration.

Make Checks Payable to: Spartan Youth Wrestling Club

Mail Payments to: Spartan Youth Wrestling Club

958Woodbourne Drive, Southampton, PA. 18966

 

 

 

Do not write below line-------------------------------------------------------------------------------------------------------------------------------

 

     PAID: $______________ CASH (   )  CHECK (   ) #________

SINGLET DEPOSIT RECEIVED:  YES (   )  or  NO (    )

 

All deposits will be reimbursed at the end of the season

 

I have read and understand the Registration Form, Singlet Return and Volunteer Agreement

 

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