Eastside Showdown 2- Preseason

Wrestler First Name *

Wrestlers Last Name *

Team *

Division * Select ... WOMEN TOT BANTAM ELEMENTARY MIDDLE SCHOOL HIGH SCHOOL OPEN

Weight Class * Select ... W-100 W-107 W-114 W-120 W-126 W-132 W-138 W-145 W-152 W-165 W-185 W-235 T-35 T-40 T-45 T-50 Tot-HWT B-40 B-45 B-50 B-55 B-60 B-65 B-70 B-HWT E-50 E-55 E-60 E-65 E-70 E-75 E-80 E-85 E-90 E-95 E-100 E-105 E-110 E-115 E-120 E-125 E-135 E-145 E-155 E-HWT MS-83 MS-90 MS-98 MS-106 MS-113 MS-120 MS-126 MS-132 MS-138 MS-145 MS-152 MS-160 MS-170 MS-182 MS-195 MS-220 MS-HWT HS-106 HS-113 HS-120 HS-126 HS-132 HS-138 HS-144 HS-150 HS-157 HS-165 HS-175 HS-190 HS-215 HS-285 OPEN - MADISON

USSWA Release of Liability Waiver * In consideration of my child being allowed to participate in any way in this and all other USSWA related events and activities, the undersigned acknowledges, appreciates, and agrees that: The risks of injury and illness (ex: communicable diseases such as MRSA, ringworm, influenza, and COVID-19) to my child from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and, 1. 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, 2. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention to the nearest official immediately; and, 3. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS USSWA and its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 4. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above entities from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. 5. I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child/ward understands this agreement. I, FOR MYSELF, MY SPOUSE, AND CHILD/WARD, HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulation, and accept them as a participant. It is understood and agreed that using the online form on usswa.net to register your child for this event equates to parental agreement for their child to participate in this event and the liability and COVID waiver agreement is in full effect. If you would like a hard copy of the waiver form please Email mauriceatwood@aol.com to request one.