Call Out Challenge Form & Waiver

First Name

Last Name

Parent/Guardian Name(If Under 18)

Date of Birth

USA Wrestling Card #

Age / Weight

Please specify anything we should know about

I declare that the info I’ve provided is accurate & complete

WAIVER: I, the undersigned, parent/guardian of the athlete named below, understand that participating in any activities at TEAM WILLIAMS, DBA, or any other affiliated events with TW, comes with certain degree of risk of injuries to the athlete. I agree to assume all risk and hereby release TEAM WILLIAMS and any other affiliated company including but not limited to its, owners, employers, employees, or volunteers from any and all liabilities. I understand that all medical expenses are sole responsibility of the athlete or the athlete’s family. TW expects all athletes to carry their own medical insurance, which is not provided by TEAM WILLIAMS. PHOTOS/VIDEO: I also give permission to TEAM WILLIAMS and any other affiliated approved third parties the right to film, photograph, alter photographs or videotape the athletes. I give TW all rights to use any videotapes, photographs, and/or publications of the athlete in any promotional usage and/or any other means, without compensation. MEDICAL RELEASE: I hereby authorize and give consent to any approved staff members of TEAM WILLIAMS(TW), to take whatever action necessary for any medical treatment, when parent/guardian cannot be reached. I understand that by submitting this form that TW is not liable for any injuries incurred during competitions, practices, classes, events, and/ or anywhere upon the premises of TW or the host facility. I have disclosed all medical or physical information on the athlete mentioned above. I certify that the named individual is physically capable and able to fulfill their requirements needed to be a participant at a TEAM WILLIAMS function.

Thanks for submitting!

TEAM WILLIAMS

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Call Out Challenge Form & Waiver

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