14th ANNUAL NEW FAIRFIELD FREESTYLE WRESTLING TOURNAMENT

for Kids, Cadets, Juniors and Open Wrestlers FROM ANY STATE

This a Cadet and Junior CT National Team Qualifying Event

NEW FAIRFIELD (CT)HIGH SCHOOL ���..Saturday,MARCH 20, 2004

PRE REGISTRATION ENCOURAGED ..... WALK-INSWELCOME!!

 

Madison weights will be used for all age groups except Cadets and Juniors.Weigh-ins March 20 from 7:45 am to 9 am (except for Open wrestlers who weigh-in from 11:00 to 12:00).Wrestling will start before 10:00am for Kids through Juniors; Open wrestlers will start wrestling about 12:30.Bouts will be 2 periods of 90 seconds for wrestlers born in 1994 or later; 2 periods of 2 minutes for wrestlers born in 19885 through 1993; 1 period of 4 minutes for Cadets (born 1983-1984); 2 periods of three minutes 1 period of 5 minutes for Juniors and 1 period of 4 minutes for open wrestlers.Seeding will be done by blind draw but matches will be paired using double elimination line brackets. Medals for the top three finishers in each class.Six full mats will be used for this competition.During weigh-ins, all competitors will be inspected for skin rashes.Wrestlers with skin rashes will not be allowed to compete unless they have a current doctor's excuse saying they are under treatment, are not contagious as of a specified date and are cleared to wrestle.Tournament officials reserve the right to refuse entry to questionable cases.

��������������� A 2003-2004 USA Wrestling card MUST be shown at registration.If you don't have a card, enclose an additional $30 with your registration and the USAW card will await you at the pre registration desk (NOTE: if wrestler is under 18 years old, their parent MUST sign the registration form if they are applying for a USAW card.This is an insurance requirement, and there will be no exceptions made).A USAW Card can be purchased at the tournament.

����� Admission for Spectators: $3 for adults, $1 for students����� ������������� Free admission for Coaches with USAW Coaches' Card

����� Emergency Medical Personnel will be on-site.����������������������� ������������� Breakfast, lunch and snacks available on-site

����� $15.00 entry fee �������������������������� ���������������������������������������������� ������������� Wrestling equipment will be available for purchase

����� Make checks out to New Fairfield Wrestling Club. Under 18 must have a parent sign the registration form.

����� For Information: Call Donna Wabshinak at 203 746 7181or email[email protected]

������ Should weather become an issue the day of the tournamentcall203 746-5982 or 203 746-2008 or 203 746-7181 for a recordingthat will indicate the status of tournament.Message will run from 5:30 am to 9:00 am

 

To Pre register: Complete entry form, and (if under 18) HAVE IT SIGNED BY A PARENT

����� Mail to New Fairfield Wrestling Club, P.O.Box 8297, New Fairfield, CT06812, by March 10 th with a check or money order.

����� No refunds of pre registration fee except for injuries.Written documentation required.

 

There are predetermined weights for Cadets and Juniors because this is a qualifying tournament for the Cadet and Junior CT National Teams. Madison System will be used for all other age groups. Wrestler will be assigned to correct weight class at weigh in.

Cadet Weights: ������������������ 84, 91, 98, 105, 112, 119, 125, 130, 135, 140, 145, 152, 160, 171, 189, 215, 275

Junior Weights:��������������� 98, 105, 112, 119, 125, 130, 135, 140, 145, 152, 160, 171, 189, 215, 275

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NAME.................................................................................................. DATE OF BIRTH ........................................

 

STREET.......................................................................... CITY.......................................................�������

 

STATE.......................ZIP.��......��������������� email address............................................................................................................

 

TELEPHONE............................................................................2003-2004 USAW CARD #...............................................................

 

Waiver and Release from Liability

1. I,________________________the undersigned, on behalf of myself, my heirs, and next of kin, personal representatives, agents, insurers, successors and assigns (all hereinafter "Releasors") hereby FOREVER RELEASE, DISCHARGE AND COVENANT NOT TO SUE THE UNITED STATES OF AMERICA WRESTLING ASSOCIATION, INC., its insurers, its affiliate clubs, administrators, agents, directors, officers, state organizations, members, committees, volunteers, all employees of USA Wrestling, and any and all participants, officials, referees, coaches, host clubs, sponsoring agencies, sponsors, advertisers, local organizing committees (and if applicable) owners, lessors, and operators of premises used to conduct any USA Wrestling sanctioned event, meet, practice or activity (all hereinafter "Releasees") from any and all liabilities, claims, demands, causesof action or losses of any kind or nature, past, present or future, direct or consequential that I may hereafter have for PERSONAL INJURY, PERMANENT, TEMPORARY, TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER LOSSES OR DAMAGES TO PERSON OR PROPERTY OR DEATH, arising out of my participation in, attendance at or traveling to and from any USAW wrestling sanctioned event or activity including, but not limited to, LOSSES CAUSED BY THE PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASEES, or hidden, latent or obvious defects in the facilities or equipment used.

2. Releasor understands and acknowledges that USA Wrestling sanctioned activities and the sport of wrestling in general have inherent dangers that no amount of care, caution, training, instruction, supervision, or expertise can eliminate. RELEASOR EXPRESSLY AND VOLUNTARILY ASSUMES ALL RISK OF PERSONAL INJURY, PERMANENT, TEMPORARY, TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER LOSSES OR DAMAGES TO PERSON OR PROPERTY OR DEATH, sustained while participating in, attending, preparing for or traveling to and from any USA Wrestling sanctioned event, meet, practice or activity, including the risk of PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASEES, or hidden, latent or obvious defects in the facilities or equipment used.

3.Releasor acknowledges and fully understands that each participant in any USA Wrestling sanctioned event, meet, practice or activity, including Releasor, will be engaging in activities that involve risk of serious injury, including permanent, temporary, total or partial disability, disfigurement, paralysis and other losses to person or property, including death, and that severe social and economic losses may also result not only from Releasor's own actions, inactions or negligence, but also from the actions, inactions or negligence of others notwithstanding the rules of play or the condition of the premises or of any equipment used. Furthermore Releasor acknowledges and fully understands that there may be other associated risks with such activities which are not known or not reasonably foreseeable at this time.

I ACKNOWLEDGE THAT I HAVE HAD SUFFICIENT OPPORTUNITY TO REVIEW THE PROVISIONS OF THIS DOCUMENT AND UNDERSTAND ITS PURPOSE, MEANING AND INTENT.

 

����������������������� ..........................................................................��������������������������������������������� ..................................................................����������������������������� ..............
����������������������� ����������� (Participant's Signature)������������������������������������ ���������������������� ���������������������(Print Name)���������������������������� ��������������������������������������������� DATE

 


The undersigned ______________________ does hereby represent that he/she is, in fact, the parent or guardian of _____________________ and acting in such capacity agrees to the terms and conditions of the above stated waiver and release.

 

 

..............................................................................���������������������������� ..............................................................���� ����������������������������������������� .............���������������������������������� ...............................................

(Signature of Parent or Legal Guardian) ������������������ ������������������������������(Print Name) ���������������������������������������� ���������������������������������������������� DATE����������������������������������� ��� (Relationship to Minor)