14th ANNUAL NEW
for Kids, Cadets, Juniors and Open Wrestlers FROM ANY STATE
This a Cadet and
NEW
PRE REGISTRATION ENCOURAGED ..... WALK-INS� WELCOME!!
5
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 7181� or email� [email protected]�
������
Should weather become an issue the day of the tournament� call�
203 746-5982 or 203 746-2008 or 203 746-7181 for a recording� that 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,
����� 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
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, causes� of 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
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
����������������������� ..........................................................................��������������������������������������������� ..................................................................����������������������������� ..............
����������������������� ����������� (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)