Panther Open Wrestling Tournament

Morehead High School

October 11^th

REGISTRATION FORM

Name___________________________________________________________________

Complete Mailing Address__________________________________________________

Birthdate_______________Division_______________Weightclass_________________

Home Phone ____________________________Cell Phone________________________

School/Club/Team________________________________________________________

Highest Wrestling Honors___________________________________________________

In consideration of your acceptance of my entry, I and my legal heirs do hereby waive and release any and all claims for damages I may have against the Eden Twister Wrestling Club, Morehead High School, Rockingham County Schools, and/or tournament officials, sponsors, or administrators for any and all injuries suffered by me in connection with this said tournament and/or facility.

_____________________________________ ______________________________

Wrestler Signature Parent/Guardian Signature