EASTERN LOUDOUN WRESTLING REGISTRATION

Register for Eastern Loudoun Wrestling Club on this page. The club is for 5th-8th grade boys and girls in the Ashburn/Sterling area.

Exact dates/timing of practices and competitions will be provided by the coach as we get closer to the season.



Wrestler Information

  • All area wrestlers are welcome

  • This room is full.

Parent/Guardian Information

I hereby voluntarily permit the above child to participate in activities with the Eastern Loudoun Wrestling Club. I understand and fully accept there are risks involved in sports, and that accidents and injuries and illnesses are common and are ordinary occurrences in sports. I hereby agree to accept any and all risks of injury or death or illness, including from COVID-19, and verify this statement by checking the box below. As consideration for being permitted to participate in these activities, I hereby release and hold harmless ELWC and its coaches and volunteers from all liability, and from all actions or claims that I or my child now or hereafter have for damage or injury to me or my child, or to any person or property, resulting from the negligence or other acts of any employees or volunteers in connection with me or my child’s participation. I further agree that this waiver, release and assumption of risks is to be binding on the heirs and assigns of the undersigned.

I further agree to indemnify ELWC (its officers, employees, agents and volunteers) free and harmless from any loss, liability, damage, cost or expense which they may incur as a result of any injury and/or property damage that I or my child may cause or sustain while participating in this activity.

In the event of a medical emergency, I grant permission for ELWC volunteers to administer first aid or secure medical treatment for my athlete, provided they are unable to communicate with me, and according to their best judgment. I also hereby give permission to ELWC and volunteers to disclose the information contained on this form to medical personnel. I agree to pay all medical, hospital, or other expenses which my child or I may incur as a result of such treatment. ELWC does not provide any medical or other insurance protection or benefits for those who participate in their programs.

I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND EASTERN LOUDOUN WRESTLING CLUB ACCORDING TO MY OWN FREE WILL.
I understand the wrestler is required to maintain an active membership with USA Wrestling. This must be acquired before practices begin and is available at www.themat.com. A "Limited Folkstyle" membership is acceptable.

Billing Information

  • Visa
  • Mastercard
  • American Express
  • Discover
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