I hereby voluntarily permit me or my child to participate in activities with Loudoun Girls Wrestling (LGW). 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 LGW, Top of the Podium (TOP), along with any staff, volunteers and designated coaches 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 LGW and TOP (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 LGW 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 LGW staff 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. LGW 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 LOUDOUN GIRLS WRESTLING AND TOP OF THE PODIUM, INC. ACCORDING TO MY OWN FREE WILL.

I understand precautions and restrictions will be in place to help ensure safer and responsible practices. The athlete agrees to follow all such protocols in exchange for being allowed to participate. Furthermore, the athlete promises to refrain from activities if exhibiting symptoms of COVID-19 and to notify coaches/staff if symptoms appear after attending practices. Further, the athlete should not participate if knowingly exposed to a person testing positive for COVID-19 in accordance with CDC guidelines.

The participant must have a current USA Wrestling Membership (effective September 1, 2022-August 31, 2023). A "limited folkstyle" membership is acceptable. Athletes will not be allowed to participate without proof of membership.