Chelsea Swarm Wrestling - Try out a Practice!

Chelsea Swarm Wrestling - Try out a Practice!

Want to try a practice? Complete registration information for participation in a Swarm Wrestling practice. Wrestlers trying a practice should wear athletic clothes, and wrestling shoes, and bring a water bottle. If you don't have wrestling shoes, please be ready to participate in socks. Message us on Facebook, email us at chelseaswarmwrestling@gmail.com or call or text us at 205-482-5211 with any questions!

Wrestler Information

Please provide information about your wrestler.

Wrestler's First Name*

Wrestler's Last Name*

Male / Female

Select or enter value

Date of Birth*

Grade*

Select

Parent / Guardian Information

Provide contact information for a parent(s) / guardian(s) below.

Mother / Guardian's Name

Father / Guardian's Name

Mother / Guardian's Cell

Father / Guardian's Cell

Preferred Email Address for Contact*

Consent and Waiver of Liability

Medical Conditions*

Please list below any medical conditions and/or allergies that you think we should know about:

By checking this box, I acknowledge I am electronically signing the social media release. By checking this box, I am agreeing to all the terms stated within social media release below for Swarm Wrestling Academy. I hereby authorize Swarm Wrestling Academy to use my / my child(s) photo and/or information related to our experiences with Swarm Wrestling Academy. I understand this information may be used in publications, including electronic publications, audiovisual presentations, promotional literature, advertising, community presentations, letters to area legislators and media and/or other similar ways. My consent is freely given as a public service to Swarm Wrestling Academy, without expecting payment. I release Swarm Wrestling Academy and their respective volunteers, officers, and agents from any and all liability which may arise from the use of such news media stories, promotional materials, written articles, videotape and/or photographs.

Social Media Release*

By checking this box, I acknowledge I am provided and electronically signing the waiver of liability. By checking this box, I am agreeing to all the terms stated within Consent and Liability Waiver - Release of All Claims for Swarm Wrestling Academy. Liability Waiver can be downloaded here: https://bit.ly/SwarmLiabilityRelease

Consent and Liability Waiver*

By checking this box, I acknowledge I am provided and electronically signing the waiver of liability. By checking this box, I am agreeing to all the terms stated within COVID-19 Liability Waiver - Release of All Claims for Swarm Wrestling Academy. COVID-19 Liability Waiver can be downloaded here: https://bit.ly/SwarmCOVID19Release

COVID-19 Liablity Waiver*

Full Name of Parent / Guardian Completing Registration

Send me a copy of my responses

Privacy Notice|Report Abuse