SB PAL WRESTLING 2005 -2006
1st to 6th Grade
Boys and Girls Come Join the Fun!

WRESTLER: LAST NAME________________________ FIRST NAME___________________________
ADDRESS:_________________________________ TOWN____________ ZIP_______
PARENTS NAME:_____________________ PHONE_______________________
EMAIL: ________________________________________________________
SCHOOL_________________ GRADE______________ APPROXIMATE WT______
YEARS WRESTLING ___________________
EMERGENCY CONTACT_______________________ PHONE __________________

MAIL FORM & PAYMENT BY 10/31/05 TO :

SB PAL Wrestling
PO BOX 84
KENDALL PARK, NJ 08824

COST: $100.00 (this includes 2 fund raising lottery calendars).
Practice begins week of Nov. 14th at SBHS.
EQUIPMENT: Wrestler needs headgear, wrestling shoes and singlet if required.

For questions or information call: Greg MacMurray 1-609-395-1197 or Fran White 1-732-297-6271

Depending on the number, weight and experience of wrestlers 1 to 3 teams will be formed to wrestle against other Middlesex County teams. Participants aren't guaranteed a spot on the teams due to the number of wrestlers and distribution of weights. Every effort will be made to include your child on a team. Those not included will wrestle in exhibition matches when available. Weekend tournaments are open to ALL wrestlers at their own expense and transportation. Parents/Guardians are expected to help out with time keeping, scoring, clean up etc.

***PARENTAL PERMISSION AND ACKNOWLEDGEMENT OF RISK***

My child has my permission to participate in the South Brunswick PAL wrestling program and to participate in the Mid-Jersey Midget Wrestling League.
I certify that the minor participant listed above is in proper physical condition for safe participation in the wrestling program. I am aware that with participation in this type of activity, there also comes an exposure to injury and illness, which may result from wrestling drills, collisions with other wrestlers or gym structures etc. I agree to assume all reasonable risks inherent in participating in this activity.
I do hereby agree not to hold SBPAL, its volunteers or coaches, South Brunswick Board of Education, Mid Jersey Midget Wrestling League liable in the event of accident or injury to the youth listed on this form involved in the SB PAL Youth Wrestling program and the Mid-Jersey Midget Wrestling League.
My child and I have discussed and understand the risks associated with this program. He/she understands that he/she must obey all rules and regulations, follow all safety procedures, and obey any and all instructors, coaches, volunteers and staff members assigned to the program.

Parent/guardian signature_____________________ Date__________