bubbaandsonnyboy
02-25-2009, 02:43 PM
DRISCOLL CATHOLIC HIGH SCHOOL
555 N. Lombard Road
Addison, Illinois 60101
DATE: APRIL 11TH, 2009
HOSTED BY: GOMEZ WRESTLING ACADEMY
Make Checks payable to: GOMEZ WRESTLING ACADEMY
177 Elpaso Drive, Carol Stream, IL 60188
Ages: 7-8 9-10 11-12 13-14 High School Open
4 man round robin 8 man brackets
Weigh-ins 6:00 am – 7:30 am April 11th 2009
2 2 min periods 10 tech fall
15.00 entry fee per wrestler CONSESSIONS ALL DAY
Admission fee: 5.00 for adults 2.00 Child
Waiver and Release from Liability
I, the undersigned, oh behalf of myself , my heirs and next of kin, personal representatives, agents, insurers, successors and
assigns (all hereinafter “Releasors”) here by FOREVER RELEASE, DISCHARGE AND COVENANT NOT TO SUE THE
UNITED STATES OF AMERICA ASSOCIATION, INC. its insurers, its affiliated clubs, administrators, agents, directors,
officers,
State organizations, members, committees, volunteers, all employees of USA Wrestling, and any and all participants, officials,
referees, coaches, Gomez Wrestling Academy, Driscoll Catholic High School, Sponsoring agencies, sponsors, advertisers, local
organizing committees, and if applicable, owners, lessors, and operators of premises used to conduct and USA Wrestling
sanctioned event, meet, practice or activity (all hereinafter “Releasees”) from and all liabilities, claims, demands, causes of
action or losses of any kind or nature, past, present, future, direct or consequential that I may hereafter have for Personal
injury, Permanent, Temporary, total or partial Disability, Disfigurement, Paralysis and any other losses or damages to person
or property or Death arising out of my participation in, attendance at or traveling to and from any USA Wrestling sanctioned
event or activity including, but not limited to, LOSSES CAUSED BY THE PASSIVE OR ACTIVE NEGLIGENCE OF THE
RELEASEES, or hidden, latent or obvious defects in the facilities, or equipment used. Releasor undersigns and acknowledges
that the USA Wrestling sanctioned activities and the sport of wrestling in general have inherent dangers that no amount of
care, caution, training, supervision, or expertise can eliminate. Releasor expressly and voluntarily assumes all risk
Of personal injury, permanent, temporary, total or partial disability, disfigurement, paralysis and any other losses or damages
to a person or property or death, sustained while participating in, attending, preparing for or traveling to and from any USA
Wrestling sanctioned event, meet , practice or activity, including the risk of passive or active negligence of the releasees, or
hidden, latent or obvious defects in the facilities or equipment used. Releasor acknowledges and fully understands that each
participant in any USA Wrestling sanctioned event, meet or activity, including Releasor, will be engaging in activities that
involve risk of serious injury, including permanent , temporary, total or partial disability, disfigurement, paralysis and any
other losses to person or property, including death, and that severe social and economic losses may result not only from
Releasor’s own actions or negligence, but also from the actions, or negligence of others notwithstanding the rules. Further,
Releasor acknowledges and fully understands that there may be other associated risks with such activities which are not
known or not reasonably foreseeable at this time. I ACKNOWLEDGE THAT I HAVE HAD SUFFICIENT OPPORTUNITY
TO REVIEW THE PROVISIONS OF THIS DOCUMEMT AND UNDERSTAND ITS PURPOSE, MEANING AND INTENT.
________________________________________
Participants Signature Date ______________________
Printed Name
The undersigned ____________________________ does herby represent that he/she is in fact , the parent
or legal guardian of ________________________________ and agrees to the terms and conditions of the
above stated waiver release from liability.
WALK UPS WELCOME
Contact Info: Hector Gomez 630-816-9727 Gomezwrestling@comcast.net
555 N. Lombard Road
Addison, Illinois 60101
DATE: APRIL 11TH, 2009
HOSTED BY: GOMEZ WRESTLING ACADEMY
Make Checks payable to: GOMEZ WRESTLING ACADEMY
177 Elpaso Drive, Carol Stream, IL 60188
Ages: 7-8 9-10 11-12 13-14 High School Open
4 man round robin 8 man brackets
Weigh-ins 6:00 am – 7:30 am April 11th 2009
2 2 min periods 10 tech fall
15.00 entry fee per wrestler CONSESSIONS ALL DAY
Admission fee: 5.00 for adults 2.00 Child
Waiver and Release from Liability
I, the undersigned, oh behalf of myself , my heirs and next of kin, personal representatives, agents, insurers, successors and
assigns (all hereinafter “Releasors”) here by FOREVER RELEASE, DISCHARGE AND COVENANT NOT TO SUE THE
UNITED STATES OF AMERICA ASSOCIATION, INC. its insurers, its affiliated clubs, administrators, agents, directors,
officers,
State organizations, members, committees, volunteers, all employees of USA Wrestling, and any and all participants, officials,
referees, coaches, Gomez Wrestling Academy, Driscoll Catholic High School, Sponsoring agencies, sponsors, advertisers, local
organizing committees, and if applicable, owners, lessors, and operators of premises used to conduct and USA Wrestling
sanctioned event, meet, practice or activity (all hereinafter “Releasees”) from and all liabilities, claims, demands, causes of
action or losses of any kind or nature, past, present, future, direct or consequential that I may hereafter have for Personal
injury, Permanent, Temporary, total or partial Disability, Disfigurement, Paralysis and any other losses or damages to person
or property or Death arising out of my participation in, attendance at or traveling to and from any USA Wrestling sanctioned
event or activity including, but not limited to, LOSSES CAUSED BY THE PASSIVE OR ACTIVE NEGLIGENCE OF THE
RELEASEES, or hidden, latent or obvious defects in the facilities, or equipment used. Releasor undersigns and acknowledges
that the USA Wrestling sanctioned activities and the sport of wrestling in general have inherent dangers that no amount of
care, caution, training, supervision, or expertise can eliminate. Releasor expressly and voluntarily assumes all risk
Of personal injury, permanent, temporary, total or partial disability, disfigurement, paralysis and any other losses or damages
to a person or property or death, sustained while participating in, attending, preparing for or traveling to and from any USA
Wrestling sanctioned event, meet , practice or activity, including the risk of passive or active negligence of the releasees, or
hidden, latent or obvious defects in the facilities or equipment used. Releasor acknowledges and fully understands that each
participant in any USA Wrestling sanctioned event, meet or activity, including Releasor, will be engaging in activities that
involve risk of serious injury, including permanent , temporary, total or partial disability, disfigurement, paralysis and any
other losses to person or property, including death, and that severe social and economic losses may result not only from
Releasor’s own actions or negligence, but also from the actions, or negligence of others notwithstanding the rules. Further,
Releasor acknowledges and fully understands that there may be other associated risks with such activities which are not
known or not reasonably foreseeable at this time. I ACKNOWLEDGE THAT I HAVE HAD SUFFICIENT OPPORTUNITY
TO REVIEW THE PROVISIONS OF THIS DOCUMEMT AND UNDERSTAND ITS PURPOSE, MEANING AND INTENT.
________________________________________
Participants Signature Date ______________________
Printed Name
The undersigned ____________________________ does herby represent that he/she is in fact , the parent
or legal guardian of ________________________________ and agrees to the terms and conditions of the
above stated waiver release from liability.
WALK UPS WELCOME
Contact Info: Hector Gomez 630-816-9727 Gomezwrestling@comcast.net