Wrestler's Name (required)

Parent(s) Name(s) (required)

Address (required)

City (required)

State (required)

Zip (required)

Phone (required)

Emergency Phone Number (required)

Email (required)

Grade (required)

Date of Birth (required)

Weight (required)

Wrestler's T-Shirt Size (required)
Youth MYouth LAdult SAdult MAdult LAdult XLAdult XXL

Years of Wrestling Experience (required)

Record Last Year

What are your goals for this wrestling season?

How Can I Help Your Wrestler to Improve?

Insurance Company (required)

Policy # (required)

Medical Conditions (required)

*The parent or guardian is responsible for sending the wrestler to High Altitude Wrestling Club events with their required medications, inhalers, etc. If unprepared, your child/children will not be allowed to participate in any High Altitude Wrestling Club events.

Pre Season Training Sites (September - October) (required)
Wednesday: MartensdaleSunday: Martensdale

In Season Training Sites (November - February) (required)
Tuesday: CentervilleWednesday: MartensdaleSunday: Martensdale (Youth GOLD)Sunday: Martensdale (MS/HS GOLD)

Post Season & Freestyle Training Sites (March - April) (required)
Monday: CentervilleTuesday: JohnstonWednesday: MartensdaleThursday: JohnstonSunday: Martensdale (freestyle)

Post Season & Freestyle Training Sites (May-June) (required)
Wednesday: MartensdaleSunday: Martensdale

Training Package Payment Options
Pay in full3 paymentsMonthly

Which Payment Package Are you Doing?
MonthlyHAWC GOLD YouthHAWC GOLD MSHAWC GOLD HS

Note: Those who chose a training package will need to sign a contract in person on their first visit to the club.

Permission to post your son(s) picture, results, and wrestler profile on our website, High Altitude Wrestling's Social Media (Facebook, Twitter, Instagram, etc) and club advertisements?
YesNo

All High Altitude Wrestling Club members must pay a once per year $10 fee for insurance (no exceptions!). When paying online scroll down to where it says monthly fee plus insurance. High Altitude Wrestling is still AAU and USA sanctioned. You will need the cards for competitions we attend.
Paid for insurance: YesNo

Parent's Signature: By typing my name, I acknowledge that the High Altitude Wrestling Club, its owner, director, instructors and staff, do not assume liability for any injuries incurred while en route to or from or participating in any practice or competition. As a condition of enrollment, the following Disclaimer of Liability must be signed and dated by the participant, and if under the age of 18 the parent or guardian:
THE PARTICIPANT, IN ATTENDING THE HIGH ALTITUDE WRESTLING CLUB, IN USING THE FACILITIES AND IN PARTICIPATING IN PRACTICES AND COMPETITIONS, DOES SO AT HIS /HER OWN RISK. CHAD TUNINK, THE HIGH ALTITUDE WRESTLING CLUB, FACILITY OWNERS AND OPERATORS AND ALL OFFICERS, EMPLOYEES, INSTRUCTORS OR AGENTS OF HIGH ALTITUDE WRESTLING CLUB AND ANY FACILITY USED BY HIGH ALTITUDE WRESTLING CLUB SHALL NOT BE LIABLE FOR ANY INJURY OR DAMAGES SUSTAINED BY THE PARTICIPANT BEFORE, DURING OR AFTER ANY PRACTICE, COMPETITION OR OTHERWISE AT OR AROUND THE FACILITIES. THE STUDENT AND HIS/HER PARENTS/GUARDIANS ASSUME FULL RESPONSIBILITY FOR ANY SUCH DAMAGES OR INJURIES AND SO HEREBY FULLY AND FOREVER RELEASE, HOLD HARMLESS AND DISCHARGE CHAD TUNINK, THE HIGH ALTITUDE WRESTLING CLUB, FACILITY OWNERS AND OPERATORS AND ALL OFFICERS, EMPLOYEES, INSTRUCTORS OR AGENTS OF HIGH ALTITUDE WRESTLING CLUB AND ANY FACILITY USED BY HIGH ALTITUDE WRESTLING CLUB FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, RIGHTS OF ACTION OR CAUSES OF ACTION, PRESENT OR FUTURE, WHETHER THE SAME BE KNOWN, ANTICIPATED, OR UNANTICIPATED, RESULTING FROM OR ARISING OUT OF ANY OF THE FOREGOING. THE PARENTS OR GUARDIAN FURTHER AGREE TO INDEMNIFY THE RELEASED PARTIES AGAINST ANY LEGAL ACTION BY OR ON BEHALF OF THE PARTICIPANT, INCLUDING ATTORNEY FEES TO DEFEND SUCH ACTIONS. (required)

Type the CAPTCHA code into the box below