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	Wake Forest Camp Registration
	All American Wrestling Camp Featuring the "Shoot Fast & Shoot First System" Camp 1: Technique & Competition Camp Learn cutting edge technique and how to effectively use it in a competition. Date: June 12-15 Ages: 8-18* Price: $235 (Commuter) $335 (Overnight) $120 (Night Session Only) Format: Technique/Drill/Live Wrestling (Sunday, Monday, Tuesday) * If you are interested in a camp but do not meet the age requirements, contact us for possible exception. Please read any waivers carefully. They include releases of liability and waiver of legal rights and deprive you of the ability to sue certain parties. Do not agree to these documents unless you have read and understood it in its entirety. By agreeing electronically, you acknowledge that you have both read and understood all text presented to you as part of the registration process. You also understand and agree that events carry certain inherent dangers and risks which may or may not be readily foreseeable, including without limitation personal injury, property damage or death. Your ability to participate in the event(s) is/are subject to your agreement to the waivers and by agreeing herein, you accept and agree to the terms of the waiver and release agreements.

	Waiver & Insurance Information Please read any waivers carefully. They include releases of liability and waiver of legal rights and deprive you of the ability to sue certain parties. Do not agree to these documents unless you have read and understood it in its entirety. By agreeing electronically, you acknowledge that you have both read and understood all text presented to you as part of the registration process. You also understand and agree that events carry certain inherent dangers and risks which may or may not be readily foreseeable, including without limitation personal injury, property damage or death. Your ability to participate in the event(s) is/are subject to your agreement to the waivers and by agreeing herein, you accept and agree to the terms of the waiver and release agreements.
	Liability Waiver:* RELEASE OF LIABILITY, ASSUMPTION OF RISK, AGREEMENT TO INDEMNIFY AND NOT TO SUE FOR MINORS PARTICIPATING IN MARYLAND SUMMER PROGRAMS I hereby give my consent for the below named minor to participate in the Todd Beckerman's Wrestling Camp at Wake Forest University during the 2011 Summer. I understand that the minor’s voluntary participation in the Summerwrestlingcamps.com Summer Program involves potential risks of injury, both serious and minor, including but not limited to head or other injuries, loss of sight, broken bones, brain damage, paralysis and death. Individually, and as parent or legal guardian of the minor, I hereby certify that I know the minor’s state of health and well-being and that the minor is physically fit to participate in the Todd Beckerman's Summer Program and that I am unaware of any medical condition which might make the minor’s participation inadvisable. Individually, and as parent or legal guardian of the minor, I hereby acknowledge my responsibility to acquire health insurance coverage sufficient to provide for any and all medical or dental services related to injuries, both serious and minor, arising out of or connected with the minor’s voluntary participation in Todd Beckerman's Summer Program. Individually, and as parent or legal guardian of the minor, I expressly assume any and all risks of injury and/or death associated with, arising out of or related to the minor’s voluntary participation in Todd Beckerman's Summer Program at Wake Forest University. Recognizing and understanding the potential risks of injury, I, individually, and as parent or legal guardian of the minor, agree not to sue and to defend and indemnify Wake Forest University, its Board of Trustees, officers, agents, employees, servants, students and volunteers for any loss, damage or injury associated with, arising out of or related to the minor’s voluntary participation in the Todd Beckerman's Summer Program regardless of cause, including negligence. Individually, and as parent or legal guardian of the minor, I hereby release and discharge Wake Forest University, its Board of Trustees, officers, agents, employees, servants, students and volunteers, who through negligence or carelessness, might otherwise be liable to me, the minor, our heirs, personal representatives, relatives or assigns from any and all liability associated with, arising out of, or related to the minor’s participation in Todd Beckerman's Summer Program including all liabilities associated with and any and all claims that may be filed on behalf of or for the named minor. Individually, and as parent or legal guardian of the minor, I agree that this release of liability, assumption of risk, agreement to indemnify and not to sue is to be as broad and inclusive as is permitted by the laws of the State of North Carolina and that if any portion of it is held invalid it is agreed that the balance shall continue in full force and effect. I understand that by signing this document this release of liability, assumption of risk, agreement to indemnify and not to sue, is legally binding on me, the minor, our heirs, personal representatives, relatives and assigns and that I am knowingly and intentionally giving up both my and the minor’s legal rights and remedies which otherwise would be available to me and/or the minor, our heirs, personal representatives, relatives or assigns against Wake Forest University, its Board of Trustees, officers, agents, employees, servants, students and volunteers. I have carefully read this release of liability, assumption of risk, agreement to indemnify and not to sue and fully understand it. I have explained the significance of this release of liability, assumption of risk, agreement to indemnify and not to sue to the minor. I am of legal age and voluntarily sign this release of liability, assumption of risk, agreement to indemnify and not to sue. By signing this waiver, I acknowledge that if I used a coupon code to receive a registration discount and 8 or more people from my group do not attend camp, my credit card will be charged the $25.00 that I received off. By signing below I certify that I am the parent or legal guardian of camper. Read waiver carefully	Insurance Waiver:* Please provide specific written instructions for any special medical conditions that you deem necessary while participating in this camp. I verify that my child has been seen by a licensed physician and is physically able to participate in this camp. I hereby authorize the staff of the AAWCS Wrestling Camp &Shoot Fast-Shoot First to act for me, according to their best judgment in any medical emergency, while there is an attempt to contact me. I waive and release this camp from any liability, injuries or illness incurred while attending this camp. The camper shall use the facilities of Wake Forest University at his/her own risk. The University, the department of athletics and its staff shall not be liable for any damages. Please read waiver carefully
	Date of Birth:* Month Day Year Enter parent/guardian date of birth	Insurance Company:* Enter name of insurance company
	Waiver Agreement:* I agree to the above waivers I do not agree to the above waivers Enter agreement, required for registration	Insurance Policy Number:* Enter insurance policy number
	Please Enter Your Signature:* Enter parent/guardian signature agreeing to above waivers

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