April 28, 2012 10th Annual
YMCA OPEN
Benefit Wrestling Tournament
A portion of the tournaments proceeds will benefit the Hayes Taylor YMCA.
The Tournament Will Follow NCHSAA Rules. All weight Classes Will Be Round Robin
Three One Minute Periods.
(If You Go Undefeated You Win, Regardless Of Points.)
Where: Greensboro Day School Main Gym
5401 Lawndale Drive Greensboro, NC 27455
*Weigh-in: 7:00 to 9:00am (Madison weight classes) Wrestling Starts At 10:00*
Concessions will help support the NC Dream Team
Tournament Fees:
2012 State Champions Entry Free
$20 Early Entry Ends noon April 26th $30 Late Entry and Walk-ins Allowed
Contact Jonathan Woodburn- Phone: (336) 455-3010 E-mail: [email protected]
Divisions:
(We try to match age and grade if possible.)
Pee-Wee: Wrestlers 5th grade or Below Junior: 6th -8th Grade Senior: Current freshman to Seniors Open: Ages 18-Up
Wrestlers Name:____________________ Wrestlers Grade:_____ Wrestlers Age:______ Email:____________________________ Phone:____________________
Number of years Experience:_____
Mailing Address:________________________________________________________
Team :_______________________ Date of Birth:______________
Tournament Directors: Jonathan Woodburn 336-455-3010
Assumption of Risk/Release/Hold Harmless Agreement
In consideration of my/or my family members and guests being allowed to have access to, and being allowed to use certain properties owned, leased, and managed or operated by the Hayes ?Taylor Young Men?s Christian Association and for other good and valuable considerations, the receipt and adequacy of which are hereby acknowledged, I, the undersigned, inclusive of all my family (including minor children) (here in after inclusively called ?member? and authorized guests, hereby agree that all u se of such lands, building, vehicles, equipment, and other property of whatever nature or land, of or utilized by the YMCA, shall be undertaken by Member and such guests at my/our/their own risks, nor any such affiliated entity, group, individual, officer, director agent, employee or other person or entity affiliated with the said YMCA (inclusively here in after called ?Indemnity?) shall be liable for any claims, demands, injuries (including death), damages actions, or causes or actions whatsoever, of or to any individual or entity whatsoever, inclusive of me and family members and guests, or to any property, arising out of, or connected with, in whole or in part, the use by Member (any of them/us) or such guest of himself/herself and all family members and guests do hereby expressly forever release, discharge and indemnity the indemnities and each of them from all such claims, demands, injuries (including death), damages, actions or causes of action, and, except where an indemnity's sole negligence is the sole cause of action, from all acts of active or passive negligence on the part of the Indemnity on any of them. Signed and sealed by the undersigned as part of my/our application for membership into the Hayes-Taylor YMCA, if I we/am are applying for membership or for participating in one of more program(s) of the YMCA including, but not limited to the YMCA, if I/we/am/are not applying for membership, but am/are applying for participation in such program(s) for myself or my children and/ or other family member(s) or guest(s)
The 28th Day of April 2012
Wrestlers Signature:_______________________________ ____________________________________________________________
Signature of Member(s) Signature of Parent or Guardian (If participant is 17 or younger)
YMCA OPEN
Benefit Wrestling Tournament
A portion of the tournaments proceeds will benefit the Hayes Taylor YMCA.
The Tournament Will Follow NCHSAA Rules. All weight Classes Will Be Round Robin
Three One Minute Periods.
(If You Go Undefeated You Win, Regardless Of Points.)
Where: Greensboro Day School Main Gym
5401 Lawndale Drive Greensboro, NC 27455
*Weigh-in: 7:00 to 9:00am (Madison weight classes) Wrestling Starts At 10:00*
Concessions will help support the NC Dream Team
Tournament Fees:
2012 State Champions Entry Free
$20 Early Entry Ends noon April 26th $30 Late Entry and Walk-ins Allowed
Contact Jonathan Woodburn- Phone: (336) 455-3010 E-mail: [email protected]
Divisions:
(We try to match age and grade if possible.)
Pee-Wee: Wrestlers 5th grade or Below Junior: 6th -8th Grade Senior: Current freshman to Seniors Open: Ages 18-Up
Wrestlers Name:____________________ Wrestlers Grade:_____ Wrestlers Age:______ Email:____________________________ Phone:____________________
Number of years Experience:_____
Mailing Address:________________________________________________________
Team :_______________________ Date of Birth:______________
Tournament Directors: Jonathan Woodburn 336-455-3010
Assumption of Risk/Release/Hold Harmless Agreement
In consideration of my/or my family members and guests being allowed to have access to, and being allowed to use certain properties owned, leased, and managed or operated by the Hayes ?Taylor Young Men?s Christian Association and for other good and valuable considerations, the receipt and adequacy of which are hereby acknowledged, I, the undersigned, inclusive of all my family (including minor children) (here in after inclusively called ?member? and authorized guests, hereby agree that all u se of such lands, building, vehicles, equipment, and other property of whatever nature or land, of or utilized by the YMCA, shall be undertaken by Member and such guests at my/our/their own risks, nor any such affiliated entity, group, individual, officer, director agent, employee or other person or entity affiliated with the said YMCA (inclusively here in after called ?Indemnity?) shall be liable for any claims, demands, injuries (including death), damages actions, or causes or actions whatsoever, of or to any individual or entity whatsoever, inclusive of me and family members and guests, or to any property, arising out of, or connected with, in whole or in part, the use by Member (any of them/us) or such guest of himself/herself and all family members and guests do hereby expressly forever release, discharge and indemnity the indemnities and each of them from all such claims, demands, injuries (including death), damages, actions or causes of action, and, except where an indemnity's sole negligence is the sole cause of action, from all acts of active or passive negligence on the part of the Indemnity on any of them. Signed and sealed by the undersigned as part of my/our application for membership into the Hayes-Taylor YMCA, if I we/am are applying for membership or for participating in one of more program(s) of the YMCA including, but not limited to the YMCA, if I/we/am/are not applying for membership, but am/are applying for participation in such program(s) for myself or my children and/ or other family member(s) or guest(s)
The 28th Day of April 2012
Wrestlers Signature:_______________________________ ____________________________________________________________
Signature of Member(s) Signature of Parent or Guardian (If participant is 17 or younger)
YOU CAN ALSO PRE- REGISTER AT:
http://www.trackwrestling.com/tw/registration/BasicPreReg1.jsp?tournamentGroupId=47846009
http://www.trackwrestling.com/tw/registration/BasicPreReg1.jsp?tournamentGroupId=47846009