Premier Signup Page - Randyswrestlingsite.com

Submit this entry form and secure your spot in Attack System Premier now

First Name (Athlete) *

Last Name: *

E-mail Address: *

Select camps you are attending *

Street Address: *

Address Line 2:

City: *

State: *

Zip *

School *

Phone Number: *

Graduation Year (LAST 2 digits) *

Date of Birth (MM/DD/YYYY) * / /

Weight *

Years of wrestling experience *

Accomplishments *

For the health safety and well-being of myself, as well as other wrestlers, I agree to abide by all aspects of the Attack System Camp Health protocol *

I agree to hold harmless Randy Simpson, staff, property owners and coaches, from and against any injuries sustained by the participant. The understanding hereby releases, waives, and forever discharges Randy Simpson and Randy’s Attack System Wrestling, LLC, from and against any and all claims, injuries, demands, actions, or cause of actions arising out of the participation by the athlete in Randy’s Attack System programs. I authorize the coach and/or staff to act in my behalf regarding any situation requiring discipline or medical attention. My son is physically fit to participate in this program, according to his family doctor. I agree to all conditions of the Summer Attack System Camp. I also understand that no refunds are available (other than those on the signup page). *

Injury Policy: We don't offer refunds for folks who just plain don't show up. However, if your athlete cannot attend due to a medical issue, AND you include documentation from a doctor at least 3 weeks prior to the start of camp, a CREDIT may be applied for future training, minus $100 processing fee deducted from payments made. *

Name of Parent/Guardian agreeing to the above *

* Required