Supergroup details:

Number of sessions: 7

Session Length: 1 hour on-the-mat (pre-session prep: 15 minutes).

When: scheduling to be determined once groups are assembled but start date is after July 5

Supergroup Session 2: Mat Mastery

Fee: $146**

**Look for special bonus when you sign up for SuperGroup Session II

How to secure your spot in SuperGroup:

1. Submit the form below. Note: The only way to get in is to submit this form and get on this list. If you are not on the list, someone else will snag your spot instead.

2. I will contact if there is an opening. First Priority goes to athletes in SuperGroup 1. You will be informed of dates and times prior to making any payments. At that point, I will send you a link to the payment page**

3. Warning: Space is strictly limited – delaying your application puts you at risk for missing out on this opportunity.

**Athletes who have paid for trainings that did not take place, or for summer camps, are welcome to apply your credit to this training.

First Name (Athlete) *

Last Name: *

E-mail Address: *

Select session you are applying for *

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 *

My greatest attributes as a wrestler are::

My biggest weaknesses as a wrestler are:

Name three partners you would feel comfortable training with: 1. Be a great partner. 2. Follow health protocols. 3. Dedicate to training (aka, showing up at appointed times on time and ready to train).

For the health safety and well-being of myself, as well as other wrestlers, I have read and agree to abide by all aspects of the Supergroup Health protocol, as outlined on the page.. *

I agree to hold harmless Randy Simpson, staff, and property owners, 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 program director 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 understand that payment arrangement is due before attending sessions. We do not Pro-rate for missed sessions. *

Injury Policy: We don't offer refunds for folks who just plain don't show up. However, If your athlete cannot attend this training due to a medical issue, prior to the start of training, a CREDIT may be applied for future training, minus a small processing fee of $25. * **No Refunds once the training has begun** *

Video release: I hereby grant permission to Randy’s Attack System Wrestling, LLC, the rights of my child’s image, in video or still, and of the likeness and sound of their voice as recorded on audio or video without payment or any other consideration. I understand that my child’s image may be edited, copies, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my child’s likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child’s image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

Name of Parent/Guardian agreeing to the above *

Suggested name of your supergroup (I personally dig the old rock band supergroups of the 80's, I'm asking for your opinion here not mine)

* Required