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NYWAY 

NEW YORK WRESTLING ASSOCIATION for YOUTH 
Revolution Elite Wrestling Club 

Release of Liability: 

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I hereby release NYWAY, all employees, volunteers, and sanctioned NYWAY event(s); from any  and all claims, liabilities, and/or losses by me directly or indirectly in training for, traveling to or  from, and/or participating in said NYWAY Sanctioned event.   

Wrestler(s) attending any of the listed above have personal insurance coverage. 
Wrestler(s) will pay for any property damage which he or she may have willfully caused. 

Contest to Treatment: 

In the event of an accident, sudden illness, or medical emergency involving Wrestler in 
connection with all listed above, I (myself, parent, or legal guardian hereby authorize a Certified  Athletic Trainer, leadership, and staff members of NYWAY, and or the Sanctioned Events 
Tournament Director to consent for any and all emergency and non-emergency medical 
treatment circumstances and may be deemed appropriate under the existing circumstances and  consent to an x-ray, C-Scan, MRI examination, consultation, local or general anesthetic, medical  or surgical diagnosis and as the parent are fully responsible for these services.  

In consideration of this entry being accepted, I hereby, for my child, waive and release any and  all rights and claims for damages I may have against NYWAY, all employees, volunteers, and 
sanctioned NYWAY event(s); and assigns for any and all injuries suffered by my child at the said  tournament. I also will take responsibility for any and all damages done by my child at said 
sanctioned event. 

I understand that it is a requirement for participating in any NYWAY events, Sanctioned NYWAY  events to have an insurance day pass or a current NYWAY Individual Membership. 

I understand that my child is covered by his or her own health/injury insurance policy and that 
NYWAY is secondary insurance with a $500.00 deductible.  Any injuries pertaining to NYWAY 
events or sanctioned events must be emailed to Kristen Tessier. 

The novel coronavirus (“COVID-19”) has been declared a worldwide pandemic by the World 
Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from 
person-to-person contact. As a result, federal, state, and local governments and federal and 

state health agencies recommend social distancing and have, in many locations, prohibited the 
congregation of groups of people. NYWAY (New York Wrestling Association for Youth) is working  to put in place preventative measures to reduce the spread of COVID-19; however, cannot 
guarantee that you will not become infected with COVID-19. 

EST. 2011 
WWW.NYWAY.ORG 

Further, attending any sanctioned club program, activities, and sanctioned NYWAY event could 
possibly increase your risk of contracting COVID-19. By signing this agreement, I acknowledge 
the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or 
infected by COVID-19 while attending any sanctioned club or their activities and that such 
exposure or infection may result in personal injury, illness, permanent disability, and death. 

I understand that the risk of becoming exposed to or infected by COVID-19 during this time may  result from the actions, omissions, or negligence of myself and others, including, but not limited  to, NYWAY employees, volunteers, and Sanctioned Club programs, their participants, and 

families. 

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any 
injury to myself (including, but not limited to, personal injury, disability, and death), illness, 
damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in 
connection with my participation in a NYWAY, and or Sanctioned NYWAY Club or (“Claims”). 

On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless 

NYWAY, their employees, representatives, and Sanctioned Club locations and or events of and 
from the Claims, including all liabilities, claims, actions, damages, costs, or expenses of any kind  arising out of or relating thereto. 

I understand and agree that this release includes any Claims based on the actions, omissions, or  negligence of NYWAY, their employees, representatives, and Sanctioned Club locations and or 
events, whether a COVID-19 infection occurs before, during, or after attending any NYWAY 
Sanctioned event. 

PARENTAL CONSENT: I am the minor’s parent or guardian named above and I understand the 
nature of the Waiver of Liability above and verify and consent to the minor attending a NYWAY 
Sanctioned Event. On the minor’s behalf, I hereby release, covenant not to sue, discharge, and 
hold harmless NYWAY, their employees, representatives, their participants, Sanctioned Club 
facility or event, and families of and from the Claims, including all liabilities, claims, actions, 
damages, costs, or expenses of any kind arising out of or relating thereto. On behalf of the 
minor, I understand and agree that this release includes any Claims based on the actions, 
omissions, or negligence of NYWAY, their employees, representatives, their 

participants, Sanctioned Club facility or event, whether a COVID-19 infection occurs before, 
during, or after attending in the NYWAY Sanctioned event. 

MEMBER PRIVACY POLICY: 

New York Wrestling Association for Youth recognizes the importance of protecting the privacy of  all information provided by the visitors to our Web site, recipients of our e-mail newsletters, and  our members and business associates. New York Wrestling Association for Youth requests your 
contact information so that we may communicate with you about wrestling news, events, 
products, and services. 

EST. 2011 
WWW.NYWAY.ORG 

Photo/Video Release: 

I, said parent or guardian, grant permission to New York Wrestling Association for Youth and its 
agents and employees the irrevocable and unrestricted right to reproduce the photographs 
and/or video images taken of my athlete(s), members of my family and or a professional 
photographer, for the purpose of publication, promote, illustration, advertising, or trade, in any  manner or in any medium.  I hereby release New York Wrestling Association for Youth and its legal  representatives for all claims and liability to said images or video.  Furthermore, I grant 
permission to use my statements that were given during an interview or guest lecture, with or 
without my name, for the purpose of advertising and publicity without restrictions.  I waive my 
right to any compensation.   

Parent/Guardian Name (Printed): ________________________________________________ 

Parent/Guardian Signature:           ________________________________________________ 

Athlete Name (Printed):                ________________________________________________ 

Athlete Signature:                         ________________________________________________ 

Date:                                                  __________________ 

EST. 2011 
WWW.NYWAY.ORG