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