| Jefferson Township 2011-2012 Wrestling Registration |
Jefferson Township is pleased to offer online registration for it's 2011-2012 Wrestling program.
You have two options:
- Fill out the web form below and complete payment via PayPal*
or
- Print the attached registration form, fill it out in full and mail to the enclosed address
Registration is due by October 31st, 2011
*Wrestling Disclaimer: By filling out the below web registration form, I agree that my child has permission to engage in the Jefferson Township Youth Wrestling program under the supervision of the recreation department instructors. I release, absolve and hold harmless the Jefferson Recreation Association, it's Officers, Instructors and Sponsors, any and all of them, from any risks and hazards incidental to the conduct of the activities. In case of injury, I hereby waive all claims, and release from responsibility any person or persons transporting my child to and from Wrestling activities. I also certify that my child is in excellent health and has no limitation in activities in this sport.
I also understand that my child should have some kind of family insurance coverage in order to participate. The Township of Jefferson carries bodily injury insurance on a second coverage basis with a $25.00 deductible charge.
I also understand that I, as a parent/guardian, will be held responsible for any equipment lost or damaged due to misuse by my child.
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On-line Payment Center (complete one transaction per child)
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