Harley Race Academy

Enrollment Agreement

Program Requested:
Wrestler Referee

Tuition:
$3,000 $1000

Length of Program:
500 hours             60 hours

Payment Arrangements
1st Month -

Instruction begins:
           /01/ 2001

Waiver and Release for Training
The undersigned hereby certifies that I am aware of all the dangers of wrestling and of the basic rules for wrestling and the activities connected with wrestling.
I understand that it is not the purpose of the wrestling training program instructors to serve as the guardians of my safety, and I understand and agree that neither the Harley Race Academy nor the owner, operators, agents or instructors involved, including but not limited to, Harley Race or the WLW, INC, or any member of the Board of Directors of the WLW, shall be held liable in any way for any occurrence in connection with the wrestling training program or wrestling itself, which may result in injury, death or other damages (including the loss of personal property) to me.
In consideration for being allowed to enroll in a wrestling course, I hereby personally assume all risks in connection with this c! ourse.  I agree to save and hold harmless, on behalf of myself and my heirs and estate, the Harley Race Academy, its instructors, its students, and the WLW, INC.
I am of lawful age and legally competent to sign this waiver.  I signed this document of my own free will.  I am in good physical condition and am not under any care or treatment by a doctor or physician that will in any way affect my ability to engage in this training.

IN WITNESS WHEREOF, I have executed this waiver and release at

__________________ on ______/_________/___________.

Signed:


_______________________________
Student

___________
Date

_______________________________
Witness

____________
Date

Read and Understood:

Harley Race Wrestling Academy | So You Want to Be a Professional Wrestler | Facilities and Tuition | Tryout Registration Form

To contact us:

Phone: 573 392 4100

Email: webmaster


Photos provided by Bob Geigel and Harley Race
Copyright © 2008 World League Wrestling