Wrestling

Location:  LZHS Wrestling Room (Basement)

For the Summer of 2008 ONLY!

Fill out a separate registration for each camp and sign the waiver below.

Mail this completed form with payment, payable to:

LAKE ZURICH HIGH SCHOOL

C/o  Summer Athletic Camp

300 Church St., Lake Zurich, IL  60047

Student/Athlete’s Name____________________________________________________________

T-Shirt Size: (Please circle one)  Adult:   XL,     L,     M,    S   or  Youth:   L,    M,    S

Address:________________________________________________________________________

Home Phone Number:______________________________________________________________

Emergency Name:  ________________________________________________________________

Emergency Phone Number: _________________________________________________________

Camp Name:__________Wrestling____________________   Camp #____________________

WAIVER:

We/I, the parent(s)/guardian(s) of _____________________, a participant in the Lake Zurich

Summer Camps, recognize and acknowledge that there are certain risks of physical injury and we/I

agree to assume the full risk of any injuries, including death, damages or loss which may be sustained

as a result of participating in any and all activities connected with or associated with this program. 

We/I agree to waive and relinquish all claims we/I may have as a result of our son/daughter’s

participation in this program against Lake Zurich Community Unit District 95 and its officers, agents,

servants, and employees.

 _______________________________________         _______________________________

  (Signature of parent/guardian)                                       (Printed name of parent/guardian)

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