Folk Style Wrestling Championship Series
SUNDAY May 16, 2010
Divisions: Elementary, Middle School, High School and Open Wrestlers
OUT OF STATE WRESTLERS WELCOME, Must pay with CASH
Place : Danbury Police Activities League Center
35 Hayes Town Road, Danbury, CT. 06811
Directions web site :
http://www.danburypal.com/directions.htmlWALK-INS ONLY for $20.00!!
Madison weights will be used for Elementary and Middle School age groups. Weigh-ins for Elementary, Middle School & High
School May 16, 2010 from 7:45 am to 9 am, Opens wrestlers registration from 9:00 to 11:30, Open weigh-ins from 9:30 to 11:30.
Wrestling will start at or around 10:00am for Elementary through High School; Open wrestlers will start wrestling about 12:00. During
weigh-ins, all competitors will be inspected for skin rashes. Wrestlers with skin rashes will not be allowed to compete unless they have a
current doctor's excuse saying they are under treatment, are not contagious as of a specified date and are cleared to wrestle. Tournament
officials reserve the right to refuse entry to questionable cases.
NFHS rules apply, Elementary bout times will be 1, 1.5, 1.5, Middle School bout times will be 1, 1.5, 1.5 .
High School and open will be bout times will be 1, 2, 2. Seeding will be based upon record or placement at State Class(section), State Championship( All States), and New England Placing. Top four seeded for bracket of eight, Top two seeded for brackets with six or less.
Tournament is double elimination from the quarter finals forward . # 1 seed get first bye, # 2 gets second bye, etc.
Medals for the top three finishers in each weight class.
A 2009-2010 USA Wrestling card MUST be shown at registration. If you don't have a card, enclose an additional $36 with your registration and the USAW card will await you at the pre registration desk (NOTE: if wrestler is under 18 years old, their parent MUST sign the registration form ( see USAWCT.org web site for 2009-2010 Membership Application to Pre- Register for a USAW card, which should be
mailed with tournament registration form).
A USAW Card can be purchased at the tournament site for $35.00.
Admission for Spectators: $3 for adults, $1 for students Free admission for Coaches with 2009-2010 USAW Coaches' Card
Emergency Medical Personnel will be on-site. Breakfast, lunch and snacks available on-site
$20.00 at the door
Make checks out to DYWA *******Under 18 must have a parent sign the registration form.****
For Information: Mark Cammisa 203 790-9209 email
markcammisa@comcast.net2009-2010 USA Wrestling Card Required
Complete entry form, enclose check payable to DYWA for $20.00 and (if under 18) HAVE IT SIGNED BY A PARENT
Elementary Division: Born 2000, 2001, 2002, 2003 and Middle School Division: Born 1996, 1997, 1998 & 1999, weigh classes will be
Determined by the Madison System ( grouping wrestlers in brackets of eight, by similar weight).
High School Division: Born 1995,1994,1993, 1992, 1991 if registered in a Public High School in the Fall of 2009
Open Division: Born 1991 or prior, unless you are born in 1991 and are registered in a Public High School in the Fall of 2009
( Post Graduate Students are welcome in the Open Division)
There are no specific weight classes for High School and open, which
are also Madison Weights
Application for Tournament
Assumption of Risk, Waiver and Release of Liability
*******************************************************************
NAME..................................................................................................
DATE OF BIRTH ........................................
STREET.......................................................................... CITY...................................... STATE.......................ZIP.
...
TELEPHONE............................................................................
2009-2010 USAW CARD #.....................................................Club Name( for separation)
Waiver and Release from Liability
1. I,________________________the undersigned, on behalf of myself, my heirs, and next of kin, personal representatives, agents,
insurers, successors and assigns (all hereinafter "Releasors") hereby FOREVER RELEASE, DISCHARGE AND COVENANT
NOT TO SUE THE UNITED STATES OF AMERICA WRESTLING ASSOCIATION, INC., its insurers, its affiliate clubs,
administrators, agents, directors, officers, state organizations, members, committees, volunteers, all employees of USA Wrestling,
and any and all participants, officials, referees, coaches, host clubs, sponsoring agencies, sponsors, advertisers, local organizing
committees (and if applicable) owners, lessors, and operators of premises used to conduct any USA Wrestling sanctioned event,
meet, practice or activity (all hereinafter "Releasees") from any and all liabilities, claims, demands, causes of action or losses of
any kind or nature, past, present or future, direct or consequential that I may hereafter have for PERSONAL INJURY,
PERMANENT, TEMPORARY, TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER
LOSSES OR DAMAGES TO PERSON OR PROPERTY OR DEATH, arising out of my participation in, attendance at or
traveling to and from any USAW wrestling sanctioned event or activity including, but not limited to, LOSSES CAUSED BY THE
PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASEES, or hidden, latent or obvious defects in the facilities or equipment
used.
2. Releasor understands and acknowledges that USA Wrestling sanctioned activities and the sport of wrestling in general have
inherent dangers that no amount of care, caution, training, instruction, supervision, or expertise can eliminate. RELEASOR
EXPRESSLY AND VOLUNTARILY ASSUMES ALL RISK OF PERSONAL INJURY, PERMANENT, TEMPORARY,
TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER LOSSES OR DAMAGES TO
PERSON OR PROPERTY OR DEATH, sustained while participating in, attending, preparing for or traveling to and from any
USA Wrestling sanctioned event, meet, practice or activity, including the risk of PASSIVE OR ACTIVE NEGLIGENCE OF THE
RELEASEES, or hidden, latent or obvious defects in the facilities or equipment used.
3.Releasor acknowledges and fully understands that each participant in any USA Wrestling sanctioned event, meet, practice or
activity, including Releasor, will be engaging in activities that involve risk of serious injury, including permanent, temporary, total
or partial disability, disfigurement, paralysis and other losses to person or property, including death, and that severe social and
economic losses may also result not only from Releasor's own actions, inactions or negligence, but also from the actions, inactions
or negligence of others notwithstanding the rules of play or the condition of the premises or of any equipment used. Furthermore
Releasor acknowledges and fully understands that there may be other associated risks with such activities which are not known or
not reasonably foreseeable at this time.
I ACKNOWLEDGE THAT I HAVE HAD SUFFICIENT OPPORTUNITY TO REVIEW THE PROVISIONS OF THIS
DOCUMENT AND UNDERSTAND ITS PURPOSE, MEANING AND INTENT.
.......................................................................... ................................................................. ..............
(Participant's Signature) (Print Name) DATE
The undersigned ______________________ does hereby represent that he/she is, in fact, the parent or guardian of _____
____________________ and acting in such capacity agrees to the terms and conditions of the above stated waiver and release.
................................................................. .............................................................. ............ ...............................................
(Signature of Parent or Legal Guardian) (Print Name) DATE (Relationship to Minor)
