- 10th Annual -
"BEAST OF  THE BEACH"

Extreme Sports Team
Entry Form - You can bring this form...or...fill one out at registration.
        - No pre-registration. All entries registered morning of tournament
        - Cash or Check (no credit cards are accepted)
        - Group rates (starting at 8+), email beachwrestling@comcast.net
        - Questions? Use "Contact Us" or email (above)
FYI: There are 750 parking spots. The park says they fill up by 10:00am

                        "BEAST  OF  THE  BEACH"
                                           2016
       Beach Wrestling State
Championships




Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Phone (with area code): _ _ _ _ _ _ _ _ _

Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _City: _ _ _ _ _ _ _ _ _ _ _ _ _  State:__ __  Zip:_ _ _ _ _

Email: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _


Division (circle one):     Middle School       High School       Open                                    Weight:____________
                                                                                                                                             (

Emergency Contact Name:_____________________________________ Phone(s):_________________

       - Registration entry fee is $25 (cash or check only. Make checks out to "Beach Wrestling").
       - If participant is under 18 yrs. old, a Parent or Guardian must sign at bottom of registration form.
       - Participants must be present in competition dress and submit to a fingernail check and 
                  skin disease screening. Any skin problems that are questionable to the tournament staff or 
                  any official, whether the participant has a doctor’s note or not, will not be able to participate. 
       - A mouthguard must be worn with braces (to protect the other wrestlers).
       - In the event of injury or illness, no participant will be permitted to continue without approval from 
                   the medical staff or tournament director.
       - The officials, tournament directors and/or the medical staff have full authority, without appeal, in 
                   determining the participation of the wrestler.

WAIVER

I understand and agree that Grand Haven State Park, the State of Michigan and Beach Wrestling, LLC, assume no responsibility for any injury or property damage or any loss that might be suffered during the activity or program indicated (above) by the participant and/or Parent or Guardian.  I understand that the participant and/or Parent or Guardian assumes all risk and financial responsibilities for personal injury, or loss/damage to property.

As the participant or Parent /Guardian, I also consent to allow the use of images and/or video of participant, by Beach Wrestling, LLC, in various media including but not limited to newspapers, flyers, advertisements, websites and online.  This consent remains in effect until notified in writing and waives any right or entitlement to any compensation or fees.


__________________________________________________________________       ______________________
Signature of Participant (or Parent/Guardian if participant is under 18)                     Date

                                                                          
Location of Tournament

            Grand Haven State Park, 1001 South Harbor Ave., Grand Haven, MI  49417
            Note: This is a public beach with restrooms, playground, grills (and public beach rules).


Feel free to bring a picnic,and have fun
!

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