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Liability Waiver and Release Form

Outlaw Wrestling Co, LLC

6455 Old Harrisburg Rd, York Springs PA 17372

Waiver and Release of Liability:

I, the undersigned participant (or parent/guardian if the participant is a minor), understand that participation in wrestling activities involves inherent risks of injury, including but not limited to:

  • Minor injuries such as bruises, sprains, and strains.
  • Serious injuries such as broken bones, dislocations, concussions, and paralysis.
  • Catastrophic injuries including death.

I acknowledge that these risks may result from my own actions, the actions of others, the condition of the facilities or equipment, or the negligence of the released parties. I further understand that these risks may be present even if proper safety procedures and equipment are used.

In consideration for being allowed to participate in the Outlaw Wrestling Co, LLC wrestling program, I hereby:

  1. Release and forever discharge [Outlaw Wrestling Club, LLC, its officers, coaches, instructors, volunteers, agents, and employees (collectively, the "Released Parties") from any and all claims, demands, actions, causes of action, or liabilities of any kind whatsoever, known or unknown, suspected or unsuspected, which I now have or may hereafter have against the Released Parties, arising out of or in any way related to my participation in the wrestling program, including any injuries I may sustain.
  2. Agree to indemnify and hold harmless the Released Parties from any and all claims, demands, actions, causes of action, or liabilities of any kind whatsoever, including attorneys' fees, arising out of or in any way related to my participation in the wrestling program.
  3. Assume full responsibility for all risks associated with participating in the wrestling program, even those caused in whole or in part by the negligence of the Released Parties.
  4. Represent that I am in good physical condition and capable of participating in the wrestling program. I have consulted with a physician regarding my participation if I have any concerns about my physical condition.
  5. Consent to the administration of first aid and emergency medical treatment if needed. I authorize the Released Parties to obtain necessary medical care for me and agree to be responsible for the costs of such care.
  6. Agree to abide by all rules and regulations of Outlaw Wrestling Co, LLC, including safety rules and instructions provided by coaches and instructors.

Photo/Video Release:

I grant permission to Outlaw Wrestling Co, LLC, to use photographs and/or videos of me obtained during club practices and/or events, for promotional purposes, including but not limited to website content, social media posts, and brochures.

Severability:

If any provision of this waiver is held to be invalid, the remaining provisions shall remain in full force and effect.

Governing Law:

This waiver shall be governed by and construed in accordance with the laws of the State of [Pennsylvania.

Acknowledgment of Understanding:

I have carefully read and understand this waiver and release of liability. I am signing it voluntarily and with full knowledge of its significance.

Date: April 2, 2026

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
Parent or Guardian's Email Address
Email*
Confirm Email*
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Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Information
Medical Conditions/Allergies:
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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