| Wrestler information |
| *Wrestler name: | |
| *Gender: | |
| *Wrestler birthdate: | |
| *Grade completed: |
|
| *T-shirt size: | |
| *Team name: | |
| Check this box if your wrestler will NOT be staying at camp each night, but instead sleeping off-site and commuting to camp each day. Total cost will be reduced to $225. | Our wrestler will NOT be sleeping on campus. |
| (Optional) Family Camp information |
| Will your family be staying in a tent or RV during the week? Sorry, all our RV sites are full for this year. We still have a limited number of tent sites available. | |
| If your family is staying in a tent or RV, you have the option of joining Riverview for meals. We charge just $9 per person per meal, or $99 per person for the week. (Ages 3 and up) | Yes we will purchase food service. $99 per person will be added to the registration. Please enter the number of people (Other than your wrestler) purchasing our food service: |
| Medical information |
| Please list any medical allergies | |
| Please list any food allergies (Please note Riverview will not be responsible for ensuring food is allergen free) | |
| Is the camper taking any medications? | Yes No |
| If yes, please list all medications. | |
| Is there any other medical information we should know of? | |
| Parent/Guardian information |
| *Parent/Guardian Name: | |
| *Address: | |
| *City: | |
| *State: | |
| *Zip: | |
| Email: | |
| Home Phone: | |
| Cell Phone: | |
| Work Phone: | |
| Emergency Contact information |
| The emergency contact needs to be available to pick up the camper at any time, and at their own cost |
| *Name: | |
| Relation to Camper: | |
| Home Phone: | |
| Cell Phone: | |
| Work Phone: | |
| Release and Arbitration Agreement |
| I have read and agree to the Release of Liability, and agree to it. | |
| I have read the Covid-19 waiver, and agree to it. I also understand that in the sport of wrestling there is no mask wearing and no social distancing. | |
