Illinois Kids Wrestling Federation Information about competing in the IKWF (2016-2017)
Parents, Guardians, and club coaches should be aware of the following
IMPORTANT items when purchasing your son’s or daughter’s
USA Wrestling membership card and participation in
IKWF events.
1. All wrestlers who
WERE NOT issued a membership card during the 2014-15 season must include a copy of their birth certificate.
2. To be eligible for any
IKWF event, the attached form and payment (for all wrestlers) and a copy of a birth certificate (for new wrestlers)
MUST be submitted to the
IKWF office 2 weeks prior to competing in said event. Example: To wrestle in December 6, 2015 events, the above information
MUST be submitted (postmarked) to the
IKWF office by November 21, 2015 .
3. The
IKWF is a club based organization. This means once you have declared a club for your son or daughter, he/she is a member of that club for the entire
IKWF competition season. The designated head coach of your club has the final say in your son’s or daughter’s participation in any
IKWF event.
4. Any wrestler who purchases their card as an “unattached” wrestler or for preseason training purposes, has until November 28, 2015 to declare their
IKWF club affiliation. Failure to declare a wrestler’s club affiliation by November 28th, 2015 will result in ineligibility in the
IKWF State Series. Parents, guardians, or club coaches should send an email to
ikwf@ikwf.org a wrestler’s club affiliation.
5. Any wrestler who purchases a membership card after November 28, 2015 is a member of the designated
IKWF club indicated on this form for the duration of the
IKWF competition season.
6.
IKWF by-laws allow wrestlers to request a club transfer after the above November 28, 2015 deadline. Please see
WRESTLER CLUB TRANSFER REQUEST on the
MEMBERSHIP page of
WWW .
IKWF .
ORG .
7. The “IKWF Age” of all wrestlers in the
IKWF is determined by their age on December 31, 2015. Example: A wrestler born in 2005, is an
IKWF 10 year old. A wrestler born in 2006 is an
IKWF 9 year old.
8. All wrestlers must be a member of an
IKWF charter club to participate in the
IKWF State Series. “Unattached” wrestlers cannot compete in the
IKWF State Series.
9. State Series Eligibility Deadline: A wrestler’s membership form, payment, and a copy of a birth certificate for new wrestlers
MUST be submitted to the
IKWF office by February 6, 2016 (postmark date).
10. In compliance with Part VI, Section B, Line 13 of Federal Form 990, Return of Organization Exempt from Income Tax, the
IKWF requests that any suspicious activity that a member, a members’ parent or guardian witness, be reported to Jeff Tolbert at
jtolbert@ikwf.org .
ATTENTION !
Please remember the following when completing the attached form:
1) Please provide all requested information.
2) A parent or a guardian
MUST sign the form.
3) Payment must be included with the form.
Annual Membership: $40, card valid 9/1/2016 through 8/31/2017
In compliance with Federal Form 990, the
IKWF requests any suspicious activity that member, member’s parent or guardian witness, be reported to
jtolbert@ikwf.org
* Name
Name:
* Male or Female
Male Female
* Date of Birth
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* Grade (PreK, Kin, 1st, 2nd, etc)
* Address:
Street Address: City: State/Province: Alabama
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Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Maine
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Maryland
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Virgin Islands
Virginia
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Washington D.C.
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Yukon Country: United States
Canada
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Algeria
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Cook Islands
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Korea, Republic of
Kuwait
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Virgin Islands, U.S.
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Zimbabwe Zip/Postal Code:
* Main Phone
* Email
* Club
Release and Waiver, Assumption of Risk, and Indemnity Agreement with Parental Consent (“AGREEMENT ”)
IN CONSIDERATION of being permitted to participate in any way in any event (“Activity”) at any time during the current calendar year I, for myself, my personal representatives, assigns, heirs, and next of kin:
1. ACKNOWLEDGE , agree, and represent that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I futher agree and warrant that if, at any time, I believe the conditions to be unsafe, I will immediately discontinue futher participation in the Activity.
2. FULLY UNDERSTAND that: (a) THIS ACTIVITY INVOLVES RISK AND DANGERS OF SERIOUS BODILY INJURY , INCLUDING PERMANENT DISABILITY , PARALYSIS , AND DEATH (“Risks”); (b) these Risks and dnagers may be caused by my own actions or inaction, the actions or inactions of other participating in the Activity, the conditions in which the Activity takes place, of THE NEGLIGENCE OF THE “RELEASEES ” NAMED BELOW ; © there may be OTHER RISKS or SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time, and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBITLY FOR LOSSES , COSTS , AND DAMAGES I incur as a result of my participation, or that of the minor, in the Activity.
3. HEREBY RELEASE , DISCHARGE , AND COVENANT NOT TO SUE the sanctioning organization(s), their administrators, directors, agents, officers, members, volunteers, and employees, other participants, officials, rescue personnel, sponsors, advertisers, owners and lessees of Premises on which the Activity is conducted, (each of the forgoing shall be considered one of the RELEASEES herein) FROM ALL LIABILITY , CLAIMS , DEMANDS , LOSSES , OR DAMAGES ON MY ACCOUNT CAUSED , OR ALLEGED TO BE CAUSED , IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE , INCLUDING NEGLIGENT RESCUE OPERATIONS ; AND I FUTHER AGREE that if, despite the RELEASE AND WAIVER OF LIABILITY , ASSUMPTION OF RISK , AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY , SAVE , AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim.
I ACKNOWLEDGE THAT I AM OVER THE AGE OF 18 YEARS , HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS , UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE SIGNED IT FREELY AND WITHOUT ANY INDUSEMENT OR ASSURANCE OF ANY NATURE , AND I INTEND IT TO BE A COMPLETE AND UNCONDITONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID , THE BALANCE , NOTWITHSTANDING , SHALL CONTINUE IN FULL FORCE AND EFFECT .
*Please sign directly below if 18 years or older
Participant’s Signature (18 years or older)
Date Signed
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Signature of parent or legal guardian
Date Signed
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Relationship to minor