2023-2024 Wrestling Season Registration

Where: 

North Salem High School
Wrestling Room (upstairs)
765 14th St NE
Salem, OR 97301

When:
Monday thru Thursdays
6:30pm to 8:00pm 

How much:
$200 per wrestler (includes club seasonal practices, does not include USA card)                                         
*50% off each add’tl child (example: fees for two children will be $300.00)
*Drop-in fee of $5.00 each visit will be incurred per visit if not a member
*Payment plan options-discuss with Noemi Rodriguez (Treasurer) 



What is needed:
Tight fitted clothing, wrestling shoes and a hard- working attitude! (extra shoes
may be available to use).

Note that coaches are not babysitters. Therefore, we encourage parents to remain in room to help support theirr child’s wrestling journey.

Parents with children under 10 are required to remain at practices with their children unless approved by coaches.


Contact us if you have any questions (call or text):

Coach Andrew Pickett
Cell: 503-881-4634
E-mail: Pickett_andrew@salkeiz.k12.or.us

Coach Ruben Carlos
Cell: 503-990-9341
E-mail: rcred80@gmail.com  

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Email *
Wrestler's Name *
Wrestler's Date of birth *
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/
DD
/
YYYY
Beginner or Advanced Wrestler? (Note: typically, a wrestler that has less than 2 years' experience is considered a beginner)  *
Required
Sex *
Grade *
Disabilities? *
Allergies? *
Physical Address *
Parent/Guardian Phone number *
Parent/Guardian Preferred Email address *
Insurance Carrier *
Policy # of Insurance

The above child has my permission to attend the Capital City-HotShots Wrestling Mat Club Practices and fundraising activities endorsed and developed by the board in conjunction with parents and club members. I, the parent or guardian of the registrant (a minor), agree that the registrant will abide by the rules and code of conduct of The Capital City-HotShots Wrestling Mat Club, USA Wrestling, North Salem High School and all affiliates. I authorize emergency medical treatment as may be deemed necessary for the child or minor named above, while wrestling or otherwise utilizing the provided facilities at North Salem High School.

Recognizing the possibility of injury associated with wrestling and in consideration for The Capital City Mat Club-HotShots Wrestling, in accepting the registrant for participation in the club; I hereby release, discharge, and/or Otherwise indemnify the Capital City-HotShots Wrestling Mat Club, USA Wrestling, North Salem High and all affiliates, their employees, volunteers and associated personnel (this includes the owners of equipment and facilities utilized)  against any claim on behalf of the registrant as a result of the registrants participation in Capital City-HotShots Wrestling Mat Club.

I fully understand and accept the risk of injury due to participation in this club. I also understand that secondary insurance is provided for all wrestlers through memberships with USA Wrestling.  My signature below serves as verification that all the provided information is correct. *
Required
Name of Parent'/Guardian filling out form *
A copy of your responses will be emailed to the address you provided.
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