2015-2016 Registration Form

3rd thru 6th grade only




Date of Birth:








Parent Name:

Home Phone:

Cell Phone:

Email Address:


T-Shirt Size (Please circle One):                    YS           YM         YL          AXS       AS           AM


Club Fees


·         Includes T-shirt

·         Minimum 15 practices

·         1 End of year Tournament

Manhasset Residents Only:             $200 per child

Checks Only-made payable to Manhasset G.O.,

in memo put “Manhasset Wrestling Club”




Register By Mail (Due by Nov 13th)- Mail Check, Completed Registration Form, and Signed Medical Waiver (On Back)

Manhasset H.S. Athletic Dept., Attn. Stephon Sair, 200 Memorial Pl., Manhasset, NY 11030

Questions Contact- Stephon Sair 631-897-7417 or stephon_sair@manhassetschools.org



Fee does not include USA Wrestling Card (mandatory prior to first practice and also needed for competition), which can be purchased online at http://www.usawmembership.com

***Varsity wrestlers assist with practice

***Attire is shorts, t-shirt, and wrestling sneakers (Sneakers can be purchased at Local Sports Store or Online)



Parent Meeting: Tuesday, Nov 17th @ 6:30 p.m. in Room 141 (Prior to 1st practice @ 7 p.m.)

Practices:  Tuesday and Thursday from 7:00-8:30 p.m.

Practice Location: Manhasset High School Wrestling Room (entrance through back parking lot)


Benefits of wrestling 

Enhance Kinesthetic Awareness (balance and coordination), Mental Toughness, Physical toughness (which will carry over to other sports), Self Confidence, Self Defense, Improve physical strength, Teaches individual competitiveness, Size does not matter, Weight classes for everyone.






2015-2016 Parent/Guardian Medical Waiver and Release Form

For Indian Youth Wrestling Club

Of Manhasset


You agree that you are aware that the child named below will be engaging in physical exercise involving various sports, coordination events and general fitness training which could cause injury, illness or various skin infections.


You understand that the child is voluntarily participating in these activities and is assuming all risks of injury, illness or skin infection that may result from engaging in any practice, exercise or sport related event including tripping, slipping, falling, colliding with another individual or object on or off the club premises.


You hereby agree to waive any claims or rights that you might otherwise have to sue the school or coaches for any injury, illness or skin infection that may occur. You understand that we will make no evaluation or recommendation as to whether or not the child is capable or deemed physically fit to engage in any activity. If the child has any physical or mental condition that may impair his or her ability to engage in any of the club activities, practices or exercises, it is your responsibility to obtain a physician’s release statement. It is recommended you consult a physician prior to your child participating in any practice, physical exercise or club activity.



Name __________________________________Relationship to Participant __________________


Signature ________________________________________ Date __________________________