Participant Registration and Liability Waiver

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1. Participant Name: (Required.)

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2. Date of Birth (Required.)

Date

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3. Age

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4. Parent/Guardian Name: (Required.)

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5. City/Town you live: (Required.)

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6. Phone: (Required.)

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7. Email: (Required.)

Emergency Contact

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8. Emergency Contact Name: (Required.)

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9. Emergency Contact Relationship: (Required.)

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10. Emergency Contact Phone: (Required.)

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11. Please list any allergies, medical conditions, medications, or other information coaches should be aware of: (Required.)

Program Information: Granite Dragons Wrestling Club

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12. Season (Select current or sign up ahead of time if interested): (Required.)

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13. If signing up for a season, participant shirt size (Each season, you will get a new shirt!)

Available for sale too using the same Venmo, just put shirt size in the message.

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14. What color?

Current Shirt (Summer, 2026)

GD Shirts
Participant Fee: $100 per season



Includes:
  • Practices during the season
  • Coaching and instruction
  • Dover Dragons team shirt
  • End of season club tournament and awards

Drop In Fee: $25 per session (first one free)

Includes:
  • Single Practice
  • Coaching and Instruction

Additional costs may include:
Granite Hearth is a registered 501(c)(3) non-profit. All proceed go into the developing the program.

Please pay for your season here:


Venmo

Venmo @Richard-Feistman or mail checks payable to Richard Feistman or Granite Hearth to:

Richard Feistman, Granite Hearth
PO Box 401
Dover, NH 03821

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