Participant Registration and Liability Waiver

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* 1. Participant Name:

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* 2. Date of Birth

Date

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* 3. Age

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* 4. Parent/Guardian Name:

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* 5. City/Town you live:

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* 6. Phone:

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* 7. Email:

Emergency Contact

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* 8. Emergency Contact Name:

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* 9. Emergency Contact Relationship:

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* 10. Emergency Contact Phone:

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

Program Information: Granite Dragons Wrestling Club

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

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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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