USA Wrestling/New Jersey State Chairman's Home Page

FILE:NJWAIVER wper Date________

NEW JERSEY WRESTLING

PARTICIPATION "WAIVER" APPLICATION FORM

Purpose of "Waiver" and "Application Form": The purpose of this "waiver" is to allow a wrestler an opportunity to qualify for an event, where, due to some special situations, he/she has not followed the normal qualification procedures. The purpose of the "application form" is to have all the needed information to fairly judge the merits of the waiver while being fair to all of the wrestlers who followed the normal qualifying procedures and did not make the team. "Deposit must accompany application."

APPLICANT INFORMATION

Name:____________________ Birth date:__________

Address:__________________________

Town:______________State:________ zip:_______

Year in school:_____USA Card #_________Phone:______________

Event for which waiver is needed. Check those that apply (dates are approximate):

___ Junior Freestyle States (qualifier for National Team trips)

___ East Coast Junior Duals (Memorial Day Weekend - Maryland) Greco - Freestyle - both

___ Junior NAT duals (last week of June - Oklahoma) Greco - Freestyle - both

___ Cadet NAT duals (first week of July - Colorado) Greco - freestlye - both

___ Cadet Nationals in Fargo (last 2 weeks of July) Greco - Freestyle - Both

___ Junior Nationals in Fargo (last 2 weeks of July) Greco - Freestyle - both

Waiver for Junior freestyle states must be submitted well befor the tournament - no deposit is needed. WAIVERS FOR TEAM NJ trips MUST INCLUDE $400.00 TOWARD FLIGHT COSTS (except for Maryland Duals).

State, generally, why a waiver might be considered. Basically we want to know why the NORMAL qualifying procedure (or procedures, if more than one) could not be followed. Then, justify your request by being as specific as possible. Your justification will have to compare to the actual written procedures. (If you need a copy please contact the age level director or state chairman right away) Your dates will have to coincide with the dates of the various qualifying opportunities offered. The more specific and honest your evaluation, the more merit it will have:








Use a separate sheet of paper and attach to this form if you need more room.

If you completed any of the qualifying steps in a series but not the last one(s), then state that here:


Past wrestling participation of importance: USAW/NJ:


OTHER:

Past wrestling success of importance: USAW/NJ:



OTHER:

*What weight could you commit for this event? ____

Circle one of the following replies.

*Would you accept placement at a higher weight class? Yes No

*Could you make a lower weight class? Yes No

*Would you wrestle Greco only, Freestyle only, Both if needed?

*For the Cadet/Junior National team event, if there was an opportunity to attend Training Camp as a paying camper, with the possibility of a spot opening up for the National team, would you attend camp? Yes No

Please feel free to make any statement regarding your goals and interest in being a part of this event. You may include any supporting document(s) that you wish.





Understand that you cannot hold 2 spots on a team. If you qualified for another weight class (or conflicting NJW event) when NJW accepts this petition it means that the other spot, you hold, will be given up.

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Applicant

Signature

Parent or Advocate's signature

The request for waiver and this form should be completed thoroughly, as soon as possible. Generally, a five-man committee will review this request and act as soon as practicle. The committee will come from a representative of the following offices of NJW: State Chairman, Officials Chairman, Age Level Council Chairman, Event Team Leader, Designee of Coaches Council.

Mail this application to:

John Welch, State Chairman NJW,

PO Box 250,

Liberty Corner, NJ 07938 or
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Any questions call 908-766-6828 or

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Please feel free to contact me at the following address: