FY2022

COBRA Optimist Wrestling Registration Form

There are no current pandemic restrictions at the High School but that could change depending on public health conditions. We are obligated to follow all restrictions that the High School puts in place. Cobra Wrestling does not control this.



Read information below before selecting wrestling level

Any questions, please call Adam Manz (712-310-9950)

Wrestling TOT: A first or second year wrestler Pre-K thru 2nd grade.

Wrestling Beginner: A wrestler that might be in 2nd or 3rd grade that has been wrestling for 3 or more years, or a wrestler that is in 4th – 8th grade but is new to the sport. This will allow the wrestler to learn at a rate that is more suitable for them and have teammates closer to their size

First Child

Select wrestling level

mm/dd/yyyy


Second Child

Select wrestling level

First Name Last Name
mm/dd/yyyy

Third Child

Select wrestling level

First Name Last Name
mm/dd/yyyy

I hereby give my full permission to my (son/daughter) to participate in Cobra Optimist Club of Council Bluffs (Cobra) activities. I agree to assume full responsibility in case of accident or injury while (he/she) is playing, traveling to or from the scheduled area, or representing (his/her) team in any manner, and do further hereby release and hold forever harmless Cobra, its agents and employees, from any liability for any personal injuries, including death or property damage, which may be incurred by my child while playing, traveling to or from the scheduled area, or representing the team in any manner, including but not limited to any claim alleging that the injury or damage was caused by defective equipment owned or furnished by the Cobra, or by negligence in the supervision of my child or others. It is the responsibility of each parent or guardian to check their child's insurance for athletic injuries. This signature gives us permission to seek emergency medical care as deemed necessary. This signature also allows Cobra to post pictures on Facebook or our website that have been taken during Cobra activities.