Nature Wrestling Club - Registration Form

Wrestling Registration Form

Please fill one form for each child, thankyou.
Child Name*

First NameLast Name
Birth Date*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact E-mail
example@example.com
Contact Number*
Emergency Contact Name*
Emergency Contact Number*
Medical Conditions (enter N/A if none)*
Permission to be photographed and for photos to be used for promotional purposes related only to the wrestling club*

YesNo
I agree the child named above will respect and adhere to the policies and guidelines put in place by the wrestling club*

YesNo
I agree to the child named above receiving medical treatment as considered necessary by the medical authorities present.*

YesNo
For beginners aged 6-9, please choose your preferred day:
For ages 10+ and Adults, please choose your preferred session:
Our Policies and Procedures can be viewed online here - Policies and Procedures
Should be Empty:

Wrestling Registration Form