Wrestling Registration Form
Please fill one form for each child, thankyou.
Child Name
*
First Name
Last Name
Birth Date
*
Please select a day
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Day
Please select a month
January
February
March
April
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July
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November
December
Month
Please select a year
2024
2023
2022
2021
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2019
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Year
Address
*
Street Address
Street Address Line 2
City
State / 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
*
Yes
No
I agree the child named above will respect and adhere to the policies and guidelines put in place by the wrestling club
*
Yes
No
I agree to the child named above receiving medical treatment as considered necessary by the medical authorities present.
*
Yes
No
For beginners aged 6-9, please choose your preferred day:
Please Select
Tuesday - 6:15 till 7:15 (beginners aged 6-9)
Sunday - 15:00 till 16:00 (beginners aged 6-9)
For ages 10+ and Adults, please choose your preferred session:
Please Select
Tuesday - 19:15 till 20:15 (ages 10+)
Thursday - 18:15 till 20:15 (All Ages inc Adults)
Sunday - 16:00 till 17:00 (ages 10+)
Our Policies and Procedures can be viewed online here -
Policies and Procedures
Done
Clear Fields
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