Thunderbolt Wrestling Club Signup Form

Thunderbolt Wrestling Club Signup Form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
School
Parish
Grade
Age
Date of Birth

MonthDayYear
Date
Weight Estimate
T-Shirt Size
I am the parent or legal guardian of the child above and give permission to participate in the Thunderbolt Wrestling Club. I will not hold any coaches, agents, managers, or Pius X High School responsible for any injuries or accidents. I will also not hold the Club responsible for lost or stolen articles. I carry insurance on the child listed above and assume liability for them.
Parent / Guardian

First NameLast Name
Comments
Cost is $100 per Wrestler

Family Discount

$20 off for 2 Wrestling
$40 off for 3 Wrestling

Please pay when wrestler comes to practice.
Should be Empty: