PWC Clinic Sign-up

PWC Clinic Sign-up
Parent or Guardian *

First NameLast Name
Email*
Phone Number*
Emergency Contact Other Than Parent Listed Above*

First NameLast Name
Phone Number of Emergency Contact*
Please enter a valid phone number.
Wrestler Information*
Will you be paying via*

Venmo $25.00/wrestlerPaypal $25.00/wrestlerPay at Door Check-Cash $30/wrestler
Please make payments to:

If you click on these links make sure you come back and click "Submit" at the bottom of this form.

Venmo: KyleRobinsonOK

or

Paypal: KyleRobinsonOK

or

it will be $30 Pay at the Door check or cash
Should be Empty:

Please make payments to: