McKinleyville Youth Wrestling
Participant Registration Form
1st Child's Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Shirt Size
*
2nd Child's Name (If Applicable)
First Name
Last Name
Gender
Please Select
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Shirt Size
3rd Child's Name (If Applicable
First Name
Last Name
Gender
Please Select
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Shirt Size
Parent Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment
Payment Options (please read carefully and choose the option that best fits your needs)
prev
next
( X )
1st Child Registration Fee
This option includes practice, shirt and child's USA Wrestling card needed for tournaments
$
150.00
Quantity
1
2
3
4
Multiple Children Discount
2nd child or more. Will include practice, USA Wrestling card and Wrestling gear.
$
125.00
Quantity
1
2
3
4
5
6
7
8
9
10
Scholarship
**Needs Prior Approval
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Kids who participated in wrestling tournaments and have their USA wrestling card
This is for the kids who participated in the Folkstyle tournaments and HAVE their USA Wrestling card.
$
110.00
Submit
Should be Empty: