2025 KWCA Kansas Shrine Duals Wrestler Application

2025 KWCA Kansas Shrine Duals Wrestler Application
The 2025 KWCA Kansas Shrine Duals will be held on Saturday, March 29, 2025 at Newman University in Wichita, Kansas. If selected to participate, you will be required to report on the morning of Saturday, March 29, 2025 at Newman University. In order to be considered for selection, you must complete the following application. The final roster of selected wrestlers will be announced on Thursday, March 6, 2025. Additional event details will be provided to all selected wrestlers following the official selection announcement.

If you have any questions, please contact:

Kansas Shrine Duals
Brice Kesler
913-602-8656
director@kansasshrinebowl.com

- or -

KWCA President
Nathan Broeckelman
785-871-7981
BroeckelmanN@bartonccc.edu
In order to be eligible to participate, all wrestlers must have a current USA Wrestling Card. If you do NOT have a current USA Wrestling Card, you will be required to obtain one prior to be selected to compete in this event.*

Yes, I have a current USA Wrestling CardNo, I do not have a current USA Wrestling card (you will be required to obtain a USA Wrestling Card in order to be selected for this event)
Name*

First NameLast Name
Email (please use a non-school email if possible)*
example@example.com
Phone Number*
Please enter a valid phone number.
Mailing Address*

Mailing Address

Street Address Line 2

CityState / Province

Postal / Zip Code
High School*
East or West

EastWest
High School Wrestling Classification*

Girls 6AGirls 5AGirls 4AGirls 3-1ABoys 6ABoys 5ABoys 4ABoys 3-1A
Which weight class are you applying for to wrestle at in this event? Collegiate weight classes will be utilized for this event. You can select multiple weight classes if you'd like to be considered for multiple spots.*

Girls - 103Girls - 110Girls - 117Girls - 124Girls - 131Girls - 138Girls - 145Girls - 160Girls - 180Girls - 207Boys - 125Boys - 133Boys - 141Boys - 149Boys - 157Boys - 165Boys - 174Boys - 184Boys - 197Boys - 285
You must be a Senior in the class of 2025 to be eligible for participation. Please select "Yes" to confirm that you are a Senior in the class of 2025.*

Yes, I am a Senior in the class of 2025
Have you been a KSHSAA State Placer previously?*

YesNo
Wrestling Accolades, Stats, Records, Awards, Honors, etc.*
Collegiate Recruitment (please let us know if you have made a college commitment/signing, or which schools you are being recruited by/considering)*
Photos (Please upload at least one photo that clearly shows your face. These photos may be used for event program, social media promotion, broadcast graphics, etc.)

Cancelof
Action Photos (Please upload at least one wrestling action photo, if possible. These photos may be used for event program, social media promotion, broadcast graphics, etc.)

Cancelof
T-Shirt Size*
Shorts Size*
Singlet Size (sizing weight is approximated based on vendor recommendation)*
Parent(s) Name(s)*
Parent Email*
example@example.com
Parent Phone*
Please enter a valid phone number.
Alternate Parent Email
example@example.com
Alternate Parent Phone
Please enter a valid phone number.
Should be Empty: