Tracy Wrestling Club Folkstyle 2024
Please complete each required field below, then ensure to submit the form with the button at the bottom of the page and proceed to payment.
Wrestler's Name:
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First Name
Last Name
Player Birth Date
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Year
Wrestler Skill
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Beginner
Advanced
Emergency Contact Information: Primary
*
First Name
Last Name
Parent Contact Phone
*
Parent Contact E-mail
*
example@example.com
Emergency Contact Secondary
First Name
Last Name
Emergency Contact Secondary
Please enter a valid phone number.
USA Wrestling Number:
*
_________________________
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Insurance Information
*
Include Insurance Name / Policy Number / Doctor
Any Allergies?
Do the allergies require your wrestler to carry an epipen?
*
Yes
No
Please read the statements below and initial your choice.
*
If my child needs medical attention, it is my wish that I be contacted before any medical procedures are taken on my child, unless immediate treatment is necessary to save my child's life or to prevent permanent injury.
If my child needs medical treatment while participating,i it is my wish that treatment is started while efforts are being made to try and contact me. So that treatment is not delayed, I consent to any medical procedures that the physician believes are needed on the understanding that efforts to contact me will continue to be made. I accept responsibility for all costs related to such treatment.
Registration Fees
Beginner: $150 Advanced wrestlers: $300
Payment Information
The Tracy Wrestling Club accepts Cash, Check, and Venmo (preferred). Upon submitting your registration, you will be directed to Venmo for payment. If submitting a Venmo payment, include your wrestler's name in the notes. Cash and check payments will be collected at the wrestler's first practice.
Select your payment method:
*
Venmo (preferred)
Cash
Check
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