2025 Fort Mill Youth Wrestling Club

2025 Fort Mill Youth Wrestling Club

Open to all 1st thru 6th graders
Work with the 2X State Championship Wrestlers and Coaches
Cost is $50
Participant Name

First NameLast Name
Age
Grade for 2024 - 2025 School Year
Birthdate

MonthDayYear
Date
Gender
Weight
Years of Experience
Medical Conditions
Parent Name

First NameLast Name
Parent Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.
Cell or Work Phone
Please enter a valid phone number.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone #
Please enter a valid phone number.
Additional phone #, e-mail address, or other important information
Terms & Agreements

1. I hereby certify that my child is in normal health, medically cleared, and capable of safe participation in the Fort Mill Youth Wrestling Club. I assume all risks and hazards incidental to the conduct and nature of the sport of wrestling. I hereby authorize the Fort Mill Youth Wrestling Club to obtain medical treatment for my child in the event that parents and emergency contact cannot be reached or immediate action is deemed necessary.

2. By allowing my child to participate in the Fort Mill Youth Wrestling Club, I release the program, its coaches, and affiliates from any claims of liability that may be made by participant, family member, or other party. I understand that participation in this program, as with other sport activities, involves certain risks, including but not limited to serious injury. I am voluntarily allowing my child to participate.
I have read and understand the above terms and agreements. I understand that Fort Mill High School or District does NOT provide insurance. The SC Youth Wrestling Association (SCYWA) provides accident insurance upon purchase of membership.*

Clear
How will you be paying the $50.00 Registration Fee?

Credit CardCheck

My Products (please select tee shirt size from drop down list)

$50.00

Total

$0.00

Credit Card

Check #
Please make check payable FMHS ABC

Please mail check and a copy of your registration receipt to:

FMHS - Attn: Adam Marullo - 215 N Hwy 21 Bypass - Fort Mill SC 29715

Questions? Please email marulloa@fortmillschools.org
Should be Empty:

2025 Fort Mill Youth Wrestling Club

Work with the 2X State Championship Wrestlers and Coaches

Cost is $50

Credit Card