Team Agoge Registration Form
Fun Integrity Team
Wrestler's Full Name
*
First Name
Last Name
Wrestler's Grade
*
Wrestler's Age
*
Dad's Full Name
First Name
Last Name
Mom's Full Name
First Name
Last Name
Dad's E-mail
*
example@example.com
Mom's E-mail
*
example@example.com
Dad's Phone Number
*
-
Area Code
Phone Number
Mom's Phone Number
*
-
Area Code
Phone Number
Waiver Form
*
Use mouse or finger to Sign Here / Payment on Next Page
Please select the options you will be purchasing for your wrestler PLEASE FILL OUT A SEPARATE FORM FOR EACH WRESTLER
*
Off-Season $25 per month
Off-Season $100 for all five months
Other
Click Submit to to pay through PayPal
*
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