Team Agoge Registration Form
Fun Integrity Team
Wrestler's Full Name
*
First Name
Last Name
Wrestler's Grade
*
Please Select
PreK
K
1
2
3
4
5
6
7
8
Wrestler's Age
*
Please Select
4
5
6
7
8
9
10
11
12
13
14
15
Wrestler's Approximate Weight
*
Wrestler's T-Shirt Size
YS
YM
YL
YXL
S
M
L
XL
Dad's Full Name
*
First Name
Last Name
Mom's Full Name
First Name
Last Name
Dad's E-mail
*
Mom's E-mail
*
example@example.com
Dad's Phone Number
*
-
Area Code
Phone Number
Mom's Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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 CHILD
*
Pre-Season $140 (Oct 20-Dec 20) - Price increase to $170 after October 5
Regular Season $199 (Jan-March) - Price increase to $240 after December 20
Pre-Season Additional Child $90
Regular Season Additional Child $150
Click Submit to to pay through PayPal
*
prev
next
( X )
USD
Submit
Should be Empty: