2025 Altitude Wrestling Registration
6th-12th Grade
Parent / Guardian Contact Info
Parent/Guardian Name 1
*
First Name
Last Name
Parent/Guardian 1 Phone
*
Please enter a valid phone number.
Parent/Guardian 1 Email
*
example@example.com
Parent/Guardian Name 2
First Name
Last Name
Parent/Guardian Phone 2
Please enter a valid phone number.
Parent/Guardian Email 2
example@example.com
Athlete Information
Name
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
*
-
Month
-
Day
Year
Date
Grade
*
Please Select
6
7
8
9
10
11
12
Athlete Gender
*
Male
Female
Prefer not to say
Althlete School
*
Please Select
SMS
SHS
Approximate Weight
*
Years of wrestling experience
*
Please Select
1
2
3
4
5
6
7
8
9
10
Emerency Contact
*
First Name
Last Name
Emergency Phone
*
Please enter a valid phone number.
Additional Requirements
USA Wrestling Number
https://www.usawmembership.com/login
Does Athlete Plan to Compete?
*
Yes
No
Does Athlete Participate in Other Sports?
Please let us know what sports/season
Proof of Physical Exam
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Signature
Program Registration Fee Payment
Categories:
All
All
6-12 Grade
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Session 2 | 6-12 Grade
Tues. Sept. 2nd - Sat. Nov. 8th 2025
$
125.00
Quantity
1
2
3
Payment Option
Full Registration
Billed 2 Payments of $62.50
Credit Card
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