ATHLETE INFORMATION
Ashville Youth Wrestling
2025-2026 SIGN UP
NAME
*
BIRTHDAY
*
-
Month
-
Day
Year
GRADE 2025-26 SCHOOL YEAR
Please Select
KINDERGARDEN
1st
2nd
3rd
4th
5th
6th
7th
GENDER
*
ADDRESS
*
PARENT/GUARDIAN 1 NAME
*
PHONE NUMBER
*
Format: (000) 000-0000.
RELATIONSHIP TO ATHLETE
*
EMAIL
EMERGENCY CONTACT
*
PHONE NUMBER
*
Format: (000) 000-0000.
WEIGHT
HAS YOUR ATHLETE WRESTLED IN THE PAST
YES
NO
IF YES, PLEASE LIST EXPERIENCE BELOW (YEAR/SCHOOL/TEAM/STYLE)
FIGHT SHORTS
Please Select
YXS
YS
YM
YL
AXS
AS
AM
AL
AXL
A2XL
A3XL
Shirt
Please Select
YXS
YS
YM
YL
AXS
AS
AM
AL
AXL
A2XL
A3XL
MEDICAL INFORMATION
DOES YOUR ATHLETE HAVE ANY ALLERGIES OR MEDICAL CONDITIONS?
*
YES
NO
IF YES, PLEASE LIST BELOW
LEGAL DISCLAIMER
I
PARENT/LEGAL GUARDIAN
*
, the parent/legal guardian of
ATHLETE
*
agree and make public that I will not hold Ashville Youth Wrestling, coaches, its staff, volunteers, and affiliates, or any other participants responsible for any accidents or injuries that may be sustained in in training for, traveling to and from or while participating in the Ashville Youth Wrestling Program. I understand precautions for safety have been taken. I also understand accidents do happen and I assume responsibility for any losses there of. I also authorize emergency treatment if it should become necessary and do hereby give my consent for any medical treatment deemed necessary.
I
PARENT/LEGAL GUARDIAN
*
, give Ashville Youth Wrestling the right and permission to photograph or videotape my child while competing, practicing and/or participating in other Lincoln Youth Wrestling events and to use photographs or videos in its promotional materials and publicity efforts. I understand that the photographs or videos may be used in publication, print ads, direct-mail pieces, electronic media or other forms of promotion. I release Ashville Youth Wrestling, the photographer, their offices, employees, agents and designees from liability for any violation of personal or proprietary right I may have in connection with such use.
Signature
*
*
PAYMENT
PAYMENT TYPE ($150 PLEASE INCLUDE WRESTLER'S NAME IN PAYMENT)
Please Select
Cash App
Venmo
SUBMIT
SUBMIT
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