Pittston Area Wrestling Sign Up Form

Pittston Area Wrestling Sign Up Form

Grades 7 through 12
Name (legal name, no nicknames)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Athlete Phone Number
Please enter a valid phone number.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.
Emergency Contact # 2

First NameLast Name
Emergency Contact #2 Phone Number
Please enter a valid phone number.
Did you get a physical for a FALL sport already?

YESNO
Which level are you registering for?

Junior High (grades 7-9)Varsity (grades 9-12)
What grade are you currently in?
What weight do you plan to wrestle this season?
JH: 80, 87, 94, 101, 108, 115, 122, 130, 138, 145, 155, 170, 190, 210, 250 VARSITY: 107, 114, 121, 127, 133, 139, 145, 152, 160, 172, 189, 215, 285
Shirt size
Should be Empty: