Cochranton Youth Wrestling Registration 2025/2026

Cochranton Youth Wrestling Registration
How many children do you need to register?
Wrestler's Name (1)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Wrestlers age: *.
Birth Date:*

MonthDayYear
Date
Years of experience w/wrestling: *.
Current weight (approx): *lbs.
Please provide any medical conditions that your child has and that the Coach should be aware of (if none, type none):*
T-shirt Size:*
Shorts Size:*
Hoodie Size:*
**Officers will decide which is purchased for the wrestlers**
Wrestler's Name (2)*

First NameLast Name
Wrestlers age: *.
Birth Date:*

MonthDayYear
Date
Years of experience w/wrestling: *.
Current weight (approx): *lbs.
Please provide any medical conditions that your child has and that the Coach should be aware of (if none, type none):*
T-shirt Size:*
Shorts Size:*
Hoodie Size:*
**Officers will decide which is purchased for the wrestlers**
Wrestler's Name (3)*

First NameLast Name
Wrestlers age: *.
Birth Date:*

MonthDayYear
Date
Years of experience w/wrestling: *.
Current weight (approx): *lbs.
Please provide any medical conditions that your child has and that the Coach should be aware of (if none, type none):*
T-shirt Size:*
Shorts Size:*
Hoodie Size:*
**Officers will decide which is purchased for the wrestlers**
Wrestler's Name (4)*

First NameLast Name
Wrestlers age: *.
Birth Date:*

MonthDayYear
Date
Years of experience w/wrestling: *.
Current weight (approx): *lbs.
Please provide any medical conditions that your child has and that the Coach should be aware of (if none, type none):*
T-shirt Size:*
Shorts Size:*
Hoodie Size:*
**Officers will decide which is purchased for the wrestlers**
Wrestler's Name (5)*

First NameLast Name
Wrestlers age: *.
Birth Date:*

MonthDayYear
Date
Years of experience w/wrestling: *.
Current weight (approx): *lbs.
Please provide any medical conditions that your child has and that the Coach should be aware of (if none, type none):*
T-shirt Size:*
Shorts Size:*
Hoodie Size:*
**Officers will decide which is purchased for the wrestlers**
Wrestler's Name (6)*

First NameLast Name
Wrestlers age: *.
Birth Date:*

MonthDayYear
Date
Years of experience w/wrestling: *.
Current weight (approx): *lbs.
Please provide any medical conditions that your child has and that the Coach should be aware of (if none, type none):*
T-shirt Size:*
Shorts Size:*
Hoodie Size:*
**Officers will decide which is purchased for the wrestlers**
Emergency Contact (not parent or guardian):*

First NameLast Name
Relationship to wrestler: *
Emergency Contact Number:
Please enter a valid phone number.
Parent/Guardians:*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Work Phone:
Please enter a valid phone number.
Email address:*
example@example.com
Child(ren) Name(s)* has my permission to participate in the Cochranton Wrestling Program for the 2024-2025 wrestling season. I will not hold the Club, Coaches, Club Officers, Sunset Ridge Venue, or Crawford Central School District liable for any accident that may occur. I have received a copy of the by-laws and will abide by them. I understand the Officers are entitled to make decisions on behalf of the Club. As a member of the Cochranton Wrestling Program, I understand that it is expected of me/my child to represent the Cochranton Wrestling Club at all tournaments by wearing the Cochranton singlet and to help out with all Club fundraisers. I also understand that I cannot hold the Wrestling Club liable for any sicknesses or illnesses of any kind to include COVID19.
Parent/Guardian Signature:*

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Parent Contact Information Card

Provided to coaches and officers for quick reference in case of an emergency.
The name(s) of your child(ren):*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Child(ren) lives with*

MotherFatherBoth ParentsOther
Mother's Name:*

First NameLast Name
Mother's Cell*
Please enter a valid phone number.
Father's Name*

First NameLast Name
Father's Cell*
Please enter a valid phone number.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Emergency contact (not parent/guardian):*

First NameLast Name
Emergency contact number:*
Please enter a valid phone number.

Cochranton Youth Wrestling Organization Photo Waiver
At times we may be taking photos and use the wrestler's names on social media and/or advertising purposes. By signing this permission slip, you give Cochranton Youth Wrestling Organization permission to a) take photos, b) use photos and/or names on social media, and c) use names for advertising purposes
Child(rens) Name(s): *
Signature*

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Date*

MonthDayYear
Date

Registration Fee
My Products*
prevnext( X )
1 Cochranton Student
$50.00



Family - Cochranton Students
$90.00



1 - Non Cochranton Student
$75.00



Family- Non Cochranton Students
$140.00



Total

$0.00
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Cochranton Youth Wrestling Registration

Parent Contact Information Card

Cochranton Youth Wrestling Organization Photo Waiver

Registration Fee