List With PYW
List your Tournament, Camp, Clinic, or other event on Pennsylvania Youth Wrestling
Organization Information
Organization/Club Name
*
Event Director's Name
*
First Name
Last Name
Phone Number
*
Please list the Phone Number you would like for PYW to use to contact the Organization with any question about the Event
Email
*
Please list the Email you would like for PYW to use to contact the Organization with any question about the Event
Event Listing Information
How many Events would you like listed on PYW
*
1 Event (Tournament, Camp, Clinic, etc)
2 Events (Tournament, Camp, Clinic, etc)
3 Events (Tournament, Camp, Clinic, etc)
Please note there is a maximum of 3 Events per "List with PYW" form, if you are listing 4+ Events please fill out an additional form
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Event Information
Event #1 Information
Name of the Tournament/ Event
*
Please enter exactly what you want listed on PYW
Date of Event
*
Banner Listing Size for this Event
*
Over Sized Banner ($150)
Regular Sized Banner ($125)
Will this event be using PYW's Online Registration Services?
*
Yes
No
Date & Time you want the Online Registration to Close
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Entry Fee for Tournament
*
Please Enter the Exact Amount you want EACH WRESTLER to Pay to ENTER the Tournament
Total Amount Organization will Receive per Entry
*
Maximum Number of Accepted Entries
This is an optional field, and if you do not have a limit you can leave it blank
Address of Wrestling Venue
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where is your Event Located
*
Please Select
North West PA
South West PA
North Central PA
South Central PA
North East PA
South East PA
Other State (NJ, NY, OH, MD, etc)
Where is your Event Located, Other State
*
Please Select
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Which Age Groups can Participate in your Event
*
Youth
Junior High
High School
Girls
Open (Adults Division)
List this Banner as "Flyer Coming Soon" ($10)
Please Select
No
Yes
Please Leave as "No" if you are not listing this Tournament/Event as "Flyer Coming Soon" Please read the pop-up description for more details on the "Flyer Coming Soon" Listing Option
Please Upload this Event's "Flyer" Here
Browse Files
Drag and drop files here
Choose a file
Each event should have either an informational "flyer" or website for the banner to link to
Cancel
of
Please Upload any Banners, Logos, etc you would like used for this Event
Browse Files
Drag and drop files here
Choose a file
This is an optional field that can be left blank
Cancel
of
Please Upload any Banners, Logos, etc you would like used for this Event
Browse Files
Drag and drop files here
Choose a file
This is an optional field that can be left blank
Cancel
of
Event #2 Information
Name of the Tournament/ Event
*
Please enter exactly what you want listed on PYW
Date of Event
*
Banner Listing Size for this Event
*
Over Sized Banner ($150)
Regular Sized Banner ($125)
Will this event be using PYW's Online Registration Services?
*
Yes
No
Date & Time you want the Online Registration to Close
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Entry Fee for Tournament
Please Enter the Exact Amount you want EACH WRESTLER to Pay to ENTER the Tournament
Total Amount Organization will Receive per Entry
*
Maximum Number of Accepted Entries
This is an optional field, and if you do not have a limit you can leave it blank
Address of Wrestling Venue
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where is your Event Located
*
Please Select
North West PA
South West PA
North Central PA
South Central PA
North East PA
South East PA
Other State (NJ, NY, OH, MD, etc)
Where is your Event Located, Other State
*
Please Select
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Which Age Groups can Participate in your Event
*
Youth
Junior High
High School
Girls
Open (Adults Division)
List this Banner as "Flyer Coming Soon" ($10)
Please Select
No
Yes
Please Leave as "No" if you are not listing this Tournament/Event as "Flyer Coming Soon" Please read the pop-up description for more details on the "Flyer Coming Soon" Listing Option
Please Upload this Event's "Flyer" Here
Browse Files
Drag and drop files here
Choose a file
Each event should have either an informational "flyer" or website for the banner to link to
Cancel
of
Please Upload any Banners, Logos, etc you would like used for this Event
Browse Files
Drag and drop files here
Choose a file
This is an optional field that can be left blank
Cancel
of
Please Upload any Banners, Logos, etc you would like used for this Event
Browse Files
Drag and drop files here
Choose a file
This is an optional field that can be left blank
Cancel
of
Event #3 Information
Name of the Tournament/ Event
*
Please enter exactly what you want listed on PYW
Date of Event
*
Banner Listing Size for this Event
*
Over Sized Banner ($150)
Regular Sized Banner ($125)
Will this event be using PYW's Online Registration Services?
*
Yes
No
Date & Time you want the Online Registration to Close
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Entry Fee for Tournament
Please Enter the Exact Amount you want EACH WRESTLER to Pay to ENTER the Tournament
Total Amount Organization will Receive per Entry
*
Maximum Number of Accepted Entries
This is an optional field, and if you do not have a limit you can leave it blank
Address of Wrestling Venue
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where is your Event Located
*
Please Select
North West PA
South West PA
North Central PA
South Central PA
North East PA
South East PA
Other State (NJ, NY, OH, MD, etc)
Where is your Event Located, Other State
*
Please Select
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Which Age Groups can Participate in your Event
*
Youth
Junior High
High School
Girl's
Open (Adults Division)
List this Banner as "Flyer Coming Soon" ($10)
Please Select
No
Yes
Please Leave as "No" if you are not listing this Tournament/Event as "Flyer Coming Soon" Please read the pop-up description for more details on the "Flyer Coming Soon" Listing Option
Please Upload this Event's "Flyer" Here
Browse Files
Drag and drop files here
Choose a file
Each event should have either an informational "flyer" or website for the banner to link to
Cancel
of
Please Upload any Banners, Logos, etc you would like used for this Event
Browse Files
Drag and drop files here
Choose a file
This is an optional field that can be left blank
Cancel
of
Please Upload any Banners, Logos, etc you would like used for this Event
Browse Files
Drag and drop files here
Choose a file
This is an optional field that can be left blank
Cancel
of
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Next
Online Registration Proceeds Information
All the Information PYW needs to send you the proceeds of your event!
Where should the Online Registration Proceeds Check be sent?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who should the Check be Addressed To?
*
Please enter the name of the person or organization that will be receiving the Online Registration Proceeds Check at the above address
Who should the Check be made Payable to?
*
Please enter the Name of the Organization or Person who's bank account will be receiving the Online Registration Proceeds Check
Please Double Check and make sure the above information is correct!
PYW wants to make sure we send your check to the right address & that your organization will be able to cash it once it arrives!
Other Custom Listing Instructions
This field is optional, and if you do not have any you can leave it blank
File Upload
Browse Files
Drag and drop files here
Choose a file
Any additional logos, flyers, pictures, or other miscellaneous items you would like used for your listing
Cancel
of
File Upload
Browse Files
Drag and drop files here
Choose a file
Any additional logos, flyers, pictures, or other miscellaneous items you would like used for your listing
Cancel
of
File Upload
Browse Files
Drag and drop files here
Choose a file
Any additional logos, flyers, pictures, or other miscellaneous items you would like used for your listing
Cancel
of
Back
Next
Event Listing Payment Options
Payment Options
Please Select
I want to pay Online
I want to send a Check to PYW
OR Payment Options
Please Select
I want PYW to subtract the Listing Fees from my Online Registration Proceeds
I want to pay Online
I want to send a Check to PYW
Type of Registration
Total Price Calculator
Please Send the Check with your full Payment to:
Pennsylvania Youth Wrestling
P.O. Box 339 Grantham, PA 17027
All Checks must be received within 3 weeks of the Listing Request & PYW reserves the right to wait until the check is received to post the Event's Banner. Please do not delay sending out a check for Payment!
Payment Amount
*
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( X )
USD
Description
Credit Card
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Last Name
Credit Card Number
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