MIDDLE SCHOOL / HIGH SCHOOL WRESTLER INFORMATION
NAME
*
ADDRESS
*
BIRTHDAY
*
-
Month
-
Day
Year
GENDER
*
GRADE:
*
7th
8th
9th
10th
11th
12th
HAS YOUR CHILD WRESTLED IN THE PAST
*
YES
NO
NUMBER OF YEARS WRESTLING
*
Years Experience
SHIRT SIZE
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
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PARENT/GUARDIAN(S)
PARENT/GUARDIAN 1 NAME
*
PHONE NUMBER
*
-
Area Code
Phone Number
RELATIONSHIP TO ATHLETE
*
EMAIL
*
example@example.com
PARENT/GUARDIAN 2 NAME
PHONE NUMBER
-
Area Code
Phone Number
RELATIONSHIP TO ATHLETE
EMAIL
example@example.com
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EMERGENCY CONTACT
EMERGENCY CONTACT
*
PHONE NUMBER
*
-
Area Code
Phone Number
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MEDICAL INFORMATION
DOES YOUR ATHLETE HAVE ANY ALLERGIES OR MEDICAL CONDITIONS?
*
YES
NO
IF YES, PLEASE LIST BELOW
VOLUNTEER INFORMATION
IS THE PARENT/GUARDIAN INTERESTED IN VOLUNTEERING?
*
YES
NO
IF YES, PLEASE LIST BELOW
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FEES PAYMENT
FEES
Wrestling Fees - Middle School $25
Wrestling Fees - High School $50
PAYMENT TYPE
DIGITAL PAYMENT
CASH
CHECK
Submit
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