BUENA VISTA ROCK HARD YOUTH WRESTLING CLUB
2026 REGISTRATION FORM
Wrestler's Name:
Wrestler's Date of Birth:
-
Month
-
Day
Year
Date
Division:
School:
Physical Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address if Different:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Contact Email Address:
example@example.com
Years of Wrestling Experience:
Approx. Weight:
Guardian of:
First Name
Last Name
Father's Name
First Name
Last Name
Mother's Name
First Name
Last Name
Home Number
Home Number
Work Number
Work Number
Cell Number
Cell Number
Emergency Name (Not living in the home):
Emergency Number #
** Insurance can be obtained on your own though USA Wrestling: http://www.usamembership.com/
Make 2 checks payable to ROCK HARD WRESTLING
$60 Registration Fee and $60 Refundable Singlet Deposit
(2nd child = $55, 3rd child = $50, 4th child = $45 Registration Fee)
FOR OFFICE USE ONLY
Copy of Birth Certificate
Registration Fee
Singlet Deposit
Received Singlet #
Returned Singlet #
RELEASE:
We the parent/legal guardian of the above named wrestler give permission for participation
in Rock Hard Youth Wrestling. We assume all risks and release Rock Hard Youth Wrestling,
its officers, and coaches from any claims arising from injury. We understand the club does not carry primary accident or liability insurance and that providing co
Parent / Legal Guardian Signature
Date
-
Month
-
Day
Year
Date
Preview PDF
Submit
Should be Empty: