Clone of Wrestler Registration

Tracy Wrestling Club Registration Form

Complete each required field below, then ensure to submit the form with the button at the bottom of the page. You must have a current USA card before starting registration. Please bring proof of registration, current USA card and proof of payment to your first practice **Text 209-814-3207 with questions. *Wrestlers must be 5 years old to enroll Payment is a one-time payment due at registration
Wrestler's Name:

First NameLast Name
Player Birth Date

MonthDayYear
Wrestler Skill - Only pick 1
Emergency Contact Information: Primary

First NameLast Name
Parent Contact E-mail
example@example.com
Parent Contact Phone
Format: (000) 000-0000.
Emergency Contact Secondary

First NameLast Name
Emergency Contact Secondary
Please enter a valid phone number.Format: (000) 000-0000.
USA Wrestling Number: * _________________________
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Insurance Information
Include Insurance Name / Policy Number / Doctor
Any Allergies?
Do the allergies require your wrestler to carry an epipen?
IF MY CHILD NEEDS MEDICAL ATTENTION : Please read the statements below and initial your choice.
Registration Fees

Beginner: $150 Advanced wrestlers: $300
Payment Information

The Tracy Wrestling Club accepts Credit cards and ATM cards through square. PLEASE BRING PROOF OF REGISTRATION, CURRENT USA CARD AND PROOF OF PAYMENT on the 1st day of practice. Registration will close the day before practice NO CASH OR CHECKS

My Products

Advanced Wrestler Fee

$300.00 Quantity

Beginner Wrestler Fee

$150.00 Quantity

Total

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Tracy Wrestling Club Registration Form

Registration Fees

Payment Information

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Credit Card

My Products