Club Membership Registration Form

Ranger Wrestling Club

Complete the form below to sign your child up for the Ranger Wrestling Club.
Your Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Child's Information
Child's Name

First NameLast Name
Child's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Birth Date

MonthDayYear
Child's School
Current School/School System (ex: Royalview Elementary/Willoughby-Eastlake Schools)
Child's Grade
Years Experience
Child's Clothing Sizes

Shirt SizeShorts Size
Emergency Medical Information
Primary Emergency Contact Name:
Primary Emergency Contact Relation:
Primary Emergency Contact Phone Number:
Secondary Emergency Contact Name:
Secondary Emergency Contact Relation:
Secondary Emergency Contact Phone Number:
Secondary Emergency Contact Phone Number:
Child's Insurance Provider:
Child's Policy Number:
Child's Group Number:
Policy Holder's Name:
Please List Any Pre-Existing Medical Conditions:
Please List Any Medications:
Physician Information: (Include Name, Address, and Phone Number)
By clicking below, I understand that in the event I cannot be reached, I give permission for my child to receive emergency medical treatment deemed necessary by medical personnel.
Signature
Statement of Liability and Acknowledgement of Potential Risks

I, the undersigned parent or legal guardian of the participant named below, acknowledge that participation in wrestling is a physically demanding sport that carries inherent risks, including but not limited to sprains, fractures, concussions, and other injuries including potential skin disease such as ringworm, impetigo, and other communicable skin rashes/infections.I understand that:My child is voluntarily participating in wrestling activities.The coaches, volunteers, and the Rangers Wrestling Club will take reasonable precautions to ensure safety.No activity is without risk, and injuries may occur even when all safety measures are followed.By signing this form, I release, waive, and hold harmless the Rangers Wrestling Club, its coaches, volunteers, and affiliated organizations from any liability for injury, accident, or other harm that may occur during practices, competitions, or related events.I have read this acknowledgment carefully and understand its content. I agree to allow my child to participate under these terms.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Name
Participant name
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
My Products
prevnext( X )
Registration Fees - Rangers Wrestling Club
2026-27 Season

$125.00 Quantity
Child's Name

First NameLast Name
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Ranger Wrestling Club

Child's Information

Emergency Medical Information

Statement of Liability and Acknowledgement of Potential Risks

My Products

Payment Methods