Chestnut Ridge Little Lions Tournament

Wrestler Entry

$35.00

Double Bracket Entry

Yes, I want to double bracket- add $35 to my registration fees

$35.00

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Wrestler Name

First NameLast Name
Division
Actual Weight
Team
Skill Rating
Email
example@example.com
Team Email
example@example.com
Phone Number

Area CodePhone Number
Team Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age
Age as of the day of the tournament
Wrestler DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Double Bracket Entry

Double Bracket Entries MUST be in a different Division or Age Group than the your first entry
Division (Double Bracket)

Please Carefully Double Check Your Entry Information

There is a small fee for changes to an entry after it has been submitted
Wrestler's Name

First NameLast Name
Division
Weight
Division (Double Bracket)
If the above information is not correct, you can use the back button to go back and correct it

Parent/Guardian Release Statement

IN SUBMITTING AND SIGNING THIS APPLICATION, I HEREBY ASSUME RESPONSIBILITY AND/OR GIVE THE ABOVE NAMED WRESTLER PERMISSION TO WRESTLE IN THE CHESTNUT RIDGE LITTLE LIONS WRESTLING TOURNAMENT. I THEREFORE RELEASE THE CHESTNUT RIDGE SCHOOL DISTRICT, THE CHESTNUT RIDGE LITTLE LIONS WRESTLING ORGANIZATION, THEIR OFFICERS, TOURNAMENT OFFICIALS, REFEREES, ATHLETIC TRAINER AND COACHES FROM ALL LIABILITY FOR ANY INJURIES OR LOSSES THE ABOVE NAMED PERSON MAY RECEIVE AS A RESULT OF TRAINING, PARTICIPATION IN OR TRAVELING TO AND FROM THE ABOVE NAMED TOURNAMENT.
Parent/Guardian Release
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------------------PLEASE NOTE ----------------

You are fully registered to wrestle once you have completed the registration form and payment is complete. PYW or the tournament will not be responsible for your entry if the submission and payment were not submitted. A $4 non-refundable processing fee included in online registration. If you have trouble with your online payment you can email us at pywrestlingmark@yahoo.com
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Double Bracket Entry