Elderton Rock the Mat Novice

Wrestler Entry

$35.00

Double Bracket Wrestler Entry

$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
6 & Under Weights
8 & Under Weights
10 & Under Weights
12 & Under Weights
Exact Weight
Team
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age
Age as of 12/31/2024
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)
Double Bracket Entries MUST be in a different Division or Age Group than the your first entry
6 & Under Weights (Double Bracket
8 & Under Weights (Double Bracket
10 & Under Weights (Double Bracket
12 & Under Weights (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)
Weight (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

We hereby declare that we will participate in the ROCK THE MAT NOVICE Wrestling Tournament at our own risk and of our own free will. We will not in any way or manner or under any circumstances hold liable the Armstrong School District, Elderton Youth Wrestling, tournament directors and officials, or referees for any injury that we might sustain directly or indirectly from competing in this tournament or as a spectator attending this tournament.
Parent/Guardian Release
Send me the hottest deals on Wrestling Gear and equipment.
------------------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
Should be Empty:

Double Bracket Entry