Upper St. Clair Candy Cane Clash

Wrestler Entry

$40.00

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

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Wrestler's Name

First NameLast Name
Division
Age Group
Weight
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Parent/Guardian Release Statement

In consideration of your acceptance of my entry I and my legal heirs waive and release Upper St. Clair School District, Upper St. Clair Athletic Association, Upper St. Clair Youth Wrestling, referees and anyone at thet ournament from any legal claims to damage, injury or loss suffered by directly or indirectly while at the tournament or traveling to or from to participate at the 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 $5 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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