Conrad Weiser Jingle Brawl Girl's Tournament

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Wrestler's Name

First NameLast Name
Division
Weight
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Parent/Guardian Release Statement

I give permission for my child to participate in this wrestling event and release all sponsoring bodies, Conrad Weiser District and/or boosters and their representatives, agents, successors, assignees, and officials from all liability
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

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

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