How many wrestlers will you be registering?
*
1
2
3
4
5
6
Parent Name
*
First Name
Last Name
E-mail
*
Phone Number:
*
-
Area Code
Phone Number
Wrestling club you are affiliated with?
Wrestler Name
*
First Name
Last Name
Grade
*
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Wrestlers Weight
*
Wrestler #2 Name
*
First Name
Last Name
Wrestler #2 Grade
*
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Wrestler #2 Weight
*
Wrestler #3 Name
*
First Name
Last Name
Wrestler #3 Grade
*
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Wrestler #3 Weight
*
Wrestler #4 Name
*
First Name
Last Name
Wrestler #4 Grade
*
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Wrestler #4 Weight
*
Wrestler #5 Name
*
First Name
Last Name
Wrestler #5 Grade
*
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Wrestler #5 Weight
*
Wrestler #6 Name
*
First Name
Last Name
Wrestler #6 Grade
*
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Wrestler #6 Weight
*
Payment Option
*
Online
Mail In Payment
Drop In (Pay $15 at or before practice)
My Products
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LWC Elite
$
150.00
Quantity
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Total
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