Sanderson Wrestling Academy Online Registration

Registration

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Welcome to Sanderson Wrestling Academy! Please complete the following registration form. Please note: Registration should not be completed until a USA Wrestling Card is purchased. Having a USA Wrestling Card provides SWA with liability insurance should an injury take place. Purchase card at www.usawmembership.com. *Debit cards are appreciated due to lower processing fees, but credit cards are acceptable.

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Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

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Contact #1

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Confirm Email*

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Contact #2

Parent/Guardian First Name*

Last Name*

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Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

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Cell #

Additional Info

Student Email

T-Shirt Size

School

Grade Level*

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Student #2 (Show-Hide Details)

Student's First Name*

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Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

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Student #4 (Show-Hide Details)

Student's First Name*

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Student #5 (Show-Hide Details)

Student's First Name*

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T-Shirt Size

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Exp Year *

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Name as it appears on card *

Address Line 1

Address Line 2

City

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Zip*

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Registration

Referral Information

Family Information

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Additional Info

Contact #1

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Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

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