Registration
Girls ONLY!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
USAW Wrestling Card Number ALL PARTICIPANTS MUST HAVE AN ACTIVE USA WRESTLING CARD NUMBER. All card numbers will be verified. (For multiple siblings please list first names followed by card number)*
 
Additional Information:
 
Release of Liability Part 1
  (Show-Hide Details)
I've read the above and agree.
 
Release of Liability Part 2
  (Show-Hide Details)
I've read the above and agree.
 
Code of Conduct
  (Show-Hide Details)
I've read the above and agree.
 
Medical Emergencies
  (Show-Hide Details)
I've read the above and agree.
 
USA Wrestling Cardholer
  (Show-Hide Details)
I've read the above and agree.
 
Camp Fees/Refunds
  (Show-Hide Details)
I've read the above and agree.
 
Cancelations
  (Show-Hide Details)
I've read the above and agree.
 
Release of Photo or Likeness
  (Show-Hide Details)
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*