Clone of Wrestler Registration

Tracy Wrestling Club Registration Form

Complete each required field below, then ensure to submit the form with the button at the bottom of the page. You must have a current USA card before starting registration. Please bring proof of registration, current USA card and payment to your first practice **Text 209-814-3207 with questions. *Wrestlers must be 5 years old to enroll - Payment is a one time payment due before the 1st day of practice
Wrestler's Name:*

First NameLast Name
Player Birth Date*

MonthDayYear
BeginnerAdvanced
Emergency Contact Information: Primary *

First NameLast Name
Parent Contact E-mail*
example@example.com
Parent Contact Phone*
Format: (000) 000-0000.
Emergency Contact Secondary

First NameLast Name
Emergency Contact Secondary
Please enter a valid phone number.Format: (000) 000-0000.
USA Wrestling Number: * _________________________
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Insurance Information*
Include Insurance Name / Policy Number / Doctor
Any Allergies?
YesNo
Call parentStart Medical & Call 911
Registration Fees

Beginner: $150 Advanced wrestlers: $150
Payment Information

The Tracy Wrestling Club accepts Credit cards and ATM cards through square. PLEASE BRING PROOF OF REGISTRATION, CURRENT USA CARD AND PROOF OF PAYMENT on the 1st day of practice.

My Products*

Advanced Wrestler Fee

$150.00 Quantity

Beginner Wrestler Fee

$150.00 Quantity

Total

$0.00

Tracy Wrestling Club Registration Form