Clone of 2025 Curwensville Shae Bloom Open & Novice

Team Code
Leave this field blank unless given code by PYW
Wrestler Name

First NameLast Name
Email
example@example.com
Team Email
example@example.com
Phone Number

Area CodePhone Number
Team Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age
Age as the day of the Tournament
Wrestler DOB

MonthDayYear
Date
School/Club
Division
Open Age Groups
Novice Age Groups
Girls Age Groups
Open 8 & Under Weight Classes
Open 10 & Under Weight Classes
Open 12 & Under Weight Classes
Actual Weight
Accomplishments/Honors
N/APlease enter any Accomplishments/Honors acheived
Double Bracket Entry

Double Bracket Entries must be in a different Division or Age Group than the your first entry
Division (Double Bracket)
2nd Entry must be in either a different Division or Age Group than 1st Entry
Open Age Groups (Double Bracket)
2nd Entry must be in either a different Division or Age Group than 1st Entry
Novice Age Groups (Double Bracket)
2nd Entry must be in either a different Division or Age Group than 1st Entry
Girls Age Groups (Double Bracket)
Open 8 & Under Weight Classes (Double Bracket)
Open 10 & Under Weight Classes (Double Bracket)
Open 12 & Under Weight Classes (Double Bracket)

Please Carefully Double Check Your Entry Information

There is a small fee for changes to an entry after it has been submitted
Wrestler's Name

First NameLast Name
Division
Age Group
Weight
Division (Double Bracket)
Age Groups (Double Bracket)
Weight (Double Bracket)
If the above information is not correct, you can use the back button to go back and correct it

Parent/Guardian Release Statement

We, the parents of (wrestler listed on registration form) assume full responsibility for our son/daughter in case of any injury that may occur during the Curwensville Shae J Bloom Wrestling Tournament or while traveling to or from the tournament. In consideration of your acceptance of this Entry Form, I waive all claims to injury or damage against Curwensville School District and the Curwensville Wrestling Boosters Club.
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 $4.00 non-refundable processing fee included in online registration. A $7.00 non-refundable processing fee included in Double Bracket Registrations. If you have trouble with your online payment you can email us at pywrestlingmark@yahoo.com
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Shae J Bloom Memorial