• Glasgow Wrestling Club

    2027 Online Registration Form
  • Gender
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • T-Shirt SIZE
  • Format: (000) 000-0000.
  • I request that in my absence the above-named wrestler be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctor of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures, and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named player.
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    • Child #2 
    • Gender
    • Date of Birth
       - -
      2 digit month, 2 digit day, 4 digit year
    • T-Shirt SIZE
    • Format: (000) 000-0000.
    • I request that in my absence the above-named wrestler be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctor of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures, and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named player.
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    • Child #3 
    • Gender
    • Date of Birth
       - -
      2 digit month, 2 digit day, 4 digit year
    • T-Shirt SIZE
    • Format: (000) 000-0000.
    • I request that in my absence the above-named wrestler be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctor of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures, and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named player.
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    • Child #4 
    • Gender
    • Date of Birth
       - -
      2 digit month, 2 digit day, 4 digit year
    • T-Shirt SIZE
    • Format: (000) 000-0000.
    • I request that in my absence the above-named wrestler be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctor of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures, and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named player.
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  • Glasgow Wrestling Club

    PARENT / GUARDIAN INFORMATION
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Glasgow Wrestling Club

    Emergency Contact Information
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Glasgow Wrestling Club

    Insurance Information
  • Format: (000) 000-0000.

  • Glasgow Wrestling Club

    FEES: $80 FOR FIRST CHILD (Pre-K through 7th Grade) & $70 for each additional child. $220 MAX per family (Pre-K through 7h Grade). $35 for EACH 8th-12th Grade wrestler.

  • My Products

    prevnext( X )
              Child #1 (Pre-K through 7th Grade)

              This is the fee for your FIRST child

              $80.00$80.00
                
              Child #2 (Pre-K through 7th Grade)

              This is the fee for your SECOND child

              $70.00$70.00
                
              Child #3 (Pre-K through 7th Grade)

              This is the fee for your THIRD child

              $70.00$70.00
                
              Child #4 (PreK-7th Grade)

              FREE

              Free$ Free
                
              8th - 12th Grade Wrestler
              $35.00$35.00
                
              Total
              $0.00$0.00

              Payment Methods

              creditcard
              After submitting the form, you will be redirected to Google Pay to complete the payment.
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