Everett Bloody Run Brawl

$37.00

Double Bracket Wrestler Entry

$37.00

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Wrestler Name

First NameLast Name
Division
Boys Age Groups
Girls Age Groups
Actual Weight
Please be Honest
School/Club
Skill Level
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

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

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Double Bracket Entry

Double Bracket Entries MUST be in a different Division or Age Group than the your first entry
Division (Double Bracket)
Boys Age Groups (Double Bracket)
Girls Age Groups (Double Bracket)

Please Carefully Double Check Your Entry Information

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

First NameLast Name
Division
Age Group
Weight
Division (Double Bracket)
Age Group (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

In submitting and signing this application, I hereby assume responsibility and/or give the above-named wrestler permission to wrestle in the Everett Warriors Bloody Run Brawl Tournament. I therefore release the Everett Area School District, the Everett Wrestling organization, their officers, tournament of officials, referees, athletic trainer, and coaches from all liability for any injuries or losses the above-named person may receive as a result of training, participation in or traveling to and from the above-named tournament.
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 non-refundable processing fee included in online registration. If you have trouble with your online payment you can email us at pywrestlingmark@yahoo.com
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Double Bracket Entry