South Side Dale Brodmerkel Open & Novice

Wrestler Name

First NameLast Name
Divisions
Open Age Groups
Novice Age Groups
8&U Open Weights
10&U Open Weights
12&U Open Weights
6&U Weights
8&U Novice Weights
10&U Novice Weights
12&U Novice Weights
Email
example@example.com
Team Email
example@example.com
Phone Number

Area CodePhone Number
Team Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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
School/Club
Double Bracket Entry

Double Bracket Entries MUST be in a different Division or Age Group than the your first entry
Divisions (Double Bracket)
Open Age Groups (Double Bracket)
Novice Age Groups (Double Bracket)
8&U Open Weights (Double Bracket)
10&U Open Weights (Double Bracket)
12&U Open Weights (Double Bracket)
8&U Novice Weights (Double Bracket)
10&U Novice Weights (Double Bracket)
12&U Novice Weights (Double Bracket)

Please Carefully Double Check Your Entry InformationHeading

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 Group (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

In consideration of acceptance of my child’s entry, I hereby intend to be legally bound to myself, my heirs, executors, or administrators, I hereby waive and release any and all rights and claims for damage I may have against the South Side Youth Wrestling, its agents and representatives, their successors and/or assigns, for any and all injuries suffered by me directly or indirectly as a result of this 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 $5 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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Dale Brodmerkel Open & Novice Tournament