Union City Ring of Fire

Wrestler Entry

$40.00

Double Bracket Wrestler Entry

$40.00

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
6 & Under Weights
8 & Under Weights
10 & Under Weights
12 & Under Weights
Team
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, Double bracketing permitted only in different OPEN age divisions. Novice wrestlers CANNOTdouble bracket.
Division (Double Bracket)
8 & Under Weights (Double Bracket)
10 & Under Weights (Double Bracket
12 & Under Weights (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
Weight
Division (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 your acceptance of my child’s entry, I and my legal heirs waive and release the Union City Youth Wrestling Club, The Union City Area School District, The Union City High School, School Board, Referees, Volunteers, and anyone connected with the wrestling tournament from any legal claims of damage, injuries or losses suffered by directly or indirectly while at the tournament or traveling to or from to participate at the tournament. I further certify that the birth date of the participating wrestler is true and correct.
Parent/Guardian Release
Send me the hottest deals on Wrestling Gear and equipment.
------------------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
Should be Empty:

Double Bracket Entry