Grand Island Wrestling Club

Registration Form

 

 

 

Last Name ___________________________________

 

First Name____________________________________

 

Mailing Address________________________________________________________

 

Home Phone_______________________†††† Cell Phone_____________________

 

Date of Birth_______________________

 

Motherís Name___________________________________

 

Fatherís Name____________________________________

 

Approximate Weight ____________________

 

School Attending___________________________________

 

District________________________________

 

Medical conditions that the coaches need to be made aware of: (Use back of page if necessary to explain) _____________________________________________________

________________________________________________________________________

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Number of years of wrestling experience____________

 

T-shirt Size (adult) ††† AS†††††† AM†††† AL†††††† AXL

 

Email address:______________________________________________

 

Do you plan to attend Tournaments? _______________