2018-19 Full Year Training AV Promo Price


DIRECTIONS: If you are parent registering your child for a team or to be placed on a team, use the individual registration form below. If you know the Team you will be wrestling with select the Team from the list and then enter the Team Code that was given to you by the coach. If you are registering without a team leave the team as "UNATTACHED" and the Team Code field blank. All fields with a * are required.

Team
*First Name
*Last Name
*Age
*Grade
*Weight Class
*Address
 
*City
*State
*Postal
*Parent Name
*Email
*Phone 999-999-9999
Special Requests or Considerations
*Attending as Commuter $500
Pay Amount Pay In Full
*Payment Type Pay Online   Pay By Check
Promotional Code

I agree to the Insurance Terms
Insurance Co.
Policy Number

I understand the Refund Policy
 
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