Register Form

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Do you have a USA Wrestling Card number?

If you don't have a USA Wrestling Card for your wrestler, click here to get them signed up.

Wrestler Information

Wrestler First Name

Wrestler Last Name

Wrestler Email Address (optional)

Wrestler School Name

Wrestler's Birthdate

Wrestler's approximate weight

Parent/Guardian Information

Parent First Name

Parent Last Name

Parent Email Address

Phone Number

Street Address

City

Zip Code

Emergency Information

Does the Wrestler has health insurance?

Yes No

Medical Insurance Provider Name

Emergency Contact Information

Contact First Name

Contact Last Name

Phone Number

Contact Relationship to Wrestler

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