Register Form

[]

1 Step 1

2 Step 2

3 Step 3

4 Step 4

5 Step 5

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's Birthdate

Wrestler's Approximate Weight

Wrestler's Grade Level (K-8)

Parent/Guardian Information

Parent 1 First Name

Parent 1 Last Name

Parent 1 Email Address

Parent 1 Phone Number

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email Address

Parent 2 Phone Number

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