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Wrestler Name
DOB
Age / Grade
School
Home Address
City
Zip
Team T-Shirt Size
Team Short Size
Team Singlet Size
Parent/Guardian Name
Address (If Different)
Phone Number
Email
Please list any medications, medical conditions, or medical requirements for our wrestler:
After Submitting you will be redirected to Venmo to submit your $185 registration fee (includes Singlet, Shorts and T-Shirt)
Proceed to Payment
