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Wrestlers Incorporated.
Tyngsborough Youth Wrestling Program
Registration for 2007-2008 Wrestling Season
(to be completed by parent or legal guardian)
NAME:_______________________________________________________________________
ADDRESS:____________________________________________________________________
DATE OF BIRTH:______________________________________________________________
GRADE:______________________________________________________________________
SCHOOL:_____________________________________________________________________
WEIGHT:_____________________________________________________________________
MOTHER/GUARDIAN 1:_______________________________________________________
FATHER/GUARDIAN 2:________________________________________________________
LIVES WITH: (ex: both, mom…)___________________________________________________
YEARS EXPERIENCE:__________________________________________________________
TELEPHONE:_________________________________________________________________
ALT. PHONE 1 (include description; ex/ Dad's cell):_____________________________________
ALT. PHONE 2:________________________________________________________________
ALT. PHONE 3:________________________________________________________________
ALT. PHONE 4:________________________________________________________________
***EMAIL ADDRESS***:_____________________________
ALTERNATIVE EMERGENCY CONTACT 1:
Name________________________ Relationship _____________ Phone ____________________
ALTERNATIVE EMERGENCY CONTACT 2:
Name________________________ Relationship _____________ Phone ____________________
MEDICAL OR SPECIAL CONDITIONS:
________________________________________________________________________________
________________________________________________________________________________
REGISTRATION INSTRUCTIONS:Complete, sign and 1) this REGISTRATION, together with
2) completed signed CONSENT AND RELEASE FORM and 3) $50 CHECK made payable to
WRESTLERS INCORPORATED and MAIL TO:
Wrestlers Incorporated