Intermediate Youth Wrestling Club Registration |

Select Activity *

Child's Name *

Age *

Months involved in Wrestling *

Grade *

School *

Date of Birth *

mm/dd/yyyy

Parent/Guardian Name *

Street Address *

City *

State *

Zip *

Phone *

xxx-xxx-xxxx

Shirt Size

IMPORTANT INFORMATION PLEASE READ!

Comments or Medical Information

Price

Signature (Type Name Here) *

By typing your name here you agree for your child to participate in Brown County Parks and Recreation activities.

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