PRTC Athlete Participation Form

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Required form to participate in PRTC training

First Name *

Last Name *

USA Wrestling Card Number *

Birthdate *

Age *

Gender *

Male

Female

Weight Class *

High School Graduation Year *

RTC Qualifying Criteria (How did you qualify?) *

1. Won at least one match at a Senior USAW World or Olympic Team Trials

2. Placed Top 8 at USA Wrestling Senior Open Championships

3. Placed Top 8 at USA Wrestling U23 National Championships

4. Placed Top 8 at UWW U20 National Championships

5. Placed Top 8 at USA Wrestling Junior National Championships

6. Placed Top 4 at USA Wrestling Junior Regionals

7. Placed Top 8 at USA Wrestling 16U National Championships

8. Placed Top at UWW U17 National Championships

9. Placed Top 6 at USAW State Junior Freestyle/Greco-Roman Championships

10. Placed Top 6 at USAW State U16 Freestyle/Greco-Roman Championships

11. Placed Top 4 at USA Wrestling Senior Regionals

12. Placed Top 4 at New York Athletic Club International

13. Placed Top 4 at Dave Schultz Memorial International

14. Competed in a Continental Championship/Games, World Championships/Games, at any age level(5 year criteria does not apply)

15. Veteran athlete who has represented the US within the last two years at the Veteran's World Championships or is scheduled to compete at the next World Championship Event.

16. Athlete who is listed on a collegiate roster for the 2025-26 USA Wrestling membership year

17. International athlete currently representing a country other than the United States (This must be verified and approved by USAW and PRTC)

Place in National Tournament in Fargo 2025 *

Place in High School State Folkstyle Tournament 2025 *

Place in State Freestyle/Greco Tournament *

High School Name *

Club Team Name *

Athlete Email Address *

Athlete Cell Phone Number *

Home Address Street *

Home Address City *

Home Address State *

Home Address Zip Code *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email Address *

Parent/Guardian Cell Phone Number *

Parent/Guardian Signature or Athlete Signature if 18 or older:

By typing my name below, I agree to allow my child to be treated by a licensed physician, registered nurse, or athletic trainer while attending the PRTC and assume all costs related to such treatment. I understand that anyone attending/participating in PRTC practices or using the PRTC facilities does so at their own risk. PRTC staff shall not be liable for any damages arising from personal injury sustained by the participant during training sessions or while on site and so hereby fully and forever exonerate and discharge PRTC staff, owners, employees, and agents from any and all claims, demands, damages, rights of action or causes of action, present or future, whether the same be known, anticipated or unanticipated, resulting from or arising out of participation and in the use of the facilities.

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