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USA Everett Wrestling Registration Form
Please print and complete the USA Wrestling Waiver & Release Form and bring the signed form with a copy of your USA Wrestling card and payment to your first practice.
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* Indicates required question
Wrestler's First Name
*
Your answer
Wrestler's Last Name
*
Your answer
Wrestler's Phone Number
Your answer
Would you like to receive team/practice updates via text at this number?
Choose
Yes
No
Address
*
Your answer
City/Zip Code
*
Your answer
Date of Birth
*
Your answer
Parent/Guardian Full Name
*
Your answer
Parent Address
*
Your answer
City/Zip Code
*
Your answer
Parent Phone Number
*
Your answer
Would you like to receive team/practice updates via text at this number?
Choose
Yes
No
Parent Email
Your answer
Emergency Contact Name
*
Your answer
Emergency Phone
*
Your answer
Emergency Contact's Relationship to Wrestler
*
Your answer
Insurance Carrier
*
Your answer
Policy #
*
Your answer
Medical Conditions, allergies, etc...
*
Your answer
Years of Experience
None
1 year
2 years
3 years
4 + years
Clear selection
Both Wrestler and Parents/Guardian have read and agree with the USA Everett Wrestler's Conduct and Responsibilities
Yes
No
Clear selection
Submit
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