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Moose Jaw Kinsmen Wrestling Club / South Sask Wrestling Club Registration 2026-2027
Please fill out the form below to register your child for the 2026-2027 Season
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Athletes First Name: *
Athletes Last Name: *
Athletes Birthday: *
MM
/
DD
/
YYYY
Gender: *
Age Group (Select One) *
Health Services Card Number
 *
Which is most applicable to your aboriginal ancestry
 *
Release of Information and Media Consent *
Parent #1 Name: *
Parent #1 Phone Number: *
Parent #1 Email Address: *
Parent #2 Name:
Parent #2 Phone Number:
Parent #2 Email Address:
Mailing Address: *
Emergency Contact Name: *
Emergency Contact Phone Number: *
Tee Shirt Size For athlete *
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