Black Raider Wrestling Club 2021-2022 Sign-up
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What is your name?
How old are you?
When is your birthday?
MM
/
DD
/
YYYY
What school do you attend?
Parent/Guardian #1 phone number
Parent/Guardian #2 phone number
Parent/Guardian #3 phone number--if needed
Parent/Guardian #4 phone number--if needed
Parent/Guardian #1 email address
Parent/Guardian #2 email address
Parent/Guardian #3 email address--if needed
Parent/Guardian #4 email address--if needed
What is your t-shirt size?
Clear selection
What is your favorite food?
Who is your favorite sports team?
How many years of wrestling experience do you have?
Clear selection
Are there any medical concerns I should know about?
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