2017-18 Prodigy Membership Agreement Form
Prodigy requires that all wrestlers complete the annual Membership Agreement Form in order to participate in Prodigy Wrestling Academy. These forms allow prodigy to keep your contact information updated each season and for parents and wrestlers to agree with Prodigy Policies and Agreements. Contact and Policy Agreements must be completed each season starting on August 1st and ending on July 31st of the following year.
Email address *
Attended Previously? *
Has wrestler attended Prodigy Wrestling Academy since August 1st, 2014? This allows us to find and update the wrestler's information annually.
Signed Waiver on File *
Has wrestler signed a Waiver this season (starting Aug. 1st, 2017) and read the new waiver procedures below? All wrestlers must have a waiver, signed by a parent, on file for this season in order to participate. Starting this year, waivers will be kept on file at Prodigy and will not have to be resigned each season. Prodigy Waivers can be found at http://prodigywrestlingacademy.com/wp-content/uploads/2017/07/PWA-Waiver-Form.pdf
Today's Date *
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Wrestler Information
Wrestler Last Name *
Your answer
Wrestler First Name *
Your answer
Date of Birth *
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Age *
Weight *
Enter their approximate weight in pounds - Round to the nearest pound
Your answer
Grade *
Experience *
Approximate number of Years experience with wrestling.
Street Address *
Your answer
City *
Your answer
State *
Zip *
Your answer
School/Club *
Your answer
Wrestler Cell #
(Optional) Helpful to have high school and junior high wrestlers numbers to find partners and weights to fill teams, when needed.
Your answer
Primary Parent/Guardian Contact Information
The Primary contact will be contacted first in the event that a parent or guardian must be contacted.
Primary Contact *
Name *
Your answer
Phone # *
Your answer
Email Address *
Your answer
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Click below if you do NOT subscribe this email to Prodigy Wrestling Academy Updates. Updates provide upcoming training programs and camps throughout the year.
Secondary Parent/Guardian Contact Information
The Secondary contact will be contacted second in the event that a parent or guardian must be contacted or the primary contact cannot be reached.
Secondary Contact *
Name *
Your answer
Phone # *
Your answer
Email Address
Your answer
Do NOT subscribe
Click below if you do NOT subscribe this email to Prodigy Wrestling Academy Updates. Updates provide upcoming training programs and camps throughout the year.
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