2021-22 MWA Registration Form

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Please fill out this form so we can accurately account for members and/or clinic attendees. If you have any questions please contact any of our board members:
Marty Hauck: mhauck@rolla31.org
Kevin Fowler: fowlerkn@warrencor3.k12.mo.us
Phillip Limb: plimb@cameronschools.org
Ryan Cross: Ryancross@wsdr4.org

Email *

School Name *

Head Coaches Name *

School Address *

School Phone *

Head Coach Cell Number *

List Any Assistant Coaches Going to Clinic

Please select all that you are signing up for. *

MWA Men's & Women's Membership & Fall Clinic $225 (Up to 4 Coaches @ Clinic)

MWA (1 team) Membership and Fall Clinic $175 (Includes up to 4 staff members for Clinic)

MWA Men's & Women's Teams Membership Only $150

MWA membership only $100 (a 2nd team is additional)

Clinic Only $125 (Up to 4 coaches)

Additional coach MWA clinic only $35

Required

Payment Type *

Paying through Venmo @Missouri-WrestlingAssociation (Put school name in comments) FYI you have to go to https://venmo.com/account/sign-in/

Sent a Check/PO to Kevin Fowler at 403 Pinckney St., Warrenton, MO 63383

A copy of your responses will be emailed to the address you provided.

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