Central PA Adult Wresting Club
This form is designed to collect contact information, gauge interest and determine what kind of turnout we can expect at each of the 3 Informational Sessions being held.

Tuesday - November 19  6:30 - 7:30 PM
     Nittany Valley Sports Centre
     177 Champion Drive
     State College, PA 16803

Wednesday - November 20  6:30 - 7:30 PM
     The Liberty Arena
     315 Hepburn Street
     Williamsport, PA 17701

Thursday - November 21  6:30 - 7:30 PM
     Full Body Health & Fitness Center
     501 East Walnut Street
     Lock Haven, PA 17745
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Name *
Please enter your name:
E-mail
Please enter your E-mail to receive communications about the club via e-mail messages:
Cell Phone
Please enter your Cell Phone number (###-###-####) to receive communications about the club via text messages:
Interest Level *
Please indicate what your interest level is in an Adult Wrestling Club:
Required
Info Session Attendance
Please indicate which Informational Session you would like to attend. If you are unable to attend any of them, please check that option.
My Plans (Check One)
Full Body Health and Fitness Center - Lock Haven
The Liberty Arena - Williamsport
Nittany Valley Sports Centre - State College
I'm interested, but unable to attend any of the above sessions.
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