BCC Youth Wrestling Club Registration 2019-2020
Wrestler's First Name *
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Wrestler's Last Name *
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Wrestler's Nickname
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USA Wrestling ID Card Number *
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Wrestler's Phone
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Wrestler's Email
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Team *
Approximate Weight *
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Gender *
Date of Birth *
MM
/
DD
/
YYYY
Age *
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T-Shirt Size *
Singlet Size *
School *
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Grade *
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Parent's First Name *
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Parent's Last Name *
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Parent's Email *
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Parent's Phone Number *
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I would like to help! *
Required
Street Address *
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City *
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State *
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Zip Code *
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Second Parent's First Name
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Second Parent's Last Name
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Second Parent's Email
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Second Parent's Phone Number
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I would like to help!
Second Parent's Street Address
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Second Parent's City
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Second Parent's State
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Second Parent's Zip Code
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Comments
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