Mat Rats 2021-2022 Registration
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Wrestler's Name: *
 Birth Date & Age: *
School Attended and grade: *
Approximate weight: *
Years of Wrestling Experience: *
Home Address: *
Parent/ Guardian Name(1): *
 Email: *
Cell Phone Number: *
Parent/ Guardian Name(2): *
 Email: *
Cell Phone Number: *
Emergency Contact, Name and Cell number: *
Payment Type: *
If Check, please add the check number:
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