Equip Wrestling Clinic Registration 2018
Who?
Kindergarten-6th Grade

When?
Saturdays (2/10, 2/17, *2/24)
3-5 pm

Where?
Watauga High Auxiliary Gym

Cost?
FREE!

*Dinner & Speaker to follow at Mt. Vernon for all participants from 6:00-7:30 on February 24th

Wrestler's Name
Your answer
Goes by (nickname):
Your answer
Please select your child's grade
Date of Birth
MM
/
DD
/
YYYY
Gender
Parent/Gaurdian Name(s):
Your answer
Complete Address:
Your answer
Home Phone:
Your answer
Cell Phone:
Your answer
Work Phone
Your answer
Preferred Email for Communication:
Your answer
Church currently attending:
Your answer
I give my child permission to attend EQUIP Sports Ministries at Mount Vernon Baptist Church. I also give permission for my child to be photographed for EQUIP Ministry promotional purposes.
My child can be dismissed from EQUIP Sports Ministries with (please list all applicable names including parent/guardian):
Your answer
Emergency Contact #1
Your answer
Relationship to Player
Your answer
Phone Number(s)
Your answer
Mt. Vernon has my permission to take my child to Watauga Medical Center for any treatment necessary.
Medical information, including food allergies, we need to know about (specify below):
Your answer
Prayer Requests:
Your answer
Submit
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