Fargo Information Form- Women's-U16 & JR-2022-USA Wrestling-Ohio Greco & Freestyle
Born 9/1/2002 & after, plus enrolled in grades 9-12
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First Name *
Last Name *
USAW Card Number *
Date of Birth *
MM
/
DD
/
YYYY
Mom's Full Name *
Dad's Full Name *
Address *
City *
Zip *
Phone Number/Text (Athlete) *
Must be able to text
Primary Email Address Athlete *
Phone Number/Text (Parent) *
Primary Email Address Parent *
School Attended This Year *
Grade in School This Year *
Club Affiliation (If any)
Coach's Name (Specify Club or High School) *
e.g. (Name/HS or Club)
Junior High School State Tournament Placements (Year/Weight/Place)
OHSWCA State Tournament Placements (Year/Weight/Place)
USA Wrestling U16 Nationals Placements (Freestyle)/(Year/Weight/Place)
USA Wrestling Junior Nationals Placements (Freestyle)/(Year/Weight/Place)
USA Wrestling Ohio Fargo Nationals Prior Team Member (Year/Style/Weight)
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