Massapequa Youth Wrestling
Checks payable to: The Friends of Massapequa Wrestling ($225 includes singlet/shirts/shorts)
1. Please Make sure to purchase a USA Wrestling card for your child. See flier or our website for instructions.
2. Visit: www.massapequawrestling.com for youth flier, youth calendar schedule, & online registration form
3. Please bring a check and copy of your child's USA Wrestling card with you to the 1st day of the clinic.

Youth Program
(1st-3rd grade) & (4th-6th)

Coaches: Matt Delorenzo & Chris Perez

Email address *
1. Last Name, First Name
Your answer
2. Wrestler: Current Grade Level
3. Date of Birth (MM/DD/YYYY)
Your answer
4. Shirt Size
5. Shorts size
6. Singlet size
7. Parents/Guardians Names
Your answer
8. Parents/Guardians Cell numbers
Your answer
9. Parents/Guardians Email addresses?
Your answer
10. Home address?
Your answer
11. Are you a current Massapequa wrestling youth member?
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