Buckskin Mat Club 2018-19
Make sure to completely fill in each part of this online registration form. Once you hit "Submit", then make sure to use "Buy Now" PayPal button BELOW THIS FORM to complete the registration payment process with a checking or savings account or personal credit card. If you're registering in person, you can pay by check, cash, or money order.
Wrestlers Last Name, First Name *
Your answer
Parent's Name(s) *
Your answer
Home Address *
123 Grappler Way
Your answer
Town *
Your answer
State *
Required
Zip Code *
12345
Your answer
Primary Phone Number *
Format: 717-555-5555
Your answer
Primary Email Address *
Your answer
Birth Date *
Format: 12/02/1996
Your answer
School *
Required
Age on 12/31/2018 *
Grade *
Weight *
Nearest Pound
Your answer
Wrestling Experience *
Number of Seasons
T-Shirt Size *
Waiver *
I verify that my child has had a recent physical examination and is physically able to participate in all team activities. I understand that wrestling is a contact sport and will assume any responsibility for injuries or any other expenses incurred as a result of an accident or loss of personal property.
Required
Registration Fee *
Required
Pig Roast Tickets - "Self Payback" *
3 Tickets for our annual Pig Roast Barbeque are included with your registration this season. Tickets are $10 each. The Pig Roast will be held Sunday, November 18th from 12-3 pm. Use the tickets for your family or sell them to friends in order to reimburse yourself $30 of the registration fee. This replaces the "Buyout Deposit" required in previous seasons. CHECK ONE OF THE BOXES BELOW TO INDICATE HOW YOU WILL WANT TO RECEIVE YOUR TICKETS.
Required
Payment Type *
Check a box to indicate how payment will be made. If using PayPal, then you must return to the registration homepage AFTER submitting this form to use the "Buy Now" option below with your bank account or credit card.
Required
Submit
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This form was created inside of Conestoga Valley School District.