2021-22 Rum River Wrestling Registration Form
*Pre-K (5 years old), Kindergarten and 1st grade: $110 per wrestler- Practice Mondays 5:30-6:30
*2nd grade-6th grade: $150 per wrestler (2nd wrestler $125, 3rd wrestler $100)
- Practices are Tuesdays/Thursdays, 2nd/3rd grade 5:45-6:55; 4th grade and older 7:05-8:30
*Cost covers club registration, MN/USA Wrestling membership card ($55), club t-shirt and freestyle & greco practices (after folkstyle season)
*$100 volunteer deposit check (per family)- required at registration. Volunteer checks will be returned at the end of the season if you meet volunteer requirements- volunteering at our home youth tournament.
PLEASE PAY AT THE FIRST PRACTICE- Practices begin November 22nd and 23rd
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Name (of wrestler) *
Date of birth *
Grade *
Address *
Parent/Guardian 1 Name *
Parent/Guardian 1 Email *
Parent/Guardian 1 Phone Number *
Parent/Guardian 2 Name
Parent/Guardian 2 Email
Parent/Guardian 2 Phone Number
Miscellaneous information regarding your child for coaches or board to be aware of:
T-Shirt Size (of wrestler) *
Have you already purchased your wrestler's MN/USA Wrestling membership card? *
Consent for Medical Treatment: As the parent/legal guardian of the above names wrestler, I hereby give my consent for emergency medical care prescribed by a duly licensed doctor of medicine or doctor of dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb and well-being of the wrestler. *
Consent for Use of Photos and/or Name: I authorize the release of all pictures taken during any wrestling event for promotion purposes, including use on our website. *
Does the wrestler have medical insurance/coverage? *
Parent/Guardian Signature and Date *
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