Takedown Breakdown Mayhem
Registration for the TBM Wrestling Tournament - Tots, Bantams, Midgets ONLY
Folkstyle
Sunday February 19, 2017
Weigh-ins - Satellite or 7:00 a.m. Sunday morning
Wrestling starts at 9:00 a.m.
$30.00 - Non-Refundable Registration Fee
Madison Weight-System
Double Elimination
Prizes to top 3 in each weight class

Game Time Performance
435 Route 130 North
Yardville, NJ
(610) 392-8001
revolutionwrestlingnj@gmail.com

Email address
Wrestler's First Name
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Wrestler's Last Name
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Wrestler's Birthdate
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Wrestler's Street
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Wrestler's City
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Wrestler's State
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Team Affiliation
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Division
Weight
Parent's Name
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Parent's Phone Number
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Parent's E-Mail Address
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Waiver of Liability
I agree to let my child wrestle in the Takedown Breakdown Mayhem Wrestling Tournament. I do so at my own risk and of my own free will. I will not in any way hold liable the sponsors, tournament officials, referees, or host site for any injuries or losses I, or my child, might receive directly or indirectly from traveling to or from, or competing therein. I certify that information given on this registration is correct. I understand that if my child has any suspicious skin markings or rashes, they may be disqualified or prohibited from entering the tournament unless a signed doctor's note is provided stating the wrestler has been receiving treatment, is no longer contagious, and the note is dated within 5 days of competition. I acknowledge being able to lawfully accept this waiver of liability because I am the parent/guardian of the above registered wrestler.
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Refund Policy
Except for duplicate entries, no refund shall be granted for failure to participate due to disqualification, medical issue, failure to attend, or any other reason should the tournament be held at the assigned date and time.
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