2018-19 Bomber Wrestling Athlete Registration
Survey
Parent/Guardian: How did you hear about Bomber Wrestling? (please select all that apply)
Parent/Guardian: How can our program help you to have the most positive team experience?
Your answer
Wrestler: What are you most excited about this season?
Your answer
Wrestler: What is your favorite subject in school?
Your answer
Wrestler Information
Wrestler Email Address *
Your answer
Wrestler First Name *
Your answer
Wrestler Last Name *
Your answer
Wrestler Date of Birth *
MM
/
DD
/
YYYY
Wrestler Current Grade *
Wrestler Current Age *
Your answer
Wrestler Current Experience Level
Wrestler Mailing Address
Wrestler Mailing Address: *
Your answer
City *
State *
Zip Code *
Your answer
(ICE) In Case of Emergency Contact Information
ICE Contact 1: *
ICE Contact 1 Name:
Your answer
ICE Contact 1: Phone Number *
Your answer
ICE Contact 1: Email Address *
Your answer
Are you available to help drive wrestlers to and from events? (you'll need a drivers form on file with the school district) *
ICE Contact 1: In what area(s) are you interested in volunteering? (please select all that apply) *
Required
ICE Contact 2:
ICE Contact 2 Name:
Your answer
ICE Contact 2: Phone Number
Your answer
ICE Contact 2: Email Address
Your answer
Are you available to help drive wrestlers to and from events? (you'll need a drivers form on file with the school district)
ICE Contact 2: In what area(s) are you interested in volunteering? (please select all that apply)
If you have a USA Wrestling athlete membership, please enter your number here.
Your answer
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