Name

First Name

Last Name

Team Name

USA Wrestling Membership Number

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Email

Date of Birth

MM

DD

YYYY

Phone

(###)

###

####

Emergency Contact

First Name

Last Name

Emergency Phone

(###)

###

####

Paid

I have paid my team captain and registered with a team

Subscribe

I agree to receive emails regarding team, and league news

Photo Agreement

I agree to allow photography of my or my athlete to be used in promotional material and shared in digital and print form whether inadvertent or purposefully taken