2007 Princeton Elementary Wrestling

Wrestler Registration Form

$15 Fee (Single or Family)

Parent(s):  Would you be willing to help work in some capacity (concession stand, timer, coaching, or door) during the elementary wrestling season?   Yes_____No_____       

Actual Weight:______  Wrestler’s Name:____________________________

Address:_____________________________ Phone #:__________________

Date of Birth:________________ E-mail:____________________________

Emergency Information

Contact Name and Relationship:___________________________________

Phone Number:_________________________________________________

Health Insurance:_______________________________________________

By signing below as a parent or guardian for the above named wrestler, I agree to hold harmless the Princeton Elementary Wrestling Program, it’s officers, board of directors, coaches, officials and other volunteers from any and all bodily injury, personal injury or property damage sustained by the above named wrestler while participating in any approved activities of the Princeton Elementary Wrestling Program.

Signature of Parent or Guardian:___________________________________________

Date:_________________

Years Wrestled (Including this year):______ Grade:______  Age:_______

School System:  Lowell South,  Lowell North,  Brumfield,  Bethel,  St. Joe,  Other _____           

Shirt size:           6-8       10-12      14-16      S     M      L      XL    _____

On the same team with : _______________________________________

Make checks payable to the Princeton Wrestling Club.  $15.00 fee _______initials