Wolves Youth Wrestling Club


ONLINE REGISTRATION FORM 2004-2005

WRESTLER

Name (First, Middle, Last) 
Address
City
State   Colorado
Zip
Day Phone
Evening Phone
Date Of Birth (mm/dd/yy)
Age On 1/1/2005
School
Grade (P, K, 1, 2, etc)
E-MAIL (Wrestler Contact)

T-Shirt Size:

Youth:
Adult: 		Large
Small Med Large XL

 

WRESTLER MEDICAL INFORMATION

Doctor's Name  
Doctor's Phone Number 
Insurance Company  
Insurance Account/ID Number  

 

PARENTS (Primary)

Address is assumed to be the same as the wrestler's. If not, please fill in the information for Parents Secondary.

Name (ex: Dan & Kathy Gable) 

There will be a mandatory parent meeting on Wednesday, November 3, 2004 at the Grandview High School wrestling room to learn more about the club and what to expect for the coming season. The sport of wrestling requires parental involvement and positive support for the development of the child’s self-confidence and technique. Parents are encouraged to attend practices and actively participate. ALL parents will be REQUIRED to assist in the Wolves Youth Wrestling Tournament which is scheduled to be held on Sunday, December 12, 2004 plus one additional duty throughout the season. Additional duties include the end of season party planning, picture scheduling, coaching, registration, equipment manager, public relations/community service, fund raising, statistician and skin check (for Wolve's Tournament. Medical Professionals are qualified. Otherwise, we must send a volunteer to a class). Please list one of these duties that you can assist with in the box below.


PARENTS (Secondary - If Applicable)

Name (ex: Larry Owings) 
Address
City
State   Colorado
Zip
Day Phone
Evening Phone

 

OTHER INFORMATION 
Please provide any additional information, questions or comments.

 

For additional information send an email to WebMaster@WolvesWrestling.com


Submit this application, mail the birth certificate and a check payable to: 

Wolves Youth Wrestling Club
c/o Chuck Wilson
 16524 E. Dorado Avenue
Centennial, CO  80015-4043