Registration - Application
Application
Please fill out all of the following information for your wrestler, after you have finished you need to fill out the medical questionnaire
Name
Address
City, State Zip
Phone
Email
Middle/Elementary School Attending
Wrestlers Date of Birth
Grade
Father/Guardian Name
Home address if different from above
Home Phone
Father/Guardian Cell Phone
Do you accept text messages
Mother/Guardian Name
Mother/Guardian email
Mother/Guardian Cell Phone
Do you accept text messages
Emergency Contact
Phone number
Insurance Company
Policy Number
Is your child currently on medication?
If yes - please list
Drug sensativities or Allergies
If yes - please list
T-Shirt Size
Shorts Size
Comments
$300.00
Registration Fall League
Medical Release- Please choose one
 
If my child's needs medical attention, it is my wish that I am contacted BEFORE any medical procedures are taken on my child, unless necessary to save my childs life
Option One
 
If my child needs medical treatment while participating, it is my wish that the treatment is started while efforts are being made to contact me. I consent to any medical procedures needed and accept responsibilty for all costs
Option Two
Website Pictures and Videos.
I am aware that individual and group photos and videos are taken and in consideration for my own child(ren)’s participation I hereby grant permission for my child(ren)’s likeness to be used in Elite Force Wrestling publicity and advertisement. Photos and videos can be taken down at any time with consent of parent/guardian.
I have read and agree to all terms and conditions aboveParent or Guardian Initials for Consent