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Registration form for wrestling class
SUPLEX
Wrestling Club
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* Indicates required question
Choose the class:
*
High school
Youth
Beginner
First name:
*
Your answer
Last name:
*
Your answer
Date of birth:
*
MM
/
DD
/
YYYY
Gender:
*
Male
Female
Current weight:
*
Your answer
City:
*
Your answer
Residential address:
Your answer
Name of parent/legal guardian (if child):
Your answer
Contact p
hone number:
*
Your answer
Email address:
*
Your answer
The name of your (your child's) school:
*
Your answer
Have you (your child) been previously registered in other wrestling clubs?
*
Yes
No
If "Yes," please provide the name of the previous club and the name of the coach.
Your answer
What experience do you (your child) have in wrestling (if any)?
*
No experience
less than 1 year
1 year
2 years
3 years
more than 3 years
Do you
(your child)
have any medical conditions that would prevent participation in wrestling? (Yes/No).
If "Yes," please provide details.
*
Your answer
Name and email of person who will be handling the club fees:
Your answer
Do you have any questions or additional comments you would like to add?
Your answer
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