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2022 Brea Wrestling Club Registration Form
Now that you have your USA Wrestling Card, please complete this form in its entirety for each wrestler joining the Brea Youth Wrestling Club before moving on to the next step of registration.
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* Indicates required question
Wrestler's first name
*
Your answer
Wrestler's last name
*
Your answer
Wrestler's birthdate
*
MM
/
DD
/
YYYY
USA Wrestling Card Number: If you have not purchased a USA Card for your wrestler please follow the link on the Brea Wrestling Club page to complete this question before moving on.
*
Your answer
Grade they are in:
*
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
Other:
School they attend:
*
Your answer
Weight: please enter the weight (in pounds) of this wrestler.
*
Your answer
Parents' Name (1)
*
Your answer
Parents' Email Address (1)
*
Your answer
Parents' Name (2)
Your answer
Parents' Email Address (2)
Your answer
Emergency Contact: Full Name & Phone Number (in event of an emergency)
*
Your answer
Health Insurance Carrier & Policy Number (in event of an emergency)
*
Your answer
Home Address: (# and Street, City, Zip)
*
Your answer
Athlete T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Athlete Short Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
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