Milton Dynamo Wrestling Club Registration 2023-2024 (October 23, 2023-May 8, 2024)
Please complete this form in full, and bring either cash or cheque (payable to 'Milton Dynamo Wrestling Club') to the first practice.  Sessions will be held in the WRESTLING ROOM.
$700 for the Season, please ask about our monthly payment plans if needed.
https://sites.google.com/site/miltondynamowrestlingclub/home
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Wrestler's LAST Name: *
Wrestler's FIRST Name:   *
Wrestler's Address: *
Wrestler's Phone Number: *
Parent/Guardian Name:   *
DATE OF BIRTH *
MM
/
DD
/
YYYY
AGE GROUP for 2022-2023 (year of birth) *
Required
EMERGENCY CONTACT NAME: *
EMERGENCY CONTACT PHONE NUMBER: *
EMERGENCY CONTACT RELATIONSHIP TO WRESTLER:  Mother and Father *
HEALTH CARD Number: *
ALLERGIES: *
If no allergies, indicate -NONE
EMAIL ADDRESS(ES) (for practice and tournament updates):   *
CURRENT SCHOOL: *
FUTURE HIGH SCHOOL: *
Payment to be made by: *
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