Welcome! Thank you for joining the Ravens Wrestling Club.
> Please DO NOT complete until after you have signed-up for USA Wrestling & received your USAW ID#.
> Complete the form below to provide our Club Director your information and get on the Ravens Roster.
> All but the last items are required entries to successfully submit the form.
Thank you.
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Participant's LAST NAME *
Participant's FIRST NAME *
USA Wrestling ID Number    (USAW ID#)   *
This is required. If you have not obtained a USA WRESTLING CARD, please FIRST go to:  https://club.ravenswrestling.org/join/
Participant's AGE *
Participant's BIRTHDATE *
MM
/
DD
/
YYYY
Participant's SCHOOL *
if participant is not enrolled in a local area school, please enter: NONE
Participant's GRADE *
Participant's T-SHIRT Size *
Participant's WEIGHT (in pounds) *
Image/Photo Release: Do you agree to allow you & your participant's image & name to be use for the Ravens Wrestling Club's promotion & publicity.  (web, social media, video, and/or print? *
PARENT's LAST Name *
PARENT's FIRST Name *
PARENT's EMAIL *
PARENT's BEST PHONE NUMBER *
EMERGENCY CONTACT NAME *
EMERGENCY CONTACT PHONE NUMBER *
IF participant has any extra-ordinary health needs or requirements, please name & explain below. Thx
Primary Medical Insurance Coverage Company (name)
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