14 - 18YRS & Older Coast Lower Mainland Registration
 SEPT 2023 - AUGUST 2024 Season

Coast Wrestling Academy & Society reserves the right to cancel an individual's membership if they do not meet the requirements of the program. Reasons including but not limited to: potential risk to the well being of self or others emotionally and physically. This includes an individual's ability to meet the program demands physically, maturly and emotionally.
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Wrestler's First Name
Wrestler's Last Name
Email for billing
Wrestler's email (if in high school)
Wrestler's Birth Date
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DD
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YYYY
Gender
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BCWA Membership Number (Membership must be a purchased or renewed once available in September. This information must be emailed to info@coastwrestlingacademy.com once completed) 

DO NOT BUY BCWA MEMBERSHIP UNTIL IT IS AVAILABLE IN SEPTEMBER
https://www.bcwrestling.com/membership-1
Wrestling Experience (number of years wrestled at a club or school)
Care Card Number  (PHN)
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