JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WRTC Registration
Please fill out this form for your wrestler. If you have more than one wrestler, please fill out this form for each child.
There is a waiver at the bottom of this form. Please know that you are accepting this waiver by typing in your full name.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Wrestler's First & Last Name
*
Your answer
Grade
*
Choose
K
1
2
3
4
5
6
7
8
9
10
11
12
College
Date of Birth (MM/DD/YYYY)
*
Your answer
School
*
Your answer
Athlete's Email Address
*
Your answer
Parent's Email Address
*
Your answer
Home Address (Street Address, City, State, Zip Code)
*
Your answer
Athlete's Phone Number
*
Your answer
Parent's Phone Number
*
Your answer
Emergency Contact Name & Phone Number
*
Your answer
USA Wrestling Card Number
*
Your answer
Waiver: I hereby authorize the staff of the above named Warrior Regional Training Center to act in their best judgment in any emergency requiring medical attention and hereby waive and release the staff from any and all liability for injuries or illness incurred at the Warrior RTC wrestling program. I have no knowledge of any physical impairment that would be affected by my child’s participation at the Warrior Regional Training Center wrestling program. *Parent/Guardian please sign with your full name (first and last) to sign waiver.
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Warrior Regional Training Center Inc.
Report Abuse
Forms
