Grand Island Wrestling Club
Registration Form
Last Name
___________________________________
First
Name____________________________________
Mailing
Address________________________________________________________
Home
Phone_______________________ Cell Phone_____________________
Date of
Birth_______________________
Mother’s
Name___________________________________
Father’s
Name____________________________________
Approximate Weight
____________________
School
Attending___________________________________
District________________________________
Medical conditions
that the coaches need to be made aware of: (Use back of page if necessary to
explain) _____________________________________________________
________________________________________________________________________
________________________________________________________________________
Number of years of
wrestling experience____________
T-shirt Size (adult) AS AM AL AXL
Email
address:______________________________________________
Do you plan to attend
Tournaments? _______________