Registration

Puyallup Wrestling Club

To be considered as registered, you must complete the information below and the payment portion of the registration. The registration fee is $50 for the year and by clicking the link at the bottom of this form you will be taken to the secure site to make this payment.
No wrestler will be able to participate in practice unless this registration is complete and paid.

PWC Registration

* Indicates required field

Wrestlers Name *

First

Last

Wrestlers Date of Birth *

Wrestlers Approx Weight *

School that Wrestler Attends *

Returning PWC Wrestler *

Yes No

USAWrestling card # (Required to practice) *

Wrestling Experience *

Parent Name *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

BY COMPLETING THIS REGISTRATION, I CONFIRM THAT I AM THE LEGAL GUARDIAN OF THE WRESTLER THAT IS SIGNING UP FOR THE PUYALLUP WRESTLING CLUB. I FURTHERMORE RELEASE THE PUYALLUP WRESTLING CLUB (PWC), ITS BOARD, COACHES, VOLUNTEER STAFF AND OWNERS OF ANY AND ALL FACILITIES WHICH WE USE DURING THE COURSE OF OUR COMPETITION AND TRAINING, FROM ANY AND ALL LIABILITY THAT MAY ARISE FROM THE TRAINING AND COMPETITION IN THE SPORT OF WRESTLING. I ALSO UNDERSTAND THAT THIS PROGRAM THAT I AM REGISTERING FOR IS NOT AFFILIATED WITH THE PUYALLUP PARKS & RECREATION OR THE PUYALLUP SCHOOL DISTRICT * *

Agree

I further Agree that I have my own medical insurance provider and have read the information sheet regarding concussion awarness in youth athletics *

Agree

Continue to Payment