GRESHAM GO-FOR WRESTLING

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2023/2024 Gresham GO-FOR Wrestling Registration Form

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Email:

* Gender:

* Grade:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* Parent or Guardian E-Mail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Insurance Carrier:

* Policy #:

WAIVER INFORMATION

*** Complete Waiver Form in "Online Forms" ***

* T-Shirt Size:

I/we agree with the above

If you are paying with a check, print the form and mail to:

Gresham Go-For Wrestling
1494 SW Battaglia Ave.
Gresham, OR 97080

Payment must be received prior to 1st practice.

* indicates required fields

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2023/2024 Gresham GO-FOR Wrestling Registration Form