Franklin Regional Wrestling (JO, JH, HS) - (Murrysville, PA)

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2022/2023 Pre K - 6 Junior Wrestling Registration

* Wrestlers First Name:

* Wrestlers Last Name:

* Guardian First Name:

* Guardian Last Name:

* Street Address:

* City:

* State Abbr.:

* Zip Code:

* Date of Birth:

Enter the below phone numbers as 10 digits. For example 7244685555

* Preferred Cell Phone:

* Name of Person who holds the cell phone:

Other Cell or other phone number (like home or work):

Name of Person who hold the cell phone or note what the number is (home, work etc...):

* Email Address 1:

Email Address 2:

* Weight (Please use a scale):

* Years of wrestling experience (not counting this coming season):

* Shirt size:

* First year with the Franklin Regional JO program?:

Yes

* Would you be willing to be a team room parent?:

Yes

Medical issues we should be aware of:

Wrestling is a contact sport, and injuries may occur. In consideration of the acceptance of my child into the Franklin Regional Junior Wrestling Program, I, individually and as a parent/guardian of the above named athlete, a minor, do hereby agree to release, discharge and hold harmless all parties involved, including the coaches, board members, and volunteers of the Franklin Regional Junior Wrestling Program and Franklin Regional School District from all liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving said minor arising out of the minor’s attendance at practices or in the course of competition or activities held in connection with the Franklin Junior Wrestling Program.

I also give permission for my child to be photographed and agree that the photographs may be used on the website for the Franklin Regional Junior Wrestling Program or other programs regarding our wrestling organization.

I understand and agree *

* indicates required fields

IMPORTANT: Online Payment with credit cards is not active for this form