CM Youth Wrestling Registration
Application for the 2021/2022 Wrestling Season
Deadline to register is Friday, October 8, 2022
- Registration Fee = $150 (includes singlet & warm up gear)
- Fundraiser Fee = $50 (fundraiser tickets to be sold by wrestlers/family)
- Volunteer Fee = $50 (check returned/shredded upon completion of 2 volunteer hours)
Make Checks payable to CCNS Youth Wrestling
Please complete the following information:
Child’s Name: ____________________________________ Grade: _________________
Date of Birth: ________________ Age: _______________
Approximate Weight: _________ pounds Wrestling Experience: _______ years
Address: _______________________________________________________________________
City: _______________________ Zip: ____________________
Parent/Guardian Name: ___________________________________________________________
Parent/Guardian Phone Number: ____________________________________________________
Parent/Guardian Email: ____________________________________________________________
Singlet size: ___________ Shorts size: ___________ Shirt size: ____________
In consideration of your acceptance of my child participating in the wrestling program, I, intending to be legally bound as parent/guardian, do hereby waive, release, and forever discharge all rights and claims for injury/Covid, which may be suffered by my child, against CCNS Youth Wrestling Organization and their respective officers and coaches, in connection with their association with or entry level in the above program, or which may arise out of travel to or from above said program.
Parent/Guardian Printed Name: ________________________________________________
Parent/Guardian Signature: ___________________________________________________
CCNS Youth Wrestling, PO Box 332 Canonsburg, PA 15317
Visit: http://ccnswrestling.com
Contact: email: ccns.wrestling@gmail.com