2016 Upper Moreland Open Tournament
2016 Upper Moreland Open Tournament
PLEASE NOTE - Your are not registered to wrestle until you submit payment. If you quit or get knocked out before payment is complete you must resubmit the online form and payment. PYW or the tournament will not be responsible for your entry if payment was not submitted. Please bring a copy of payment receipt to tournament for your safety. -----------------------------------------------------------Wrestler Name *
Home Phone Number *
-
-
Cell Phone Number
-
-
First
Last
###
###
####
Email *
###
####
Wrestler DOB *
/ MM
Address *
City *
###
/ DD
YYYY
State *
Zipcode *
Choose State Team *
15-16 Record: Won Lost *
USA Wrestling Card # (Leave Blank if you do not have a USA Card and check box below)
**********************IMPORTANT*********************** IF YOU DO NOT HAVE A USA CARD AND ARE NOT GOING TO PURCHASE ONE YOU MUST CHECK THE BOX BELOW (Add $5 to my registration) TO BE REGISTERED. If you do not have or obtain a valid USA card and do not check the box below your registration is not complete and the applicant is not registered
I do not have a USA card please add $5 to my Entry. (If you would like to purchase a USA Wrestling Card go to http://www.usawmembership.com )
Yes - Please Add $5 to my Registration to cover non USA Membership. Actual Weight *
Divison *
Pee Wee (6 and Under) Bantam (8 and Under) Midget (10 and Under) Junior (12 and Under) Intermediate (14 & under)
Release Statement: In consideration of your acceptance of my entry, I hereby release the Upper Moreland Wrestling Club and Upper Moreland School District from all liabilities, claims, or rights to damages for injuries or losses suffered by me directly or indirectly in training for, traveling to or from, and participating in the Upper Moreland Open Tournament of 2016. By checking box and adding my name below I agree to the above terms. *
Yes - I Agree to above terms Wrestlers Signature *
Parent/Guardian/Coach Signature *
Date *
/ Type Name
Type Name
Send me the hottest deals on Wrestling Gear and equipment.
Yes - I am always looking for good deals on Wrestling Gear.
MM
/ DD
YYYY
PLEASE NOTE - Your are not registered to wrestle until you submit payment. If you quit or get knocked out before payment is complete you must resubmit the online form and payment. PYW or the tournament will not be responsible for your entry if payment was not submitted. Please bring a copy of payment receipt to tournament for your safety. -----------------------------------------------------------Wrestler Name *
Home Phone Number *
-
-
Cell Phone Number
-
-
First
Last
###
###
####
Email *
###
####
Wrestler DOB *
/ MM
Address *
City *
###
/ DD
YYYY
State *
Zipcode *
Choose State Team *
15-16 Record: Won Lost *
USA Wrestling Card # (Leave Blank if you do not have a USA Card and check box below)
**********************IMPORTANT*********************** IF YOU DO NOT HAVE A USA CARD AND ARE NOT GOING TO PURCHASE ONE YOU MUST CHECK THE BOX BELOW (Add $5 to my registration) TO BE REGISTERED. If you do not have or obtain a valid USA card and do not check the box below your registration is not complete and the applicant is not registered
I do not have a USA card please add $5 to my Entry. (If you would like to purchase a USA Wrestling Card go to http://www.usawmembership.com )
Yes - Please Add $5 to my Registration to cover non USA Membership. Actual Weight *
Divison *
Pee Wee (6 and Under) Bantam (8 and Under) Midget (10 and Under) Junior (12 and Under) Intermediate (14 & under)
Release Statement: In consideration of your acceptance of my entry, I hereby release the Upper Moreland Wrestling Club and Upper Moreland School District from all liabilities, claims, or rights to damages for injuries or losses suffered by me directly or indirectly in training for, traveling to or from, and participating in the Upper Moreland Open Tournament of 2016. By checking box and adding my name below I agree to the above terms. *
Yes - I Agree to above terms Wrestlers Signature *
Parent/Guardian/Coach Signature *
Date *
/ Type Name
Type Name
Send me the hottest deals on Wrestling Gear and equipment.
Yes - I am always looking for good deals on Wrestling Gear.
MM
/ DD
YYYY
