Registration - Men's Wrestling Youth Camp

Camp Session:

Camp Session: Youth Camp: July 12-14, 2026
Student Name: Student Name: First Last
Date of Birth: Date of Birth: / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Mobile Phone: Mobile Phone: - ### - ### ####
Parent/Guardian Email:
School Attending:
Grade Entering in Fall
Shirt Size:

Shirt Size: Youth Small Youth Medium Youth Large Small Medium Large X Large XX Large
Emergency Contact Name #1 Emergency Contact Name #1 First Last
Relationship
Phone Number 1 Phone Number 1 - ### - ### ####
Emergency Contact #2 Emergency Contact #2 First Last
Relationship
Phone Number 2 Phone Number 2 - ### - ### ####
Insurance Company
Policy Holder Name
Policy Number
Please list any food allergies: