2017-2018 FRANCIS HOWELL VIKING WRESTLING CLUB

Competitive Wrestler Registration Form (one per wrestler)

Wrestler's Name: ______Age: ______Date of Birth: ______Grade:_____School:______

Father’s Name ______

Mother’s Name______

Would like to assist with coaching: Yes No If Yes, Name______

Address: ______City ______Zip ______Home Phone: ______Cell Phone Dad: ______Cell Phone Mom:______

Emergency Contact Name ______Phone:______Email(s): ______Wrestlers Weight:______

Have you ever wrestled before? Yes No If Yes, Name of Club if not ours______

Birth Certificate Received at Registration? Yes No If No, did you give in a prior year? Yes No

Have you ever placed at AAU State? Yes No Place & Year(no 1st year divisions)______

Have you ever placed at USA State? Yes No Place & Year (no 1st year divisions)______

Shirt/Sweatshirt Size: Y (Youth)/A (Adult) Circle one YS YM YL AS AM AL AXL A2XL

Short Size: Y (Youth)/A (Adult) Circle one YS YM YL AS AM AL AXL

I grant ______permission to compete in practices and tournaments with

Wrestler's Name (Please Print)

the Viking Wrestling Club. I certify that this child is covered by medical insurance and understand wrestling is a physical sport. I further understand that, as with any physical sport, the risk of injury is always possible, and that I/we will not hold the Viking Wrestling Club, individuals helping coach the Viking Wrestling Club or the Francis Howell R III School District responsible for any accidents related to or occurring with the Viking Wrestling Club. I understand that if in the first month of the program my child chooses to withdrawal, I may request a refund within that time frame only.

______

Parent/Guardian Signature Date

______

Parent/Guardian Printed Name

Registration: (check made payable to: FH Wrestling Booster)

$180.00 per wrestler [$150 for 2nd and $100 for 3rd] (Price Includes AAU & USA Cards, T-Shirt/Shorts, Howell Tournament End of Season Pizza Party). Additional gear will be available for order.

Check number______

Singlet Deposit: (check made payable to: FH Wrestling Booster)

$50.00 per wrestler for singlet deposit. Your check will be destroyed at the end of the wrestling season when the singlet is returned. **Please post-date check 3/1/18.**

Check number______

Parent Work Deposit: (check made payable to: FH Wrestling Booster)

$75.00 per wrestler for working events for the Francis Howell Wrestling Boosters. Your check will be destroyed at the end of the wrestling season if participation was completed. **Please post-date check 3/1/17.**

Check number______