Green Machine Wrestling Club Registration

Participant Information

Practices will be at Austintown Fitch High School Tuesdays and Thursdays 6:00 pm - 7:30 pm
and Boardman High School on Wednesday's 6:00 pm - 7:30 pm. Starts March 31, 2020

First Name *

Middle Initial

Last Name *

Sex *

Birth Date *

Ethnicity *

Grade *

School

Weigh Class *

Address 1 *

City *

State *

Zip *

Email Address

Cell Phone

Father Name

Father Cell Phone

Father Email Address

Mother Name

Mother Cell Phone

Mother Email Address

Emergency Contact *

Emergency Phone *

In consideration of your acceptance of my entry into the Green Machine Wrestling Club, I declare that I will enter upon my own free will and my parents, my family, or I will not hold liable in any way to the Green Machine Wrestling Club, its Coaches, Austintown Local Schools, Boardman Local Schools or clinicians associated with the Club for damages, injuries, or losses suffered by me directly or indirectly while competing in this club including travel to and from the club and events. I understand that by typing my name below consitutes my signature and agreement to these terms.

Parent Electronic Signature *

Wrestler Electronic Signature *

Date of Signature *