Izzy Style Wrestling Registration Form
Wrestler's Name - First and Last *
Date of Birth *
Mother's Name - First and Last *
Father's Name - First and Last *
Street Address *
City *
State *
Zip *
Cell Phone
Home Phone
Work Phone
Wrestler's Email Address *
Parent's Email Address *
Program Options *
Choose...
Schaumburg - HS Level 1 Elite - $750 - March 12 - July 9 Sun, Mon, and Wed 4:30- 6:15
Schaumburg - HS Level 2 - $750 - March 6 - June 21 Sun, Mon, and Wed 6:30-8:15
Schaumburg - Youth - $500 - March 18 - June 14 Sundays 3:30-5:00 Tues and Thurs 6:30-8:00
Montini - Youth Folkstyle - $300 - March 18 - June 14 Tues and Thurs 5:30-6:30
Montini - Youth Freestyle - $500 - March 18 - June 14 Sundays 5:00-6:30 Tues and Thurs 6:30-8:00
Montini - HS Level 2 - $750 - March 6 - June 21 Sun, Mon, and Wed 6:30-8:15
Student's Age *
Current Weight *
Height *
Years Wrestling *
School attending *
Current grade *
GPA *
USA wrestling card number
Kids club
Medical conditions *
Last seasons results - including places in regionals ( 1-4) sectionals(1-4) state (1-6) *
Off-season accomplishments
Any other necesary information
Billing contact person - first and last name *
Billing contact cell phone
Billing contact work phone *
Relation to student *
Mailing Address *
City *
State *
Zip *
Billing contact email address *
Type the following:
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