TJ Youth Wrestling Registration Form

***Please choose Yes only if you are registering a second child in the Open/Novice program. A child in the Little Jaguars and Lady Jaguars does not qualify for the sibling discount.***
Wrestler Name
Home Address
Primary Email for Communication

Mother Information

Mother Name

Father Information

Father Name

Emergency Contact

An emergency contact other than Mother/Father
Emergency Contact Name

Additional Volunteer Information

Additional Volunteer Opportunities

Waiver Agreement

I, the undersigned (by means of typing my name in the "SIGNATURE" box), individually and as a parent/guardian of the listed wrestler, a minor, hereby release, discharge and hold harmless all parties involved with TJ Youth Wrestling from liabilities, damages, claims or demands whatsoever on account of any injury or accident of said minor out of the minor's participation with TJ Youth Wrestling. Check "I Agree" and type your first and last name below.
Multiple Choice