Abington Bulldogs Youth Wrestling Program: Online Registration Form

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2008-2009 Season
Online Registration Form

Please complete the entire form below and click the "Submit Registration(s)" button to proceed to the next step. (In the next step, you will need to print the form results page, sign it, and mail it with your payment to the club treasurer. Therefore, if you don't have a printer, you will need to register on-site.) You can submit up to four registrations via this form.

Registration is $95 for the first child, $75 for the second child, and $55 for the third and subsequent children. For example, if you register two children, your check should total $170 ($95 + $75).

Your registration covers the use of a team singlet (which must be returned at the end of the season) and a team piece of apparel (shirt, sweatshirt, or sweat pants). Wrestling shoes and headgear are required. You may purchase them from the club, or from most local sporting goods stores.

Fields in red are required to process your registration.

Parent/Guardian Information
Parent/Guardian Name(s)
Parent/Guardian Home Phone
Parent/Guardian Cell Phone
Parent/Guardian E-mail Address
Medical Insurance	I DO have medical insurance I DO NOT have medical insurance
Emergency Contact Information
Emergency Contact Name
Emergency Contact Phone
Volunteer Selection (Please help!!!)
I am interested in helping out (please select all that apply):	Snack bar Scorekeeping (we teach you!) Timing (it's easy!) Setup and breakdown of mats Assistant coaching Fundraising Apparel sales
Wrestler 1 Information
Name
Date of Birth (e.g. 3/7/94)
Street Address
City
ZIP
Phone
Age as of January 1, 2007
Weight (est.)	lbs.
Experience	years
Medical condition(s)?	No Yes (If Yes, please specify:)
Wrestler 2 Information
Name
Date of Birth (e.g. 3/7/94)
Street Address
City
ZIP
Phone
Age as of January 1, 2007
Weight (est.)	lbs.
Experience	years
Medical condition(s)?	No Yes (If Yes, please specify:)
Wrestler 3 Information
Name
Date of Birth (e.g. 3/7/94)
Street Address
City
ZIP
Phone
Age as of January 1, 2007
Weight (est.)	lbs.
Experience	years
Medical condition(s)?	No Yes (If Yes, please specify:)
Wrestler 4 Information
Name
Date of Birth (e.g. 3/7/94)
Street Address
City
ZIP
Phone
Age as of January1, 2007
Weight (est.)	lbs.
Experience	years
Medical condition(s)?	No Yes (If Yes, please specify:)

Please contact Webmaster at webmaster@abingtonbulldogs.com if you have any questions.

"What's that I smell? Must be victory!"		Buford, official mascot of the Abington Bulldogs Youth Wrestling Club