USA Gold Wrestling Club

Registration Form

Name:  ________________________________________

Date of Birth:  ________________

Grade:  ____________________

Parents Names:____________________________________________

Phone:  ________________________

Email:   __________________________________

Mailing Address:         _____________________________________

                                       _____________________________________

T-shirt size (circle one):         YM      YL       S          M         L          XL

Order additional t-shirts ($15 each)    __YM    __YL      __S         __M       __L         __XL      __XXL

Check One:

                     Option 1

$120 per wrestler includes:     USA Gold Club fee-                                       $70

                                                                        USA Gold Club T-shirt-                                 $15 value

                                                                        USA Gold Club uniform (singlet) -                $50 value

                                    Note- $20 discount for additional immediate family members

                                   Weight in lbs. (used for uniform sizing):______________________           

                     Option 2

$80  per wrestler includes:      USA Gold Club fee-                                       $70

                                                                        USA Gold Club T-shirt-                                 $15 value

                                    Note- $20 discount for additional immediate family members

Please include check or money order payable to Eagle Wrestling.

Mail to:  USA Gold Wrestling Club,   2135 Navas Ln.,   Newcastle, CA  95658

               Or bring form to first practice.

NEW REQUIREMENT:  A USA Wrestling Card is required and must be purchased online through USA Wrestling. This is a membership and insurance card that is required to be a member of the club and to compete at any of the tournaments in the area. Membership in the club includes a USA Wrestling monthly magazine.  To purchase a USA Wrestling Card go to  www.usawmembership.com . Please list USA Gold as wrestling club during membership process - this is important for team points for Club Championship Tournament.

For More Information:         Phone 916/663-3287 or Email- clintmadden@msn.com

Website: www.eaglewrestling.org