USA Gold Wrestling

2011-2012

A $20 discount is given for a sibling of a full paying wrestler

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

                One t-shirt included with club membership

Check Items Below:

                     Collegiate Season-  November 8 - February 23                           $____________                     

$80  per wrestler (2^nd grade -5^th grade)

Price includes club t-shirt                                                                                                                                                                   

                                                                                    -                                  

                        USA Gold Wrestling Singlet                                                            $____________

                        $40 per uniform(recommended for competition)

Order additional t-shirts ($15 each)                                                                            $____________

__YM    __YL      __S         __M       __L         __XL      __XXL

                                                                                      TOTAL -- $____________

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 and payment to practice.

A USA Wrestling Card is a requirement and must be purchased separately online through USA Wrestling. USA Wrestling is the national sanctioning body for wrestling in the United States. This is a required membership and insurance card that is needed to be a member of the club and is also required to compete at any of the tournaments in the area. Membership in the club includes the USA Wrestling monthly magazine. One card is valid for both the collegiate and freestyle seasons. Memberships in USA Wrestling cost is approximately $35.00 plus processing fee.

USA Wrestling insurance card can be purchased at www.themat.com . Just go to “membership” tab and follow prompts. Please list USA Gold as the wrestling club during membership process.

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

                                                Website: www.eaglewrestling.org