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SVWC Registration Form

Season/Division

Wrestler's First Name

Wrestler's Last Name

Wrestler's Grade

Wrestler's Approx Weight

Tshirt Size

Parent's Name

Parent's Address

Parent's Phone Number

Parent's Email

USA Wrestling Card Number

Read the waiver here and sign below

Your Waiver Signature

Season Selection

VAWA Prep - $100

Winter: Youth Grades K-5 - $225

Winter: Youth Grades K-5, Drop-In - $30

**(Sibling) Winter: Youth Grades K-5 - $180

**Sibling discount applies to the 2nd+ child registered for a family,
and should be applied to the lesser or equal amount(s) of $ for season registrations.

Note- Your registration is not complete until checkout/payment is processed.

Thanks for your registration!

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MAILING ADDRESS: P.O. BOX 161, DAYTON, VA 22821

TRAINING CENTER ADRESS: 221 OLD RIVER RD, BRIDGEWATER, VA 22812

SVWCinc@GMAIL.COM

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