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SVWC Registration Form

Season/Division

Wrestler's First Name

Wrestler's Last Name

Wrestler's Birthdate

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 (waiver will download)

Your Waiver Signature

Season Selection *

Summer - $200

**Summer Sibling - $100

**Sibling discount applies to the 2nd+ child registered for a family.

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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