PLEASE FILL-OUT THE FORM BELOW COMPLETELY TO PREREGISTER FOR CLINIC.

THIS IS OUR FUNDRAISER FOR WRESTLING EQUIPMENT.

clinic is in the Girls Wrestling Room: www.oc-grappling.org/mapsantana (look for the “GWR”).

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Required
Parent's/Guardian's/Your Full Name *
Parent's/Guardian's/Your Full Name
Full Legal Name only. If you are an adult wrestler or adult competitor, list your own name here.
Parent'/Guardian's/Your mobile no. *
Parent'/Guardian's/Your mobile no.
Required
Required
Parent's or Guardian's Billing Address *
Parent's or Guardian's Billing Address
Optional
Participant's Name #1 *
Participant's Name #1
Full legal name required.
Weight / Gender / Age / D.O.B. Required.
Required
Participant's Name #2
Participant's Name #2
Full Legasl Name.
Weight / Gender / Age / D.O.B.
Participant's Name #3
Participant's Name #3
Full Legal Name.
Required. Weight / Gender / Age / D.O.B.. .
Also list medical policy number, name of company holding policy and tel# of said company for participants 1.-4.
Required.
Note. If you have any questions re: AAU insurance, Weights and Age Groups etc., please go to the FORMS page of this website and scroll down the AAU Section.

The CLINIC is in the santa ana High school GIRLS WRESTLING ROOM