Registration for the 2012-13 season is $180 We ask that all Collins Hill youth and middle school wreslters register here, even if not paying online.   Please fill out the form as completely as possible. Mandatory fields are innidcated with an asterisk (*).  After filling out this form you will be given the opportunity to pay your membership fee online via PayPal.  You must fill out a separate form for each wrestler.
	Wrestler Info
For secuirty purposes, PLEASE ENTER THE GREEN NUMBER SHOWN:   *    533    705    579    290    302                                                                                                                   Security Number Required
Last Name:	* Last Name is Required
First Name:	* First Name is Required
USA Card #:	Find It
School:	* School is Required
School Grade:
Birth Date:	* Date of Birth is required
Weight:	* Weight is Required
Yrs. Experience	* Yrs. Experience is Required
Uniform Size:
T-Shirt Size:	* T-Shirt Size is Required
Shorts Size:	* Shorts Size is Required
	Address
Street Address:	* Required
Apartment #
City:	* Required
Zip:	* Required
	Contact Info
Primary Phone:	* Required
Primary Email:	* Required
Home Phone:	If different from Primary Phone
Dad's Name:
Dad's Cell:	If different from Primary Phone
Dad's Email:	If different from Primary Email
Mom's Name:
Mom's Cell	If different from Primary Phone
Mom's Email:	If different from Primary Email
Please double-check your entries before hitting Continue